Traumatic peri-ocular injuries: closing wounds using 2-octyl-cyanoacrylate medical glue

Periocular injuries are a common reason for emergency ophthalmology consultations. Their treatment raises specific problems related to skin sensitivity and mobility as well as the ocular safety of the procedure, notably in children. The properties and method of use of synthetic adhesive Dermabond adhesive make it a useful tool for the treatment of these injuries. However, no study to date has evaluated this tool in terms of its efficacy, safety, and esthetic results. This prospective study included all patients presenting with linear, superficial, or deep wounds to the eyelid and/or eyebrows, consulting an emergency department over a 3-month period. It comprised the clinical and photographic follow-up of each patient. Of these patients, those receiving treatment with synthetic adhesive were selected on the basis of specific criteria. The study population comprised seven patients (four of them children) presenting with six wounds to the eyelid, and two to the eyebrow. This adhesive was applied to four patients. Their mean follow-up was 22 days. No events threatening their safety were reported while using this adhesive, particularly in the children. Its immediate efficacy and comfort for the patient were deemed highly satisfactory. The esthetic outcome after 1 month could not be assessed. Use of Dermabond synthetic adhesive is an effective, practical, and safe technique for the treatment of wounds to the eyelid and eyebrows. It was particularly appreciated in children.