BACKGROUND: Cyanoacrylate adhesive has been used to treat corneal perf
orations and stromal melting disorders. We examined the efficacy of ae
rosolization as a means of applying cyanoacrylate to the cornea. METHO
DS: Central corneal perforations were created with a 1-millimeter trep
hine in cadaver eyes. A small amount of N-butyl cyanoacrylate was deli
vered to the perforation site via aerosol. Experiments were also condu
cted with cadaver eyes which had received lamellar keratectomies to si
mulate corneal thinning disorders. RESULTS: Adequate seal of the 1-mil
limeter perforation was achieved following aerosol application of cyan
oacrylate adhesive. In experiments conducted with eyes which had been
perforated and those which received lamellar keratectomies, smooth ant
erior surface contours were achieved using the aerosol technique. CONC
LUSIONS: Aerosolization may be an effective method of applying cyanoac
rylate adhesive.