2-octyl cyanoacrylate medical adhesive in treatment of a corneal perforation

Purpose. To describe a case of successful treatment of a corneal perforatio n with 2-octyl cyanoacrylate, Methods, 2-Octyl cyanoacrylate was applied at the slit lamp with topical proparacaine anesthesia to a cornea with an inf erior perforation with iris plugging the defect. Results, After application of 2-octyl cyanoacrylate, the anterior chamber was noted to deepen, and vi sual acuity improved to 20/200, The glue remained intact for more than 6 we eks and eventually fell out. The underlying cornea healed without scarring, vascularization, or thinning. Conclusion. We have described a case in whic h 2-octyl cyanoacrylate was used to treat a corneal perforation with excell ent results. Further study of this adhesive will be useful in comparing the effectiveness and safety of 2-octyl cyanoacrylate with that of previously studied adhesives.