Acute glaucoma as a result of a cyanoacrylate glue patch for corneal perforation

Session Details

Session Title: Presented Poster Session: Cornea: Medical

Venue: Poster Village: Pod 2

First Author: : A.Vasquez-Perez UK

Co Author(s): :    F. Matarazzo   N. Mandal   S. Tuft                 

Abstract Details

Purpose:

To describe a case of acute glaucoma after cyanoacrylate gluing for a non-traumatic central corneal perforation.

Setting:

Moorfields Eye Hospital, NHS Foundation Trust, London, UK

Methods:

A 55-year-old woman with history severe dry eye presented to emergency with a right central corneal perforation. She was treated successfully with the use cyanoacrylate glue patch but iridocorneal adhesions remained. The next day, she presented with shallow anterior chamber with no aqueous leakage and her intraocular pressure was 56 mmHg. An anterior segment OCT scan showed a 360 degrees central iris adhesion with shallow AC. Topical and oral treatment for acute glaucoma was given that decreased her intraocular pressure. She then underwent urgent surgery to release the iridocorneal adhesions and restore aqueous flow.

Results:

One day postoperatively her right eye was comfortable and her IOP measurement remained within normal limits. The anterior chamber was deep with no iridocorneal adhesions and glue patch was in place.

Conclusions:

Close monitoring of the intraocular pressure is recommendable in central corneal perforations with iris adhesions managed with cyanoacrylate glue due to the potential developing of aqueous blockage.

Financial Disclosure:

None