Paediatric ocular super glue injuries: assessment of two cases

Amar Pujari1, Jyoti Shakrawal1, Meghal Gagrani1

  • 1Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.

BMJ Case Reports
|September 29, 2018
PubMed

Insights

Ocular glue injuries in children can cause eyelid matting and redness. Prompt lash trimming and glue removal, followed by standard care, led to uneventful recovery in two pediatric cases.

Area of Science:

  • Ophthalmology
  • Pediatric Emergency Medicine

Background:

  • Ocular glue injuries are uncommon but can cause significant eyelid and ocular surface issues in children.
  • Prompt management is crucial to prevent long-term complications.

Observation:

  • Two pediatric patients presented with complete eyelid closure due to eyelash matting from cyanoacrylate glue.
  • Periocular erythema and glue retention at the lash roots were noted in both cases.

Findings:

  • Immediate lash trimming and removal of crystallized glue under local anesthesia were performed.
  • Ocular surface examination revealed only conjunctival congestion, with no corneal complications.
  • Follow-up over 5 months showed an uneventful clinical course with standard chemical injury protocols.

Implications:

  • This case series highlights a simple and effective management strategy for pediatric ocular glue injuries.
  • Early intervention can prevent serious ocular surface damage and ensure favorable outcomes.
  • Ophthalmologists and emergency physicians should be aware of this specific injury pattern and its management.

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