The upper and lower eyelids of a 6-year-old girl were stuck together after she accidentally splashed superglue in her left eye. The patient did not complain of pain; the eyeball was able to move freely under the lids.
After trimming the eyelashes, Dr Sunita Puri of Decatur, Ala, gently irrigated the eye area with normal saline; however, the lids failed to open. Trimethoprim(Drug information on trimethoprim)/polymyxin B ophthalmic ointment was applied liberally, and an eye patch was placed with light pressure.
The lids remained fused 24 hours later. Gentle traction was applied with a lacrimal dilator, and the lids were successfully separated. Had this strategy not succeeded, the patient would have been referred to an ophthalmologist. The patient recovered uneventfully; corneal abrasion, conjunctivitis, or other sequelae did not occur.