Jackie Tan, Stephanie L Watson, John Foster
To investigate the efficacy of corneal gluing procedures.
A retrospective case series of 31 eyes of 31patients, from the Sydney Eye Hospital, who under-went corneal gluing for corneal perforation; fromJanuary 2010 to June 2013. These 31 eyes had a totalof 47 episodes of corneal gluing were identified fromthe surgical database. Clinical data was obtained fromreview of the medical records.
34 male and 13 female patients wereincluded with an average age of 65 years (17–90 years).There were 45 episodes of cyanoacrylate gluing and 2episodes of fibrin gluing. Gluing was conducted in theoperating theatre and bandage contact lens was placedin all cases. 91% of cases were Seidel negative at day 1.Cyanoacrylate glue remained in place for an average of105 days (range 1–1945 days). 32% (n = 15) of patientsrequired repeat corneal gluing. On average 1.46 glueprocedures were performed per eye. For 29 eyes gluedwith cyanoacrylate, 48% (n = 14) were successfully treated with cyanoacrylate alone while the remainingrequired penetrating keratoplasty 31% (n = 9), lamel-lar patch grafting 17% (n = 5) or evisceration of eye 3%(n = 1) as further management. Complicationsincluded glue dislodgement/leaks (n = 16), corneavascularisation (n = 6), early onset cataract (n = 2) andmicrobial keratitis (n = 1).
Corneal gluing is mainly a temporisingprocedure but some cases can be treated successfullywith cyanoacrylate glue alone. In 2 cases the glueremained in situ for years.