Title: Corneal Abrasion from Accidental Exposure of Cyanoacrylate

Authors: Dr Sooshrut Thakur, Dr Garima, Dr Sejal Katoch

 DOI: https://dx.doi.org/10.18535/jmscr/v11i3.19

Abstract

A 14-year-old teenager presented in the emergency OPD with pain, blurred vision and congestion in his left eye, 15 min after accidentally spilling cyanoacrylate adhesive into his eye. Foreign body was removed at split lamp and the corneal abrasion was managed with topical antibiotics. Instillation of superglue into eyes has been frequently reported due to similar packaging as ophthalmic style dropper bottles, though in our case it was not due to being mistaken as an eye drop. In our case report we highlight the dangers of cyanoacrylate eye injuries, to promote the introduction of safety mechanisms on all household chemical containers.

Keywords: adhesives, superglue, corneal abrasion, cyanoacrylate

References

  1. Fink JK. Cyanoacrylates. In: Fink JK. Reactive Polymers Fundamentals and Applications: A Concise Guide to Industrial Polymers. 3rd Ed. United States: William Andrew, 2018, pp.417–432.
  2. Bethke W. Ocular sealants and glues in review. Review of Ophthalmology, https://www.reviewofophthalmology.com/article/ocular-sealants-and-glues-in-review (2014, accessed 03 March 2023).
  3. Bruder SP, Leabey AB. Accidental instillation of cyanoacrylate adhesive in the eye. J Am Board Fam Pract. 1995;8(6):486–490. DOI: https://doi.org/10.3122/jabfm.8.6.486.
  4. Rohrbach JM, Wohlrab TM, Nolle B, et al. [Cyanoacrylate injuries of the eye]. Ophthalmologe2000; 97: 878–80.
  5. Fraunfelder FT. Drug-packaging standards for eye drop medications. Arch Ophthalmol1988; 106: 1029. 
  6. Raynor LA. Treatment for inadvertent cyanoacrylate tarsorrhaphy: case report. Arch Ophthalmol 1988; 106: 1033.
  7. Vote BJ, Elder MJ. Cyanoacrylate glue for corneal perforations: a description of a surgical technique and a review of the literature. Clin Experiment Ophthalmol2000; 28: 437–42.
  8. McLean CJ. Ocular cyanoacrylate adhesives injury. J Accid Emerg Med. 1997;14(1):40–41.
  9. Yusuf IH, Patel CK. A sticky sight: cyanoacrylate 'yanoacrylate adhesives' injuries of the eye. BMJ Case Rep. 2010;2010: bcr11.2009.2435.
  10. Jijelava K, Le H, Parker J, et al. Getting hooked: a simple technique for the treatment of adhesive injuries to the eyelids. Emerg Med. 2017;52(1):74–76. DOI: https://doi.org/10.1016/j.jemermed.2016.09.013.
  11. Bethke W. Ocular sealants and glues in review. Review of Ophthalmology, https://www.reviewofophthalmology.com/article/ocular-sealants-and-glues-in-review (2014, accessed 27 May 2020).
  12. Bethke W. Ocular sealants and glues in review. Review of Ophthalmology, https://www.reviewofophthalmology.com/article/ocular-sealants-and-glues-in-review (2014, accessed 27 May 2020).

Corresponding Author

Dr Sejal Katoch

Junior Resident, Department of Ophthalmology, RPGMC, Tanda, Kangra, H.P