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M. H. Osaki, T. Osaki, T. H. Osaki; Temporary Management of Involutional Entropion With Application of Octyl-2-Cyanoacrylate Liquid Bandage (Band-Aid Liquid). Invest. Ophthalmol. Vis. Sci. 2009;50(13):664.
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Involutional entropion affects basically the lower eyelid and is more common in older patients. It is associated with several causative factors, including horizontal lid laxity with attenuation or disinsertion of the lower lid retractors. A prospective study was designed to evaluate the use of octyl-2-cyanoacrylate liquid bandage as a temporary treatment in patients awaiting surgical repair for involutional entropion.
We evaluated 10 patients (11 lower eyelids) who were awaiting surgical intervention to correct involutional entropium. The lower eyelid was repositioned by application of the octyl-2-cyanoacrylate liquid bandage (Band-Aid liquid, Ethicon, Johnson and Johnson's, New Jersey, NY, USA) in the lower eyelid, near the lower orbital rim. Patients were followed at days 1 and 7. Assessment of eyelid correction and duration of correction were recorded.
All patients presented successful correction at day 1, with significant improvements in symptoms and signs. The mean duration of action of the octyl-2-cyanoacrylate liquid bandage was 3.1±0.9 days. In two patients, adhesion broke at day 2; in five, at day 3; in two, at day 4 and in one, at day 5. No ocular or dermatological reactions were noted and patients were satisfied with the temporary results.
Octyl-2-cyanoacrylate liquid bandage is a simple and effective method that provides a potentially simple solution to treat patients with involutional entropion temporarily, while they are awaiting surgical repair, as well as in patients without systemic clinical conditions or unwilling to undergo a surgical procedure. It is a safe, not allergenic and not expensive product that can be used daily (or when the adhesions break) in these cases.
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