To the Editor.
—Polycyanoacrylates have been shown to be useful in various corneal diseases, including traumatic perforations and peripheral melting conditions. Many articles discuss its use in already-perforated eyes. However, it is known that glue is a useful adjunct that can aid in corneal healing before perforation occurs.1 It can be difficult, however, to apply very small amounts of glue to a precise location on the cornea. A new method of controlled glue application is presented by illustrating its use in a patient in whom melting of a corneal transplant threatened perforation.
Report of a Case.
—A 40-year-old man with keratoconus and pellucid marginal degeneration underwent corneal transplantation in the left eye. His postoperative course was marked by persistent epithelial defects. He then developed a noninfected 90% loss of stroma at the graft-host interface despite patching and discontinuation of steroid treatment. We elected to glue the area in an
Vrabec MP, Florakis GJ, Krachmer JH. Application of Minute Amounts of Glue to the Cornea. Arch Ophthalmol. 1989;107(1):15. doi:10.1001/archopht.1989.01070010017003
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