Name of the Procedure:

Repair of Laceration; Application of Tissue Glue, Wounds of Cornea and/or Sclera

Summary

This procedure involves using a special adhesive, often referred to as tissue glue, to repair small lacerations or cuts on the cornea (the transparent front part of the eye) and/or the sclera (the white part of the eye).

Purpose

The primary purpose of this procedure is to quickly and effectively close lacerations on the cornea or sclera to promote healing, prevent infection, and minimize scarring. It aims to restore the integrity of the eye surface and maintain vision quality.

Indications

• Small to moderate lacerations or cuts on the cornea and/or sclera.
• Patients experiencing pain, tearing, light sensitivity, or vision changes due to eye lacerations.
• Cases where traditional suturing is not feasible or preferred.

Preparation

• Patients might be instructed to avoid eating or drinking a few hours before the procedure if sedation is planned.
• It is essential to inform the physician about any current medications, allergies, or pre-existing eye conditions.
• Diagnostic tests such as a slit-lamp examination may be performed to assess the extent of the laceration.

Procedure Description

1. Anesthesia: Local anesthetic drops are applied to the eye to numb the area and prevent pain.
2. Cleaning: The affected area is cleaned and prepared to ensure a sterile environment.
3. Application of Tissue Glue: A small amount of medical-grade tissue glue is carefully applied to the laceration using a fine applicator.
4. Drying and Setting: The glue is allowed to dry and set, forming a protective barrier over the wound.
5. Final Assessment: The eye is reassessed to ensure the proper bonding and alignment of the tissue.

Duration

The procedure typically takes about 15 to 30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or an eye care center equipped with the necessary tools and technology.

Personnel

The procedure is generally performed by an ophthalmologist, with assistance from a trained nurse or technician.

Risks and Complications

• Common: Mild discomfort, temporary blurred vision, eye irritation.
• Rare: Infection, improper healing, allergic reaction to the tissue glue, reopening of the wound.

Benefits

• Rapid and effective closure of the laceration.
• Reduced risk of infection and scarring.
• Minimal discomfort and quicker recovery compared to traditional suturing.
• Improved outcomes for vision preservation.

Recovery

• Patients are usually advised to rest and avoid strenuous activities for a few days.
• Follow-up appointments may be scheduled to monitor healing.
• Eye drops or ointments may be prescribed to prevent infection and manage pain.
• Patients are typically instructed to avoid rubbing the eye and protect it from debris or irritants.

Alternatives

• Suturing: Traditional method using stitches; more invasive and may require a longer recovery period.
• Bandage Contact Lens: Provides mechanical protection and may be used in conjunction with glue or sutures.
• Observation: Small, non-threatening lacerations may sometimes be observed for natural healing, but this depends on the specific case.

Patient Experience

• During the Procedure: Patients might feel slight pressure but should not experience pain due to the local anesthetic.
• After the Procedure: Some mild discomfort and temporary blurred vision are common. Pain management typically includes over-the-counter pain relievers and prescribed eye drops.