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The use of Histoacryl tissue adhesive for the primary closure of scalp wounds

adjacent lacerations were being treated, resulting in the eyelashes on both eyelids sticking together. There was no associated damage to the globe in three patients but in the fourth, a spicule of solidified glue caused a corneal abrasion and had to be removed by an ophthalmologist. In all cases, the lashes remained adherent for 7 days, causing considerable distress to the patients, but no long term morbidity. If adhesive does accidentally enter the eye, no attempt should be made to force the lids apart, because if the cornea becomes stuck to the palpebral conjunctiva, (suggested clinically by pain in the injured eye on movement), major corneal damage may result when a sheering force is applied. Patients who suffer this complication should be treated with bilateral eye pads and referred immediately to an ophthalmologist. We would agree with the use of Histoacryl tissue adhesive, providing that the eyes are adequately shielded, especially in the wriggling toddler with a scalp wound at the junction of forehead and hairline.