We read with interest the case report by Ehrenhaus and D’Arienzo1 in the September 2003 issue of the ARCHIVES. The authors describe the use of cyanoacrylate gel for creating a temporary tarsorrhaphy in an anticoagulated patient. All ophthalmologists should be familiar with some form of minimally invasive technique for achieving improved eyelid closure. Many of the patients who need these procedures most urgently also have serious medical conditions and contraindications for more invasive permanent procedures. While the technique presented by the authors using cyanoacrylate gel is straightforward to perform, we feel that it is limited by the unpredictable duration of cyanoacrylate adhesion and the inability to easily reverse the procedure.
Yen MT, Anderson RL. Suture Tarsorrhaphy. Arch Ophthalmol. 2005;123(1):125-126. doi:10.1001/archopht.123.1.125-b