Independent Researcher, Austin, TX, USA.
Clin Toxicol (Phila). 2021 Jul;59(7):633-638. doi: 10.1080/15563650.2020.1834115. Epub 2020 Oct 28.
Nail glue often consists of a mixture of alcohol, cyanoacrylate, or photo-bonded methacrylate. Ocular exposures to nail glue may result in potentially serious clinical effects, and patients may be treated at healthcare facilities. The objective of this study was to characterize ocular nail glue exposures treated at United States emergency departments.
Data were obtained from the National Electronic Injury Surveillance System, a database of consumer product-related injuries collected from approximately 100 United States hospital emergency departments. Ocular nail glue exposures reported during 2000-2019 were identified by reviewing all records with product code 0909 (Adhesives) and with "nail" and "glue" or "nail" and "adhesive" in the Narrative field.
A total of 498 ocular nail glue exposures were identified, resulting in a national estimate of 18,402 exposures. Of the estimated exposures, the age distribution was 14.1% 0-5 years, 15.1% 6-12 years, 14.3% 13-19 years, and 56.6% 20 years or older; 87.5% of the patients were female. The nail glue was mistaken for eye drops in 20.8% of the cases, splashed into the eye in 15.0% cases, and rubbed into the eye in 3.3% cases. The most commonly reported clinical effects were 41.8% foreign body, 33.8% corneal abrasion, and 11.0% conjunctivitis.
The most common circumstance leading to ocular nail glue exposures treated at United States emergency departments involved nail glue being mistaken for eye drops. The most frequently reported clinical effects were the presence of a foreign body, corneal abrasion, and conjunctivitis.
指甲胶水通常由酒精、氰基丙烯酸酯或光固化甲基丙烯酸酯组成。眼部接触指甲胶水可能会导致严重的临床影响，患者可能需要在医疗机构接受治疗。本研究的目的是描述美国急诊部门治疗的眼部指甲胶水暴露情况。
数据来自国家电子伤害监测系统，这是一个从美国约 100 家医院急诊部门收集的与消费品相关伤害的数据库。通过审查所有记录中产品代码为 0909（胶粘剂）且在描述字段中包含“指甲”和“胶水”或“指甲”和“粘合剂”的记录，识别 2000-2019 年报告的眼部指甲胶水暴露情况。
共确定了 498 例眼部指甲胶水暴露，估计全国有 18402 例暴露。在估计的暴露中，年龄分布为 0-5 岁占 14.1%，6-12 岁占 15.1%，13-19 岁占 14.3%，20 岁或以上占 56.6%；87.5%的患者为女性。指甲胶水被误认为眼药水的占 20.8%，溅入眼睛的占 15.0%，揉入眼睛的占 3.3%。报告的最常见临床影响为 41.8%的异物，33.8%的角膜擦伤和 11.0%的结膜炎。
美国急诊部门治疗的眼部指甲胶水暴露最常见的情况是指甲胶水被误认为是眼药水。报告的最常见临床影响是存在异物、角膜擦伤和结膜炎。
