A Case of Pediatric Cyanoacrylate Adhesive Injury to the Eye
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A 5-year-old child presented to the emergency room because his right eye had been glued shut for 2 h following accidental instillation (mistaken as eye drops) of cyanoacrylate adhesive by himself. Before the presentation, the parents attempted to open the eyelids with their fingers and a lid wash of warm water at home, and an emergency room doctor at his local hospital failed to separate the eyelids. The clinical examination showed redness of the right upper and lower lid skin; the right eyelid margins adhered to each other because of matting of the eyelashes, and crystallized glue was found within the matted eyelashes.

The “hook” technique was performed to separate the lids. After a topical anesthetic was instilled through a gap in the lid fissure, an ophthalmic ointment (0.3% ofloxacin, Taribid ophthalmic ointment, Santen Pharmaceutical) was applied to moisten the crystallized glue particles. With parental permission, the patient was restrained by wrapping him in a blanket. A blunt-tip forceps (S-325, Beaupre epilation forceps, Inami & Co. Ltd., Tokyo, Japan) was inserted through the gap, and the tip was moved parallel to the lid margins to the adhesion site. The tip was moved slightly upward and away from the ocular surface to minimize contact between the instrument and the ocular surface. Counterpressure opposite to the forceps movement was applied with the fellow hand. The lid margins were separated successfully; except for mild conjunctival congestion, slit-lamp examination showed no ocular surface injury. The patient was prescribed 1.5% levofloxacin eye drops (Nipro, Osaka, Japan) 4 times/day. Two months later, the residual glue had sloughed off; no additional complications developed.

Source: https://www.karger.com/Article/FullText/507846
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