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Matthew Gorski, Roman Shinder; Cyanoacrylate Pseudo-tarsorrhaphy: Presentation & Treatment Strategies. Invest. Ophthalmol. Vis. Sci. 2012;53(14):6759.
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Cyanoacrylate (Super Glue) is a common household product that can cause significant peri-ocular morbidity after inadvertent inoculation. Several case reports of cyanoacrylate pseudo-tarsorrhaphy have been published, however a consensus on optimal treatment is lacking. Described strategies include observation, cilia trimming, and ointment. We detail the clinical presentation, treatment strategy, & outcome of 6 such patients.
Charts of 6 patients with cyanoacrylate pseudo-tarsorrhaphy were reviewed.
4 male and 2 female patients had a median age of 15.5 (range 3-22, Table 1). They all presented to the ER after accidental cyanoacrylate inoculation. 3 patients had complete & 3 had partial pseudo-tarsorrhaphy. All patients were treated with hot compresses purposefully applied by the physician until the lids could be easily detached from the glue (Fig. 1). 1 case (#5) presented after vigorous rubbing by ER staff caused madarosis & failed to lyse the pseudo-tarsorrhaphy. At 1 month follow-up, all patients had benign ocular exams.
Accidental cyanoacrylate pseudo-tarsorrhaphy is an uncommon entity with the potential for serious peri-ocular & psychological trauma. To our knowledge, this study is the largest such series in the ophthalmic literature to date. Purposeful hot compresses resulted in successful treatment in all of our patients. Treatments such as vigorous rubbing & cilia trimming should be avoided as they can cause further morbidity.
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