Getting Hooked: A Simple Technique for the Treatment of Adhesive Injuries to the Eyelids
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- 作者：Kristen Jijelava ; MD&lowast ; ; Hongvan Le ; MD&lowast ; ; Jack Parker ; MD&lowast ; ; &dagger ; ; Jeffrey Yee ; MS ; MD&lowast ; ;
- 关键词：cyanoacrylate ; eye injury ; eyelids ; superglue ; tarsorrhaphy
- 刊名：The Journal of Emergency Medicine
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：52
- 期：1
- 页码：74-76
- 全文大小：465 K
- 卷排序：52
文摘
Ocular chemical injuries due to accidental exposure or application of cyanoacrylate, commonly known as “superglue,” have increased over the past 30 years. However, current treatment options to relieve eyelid adhesions due to cyanoacrylate applications are difficult to successfully execute and can require sedation or general anesthesia. Here we describe a simple technique to release eyelid adhesions due to cyanoacrylate, or other adhesive agents, that can be successfully performed at bedside without sedation.DiscussionTopical anesthetic is instilled in the involved eye through an opening identified in the lid fissure. A Jameson muscle hook is inserted through the opening with the distal element of the hook normal to the surface of the eye. The hook is then pulled parallel to the lid margins and through the site of adhesion while counter pressure is applied with the fellow hand in the opposite motion of the hook. Residual glue from the eyelashes can be trimmed with blunt-tip scissors. Examination of the eyelids and ocular surface after application of the technique to open the eyelids showed successful release of adhesion sites with no additional injuries to the eye itself.ConclusionsA Jameson muscle hook can be used in emergency departments to safely and successfully relieve eyelid adhesions due to the inadvertent application of cyanoacrylate glue without the use of general anesthesia.