A 3 year old boy. mom find him playing with a tube of superglue. He had managed to apply the glue to his cheek, right eye, and left eyelid. They flushed his eyes at home prior to coming to the ED. How would you manage this patient in the emergency department? Do you need a consult? Can they be discharged?

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I want to add two topical drops in addition to Dr Kasturi Gumble' s prescription Frequent installations of antibiotic Mild mydriatic thrice daily for 5-7 days. Wish speedy recovery for this child!
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Saline irrigation in copious amount helps. Consult a opthalmologist on urgent basis
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The glue seems to have dried forming film which is the usual findings in such pts at the time of presentation. The lashes have matted by film . Thin film stuck to cornea or conjunctiva in some parts is generally present in such pts . Rx : * Generally , liquid form glue is not found at the time of presentation , but eye wash may help to remove dried particles of glue film. * Under topical anesthesia , glue film stuck to cornea & conjunctiva should be removed by picking up with forceps . * Loose film on lid skin or lashes should also be removed by forceps. * Loosely attached film from matted lashes should be removed by picking up with forceps. * firmly adherent film on matted lashes may require cutting of film by scissors along with cutting of lashes. * After removing all film particles , antibiotic steroid e/ointment should be instilled. If cornea is also involved short acting cycloplegic should also be instilled. * Patching of eye with daily dressings till corneal epithelial defect is healed is required. * Oral nsaid & steroid at home is to be prescribed.
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Thorough lavage free glue particle will flow away, the stuck parts needs to be removed by gentle peeling, wash again ensure no more glue left in the eye, do Fluorescein staining if positive patch the eye after instilling cycloplegics eye drop, lubricants & Antibiotic eye ointment for 24 - 48 hours or till complete epithelization occurs. Very large defects may need Amniotic membrane transplant
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Its very common case thesedays as children play with super glue often after proper saline irrigation i usually patch the eye with any antibiotic ointment with mild instillation of paracaine and also an antibiotic.drop for a day and call patient the fillowing morning Till date patients respond very well they are free of the crust that can be easily removed and painless too.
Try to clean the eyelashes and fornices with the help of NS or RL, the crust part needs to be removed under slit lamp by instilling topical anaesthesia and removing the crust with forcep,lubricating eye drops to be given.
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I agree with dr kasturi gumble
Ophthalmologist opinion
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Refer to opthalmologist
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