‘BARCELONA CP’ A case of chronic cyanoacrylate glue

Abstract

To report a case of idiopathic corneal perforation with chronic inflammation in the setting of a persistent cyanoacrylate corneal glue patch lasting 420 days. Cyanoacrylate glue is a fast-acting and effective adhesive which has been utilised in the repair of corneal perforations. Their strength, quick drying, non-biodegradable and anti-microbial properties make them a valuable tool in closing small corneal wounds, often as a temporising measure before definitive management is performed. Complications associated with cyanoacrylate patch include glue toxicity, inflammation, corneal neovascularisation and giant papillary conjunctivitis. Cyanoacrylate glue should be considered a transitory measure. It is preferable to remove cyanoacrylate at the end of the treatment unless the glue has self-dislodge. Controversies surround the issue of selecting proper timing for removal of cyanoacrylate glue with no clear consensus.