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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.
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.
Abstract:
In this report, we elaborate the clinical findings and the optimal management of two cases with ocular glue injuries in two paediatric patients. Both the patients were presented to the ocular emergency with completely closed eyelid and periocular erythema. The eyelids were completely closed due to matting of the eyelashes with glue retention up to lash roots. Thus, in both cases, after the application of local anaesthetic agent, immediate lash trimming was performed along with the removal of crystallised glue particles. However, the ocular surface showed only congestion in absence of any added corneal complications. Patients were followed up with standard treatment protocol as per chemical injuries. Until the end of 5 months, the clinical course was uneventful.
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