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Arch Ophthalmol. 2004;122:279-281.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Exposure keratitis occurs in facial nerve palsy and may lead to visual loss resulting from corneal damage unless it is treated appropriately. Tarsorrhaphy may be required in more severe cases. This report describes a simple way of performing temporary tarsorrhaphy in the outpatient setting.

Report of Cases.

Three consecutive patients with exposure keratopathy were treated with N-butyl-2-cyanoacrylate (Indermil; Henkel Loctite Corporation, Dublin, Ireland) tarsorrhaphy. Indermil-assisted tarsorrhaphy is simple and is easily performed in the outpatient setting. The eyelid is cleaned with isotonic sodium chloride solution and thoroughly dried with a cotton bud. The patient is instructed to close his or her eyes, and Indermil is applied directly to the eyelid margin (Figure 1). The glue should be applied as a thin film by mounting a Southampton (Figure 2) or lacrimal cannula at the end of the tube. Light pressure is then applied to the eyelid margins with cotton . . . [Full Text of this Article]

Comment.
Li Wern Voon, FRCS(Edin); Chung Nen Chua, FRCOphth; Richard Hanson, MRCOphth
Oxford, England

Corresponding author and reprints: Li Wern Voon, FRCS(Edin), Nuffield Laboratory of Ophthalmology, University of Oxford, Walton St, Oxford OX2 6AW, England (e-mail: voonlw@yahoo.com).

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