Polania-Baron Eduardo J, Gonzalez-Lubcke Eduardo, Graue-Hernandez Enrique O, Ramirez-Miranda Arturo, Navas Alejandro
Department of Cornea, External Diseases and Refractive Surgery, Institute of Ophthalmology "Conde de Valenciana", Mexico City, Mexico.
Am J Ophthalmol Case Rep. 2022 May 13;27:101576. doi: 10.1016/j.ajoc.2022.101576. eCollection 2022 Sep.
To report a cases series of corneal perforations treated with cyanoacrylate glue patch (CGP) assessed with optical coherence tomography for monitoring corneal status in long-term follow-up examinations.
CPG was successfully used as primary treatment in three cases of corneal perforations. Spontaneous loosening or dislodging of the CPG did not occur in the follow-up. Anterior segment optical coherence tomography (AS-OCT) was performed to monitor wound healing at the site of perforation before considering the CGP removal. The presence of normal epithelium layer beneath the glue patch and stromal regeneration tissue were confirmed by AS-OCT, and glue patch was safely removed.
The area of healing tissue beneath the CGP may not be easy to evaluate using the slit-lamp microscopy alone. AS-OCT is a useful tool in the assessment of corneal healing tissue in the presence of cyanoacrylate glue patch.
报告一系列使用氰基丙烯酸酯胶水贴片（CGP）治疗角膜穿孔的病例，并通过光学相干断层扫描评估其在长期随访检查中对角膜状态的监测情况。
CGP成功用于3例角膜穿孔的初始治疗。随访期间未发生CGP自发松动或移位。在考虑移除CGP之前，进行眼前节光学相干断层扫描（AS-OCT）以监测穿孔部位的伤口愈合情况。AS-OCT证实胶水贴片下方存在正常上皮层和基质再生组织，且胶水贴片被安全移除。
仅使用裂隙灯显微镜可能不易评估CGP下方愈合组织的面积。AS-OCT是评估存在氰基丙烯酸酯胶水贴片时角膜愈合组织的有用工具。
