cyanoacrylate tissue adhesive for management of exposed hydroxyapatite orbital implant

purpose: to present our experience with cyanoacrylate tissue adhesive in eyes with exposed hydroxyapatite orbital implants. methods: cyanoacrylate tissue adhesive was used in 3 patients with hydroxyapatite orbital implant exposure defects. results: cyanoacrylate glue was applied on the defective area of 3 patients presenting with small exposure (<4mm). the patients were followed for 33 months (range: 20-58 months), no complication developed and the defect size was stable. in one patient after 12 months, the glue was removed and a mucous membrane graft was performed without any complications over a 9 month period. conclusion: cyanoacrylate tissue adhesive application is safe and easy to use; it can be used for treatment of exposed hydroxyapatite orbital implant in selected cases.