Cyanoacrylate glue treatment for persistent aqueous leak following postkeratoplasty relaxing incisions with compression sutures.

In spite of improvements in surgical techniques, donor materials and postoperative care, high astigmatism remains a quite common problem following penetrating keratoplasty [1]. Whenever the residual astigmatism cannot be corrected with spectacles or contact lenses, surgical treatment is required. Relaxing incisions combined with compression sutures is one of the most common methods used for this purpose [2, 3]. We report herein a case of persistent aqueous leak following relaxing incisions for the correction of postkeratoplasty astigmatism. The leak failed to respond to a bandage contact lens and resuturing and was eventually successfully treated with the use of cyanoacrylate glue. A marked regression of the surgical effect was observed in this case.