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A simple and effective corneal gluing simulation

Eye volume 38, pages 240–241 (2024)Cite this article

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A Correction to this article was published on 28 August 2023

This article has been updated

Corneal gluing with cyanoacrylate tissue adhesives is an essential and RCOphth mandated procedural skill that ophthalmology ophthalmologists should learn during their training [1]. It is a relatively simple and low-cost intervention that can be performed as an emergency procedure at the slit-lamp for small corneal perforations or melt [2]. Though not performed commonly, it is an invaluable procedure for restoring globe integrity and anatomy in emergencies, thereby delaying or possibly negating the need for a more definitive surgical procedure such as corneal transplant or patch graft [3]. It is often challenging for trainees to practise as corneal perforations present in the acute setting and infrequently. Furthermore, there is no dedicated simulation model for corneal gluing. Herein, we describe a novel, simple and inexpensive corneal glueing simulation method.

Using simulation models for training is increasingly recognized to aid learning and surgical experience. The importance of acquiring this skill and the potential difficulties in finding opportunities to do so is recognized by the Royal College of Ophthalmologists: corneal gluing is one of only two work-placed based assessments where the simulation model is an accepted alternative over performance on a live patient [1]. The limitation of our model is the lack of stimulation of aqueous egress as expected in an eye with corneal perforation. However, as with human or animal cadaveric eye models, there is no need for dedicated storage or disposal. Furthermore, unlike previously described models, the same eye can be reused multiple times [4].

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Fig. 1: Simulation set up.
Fig. 2

Change history

References

  1. Royal College of Ophthalmologists. Surgical Skills Simulation for the Curriculum. 2023. https://curriculum.rcophth.ac.uk/wp-content/uploads/2015/06/Surgical-Skills-Simulation-for-the-curriculum-Fiona-Spencer-July-2015.pdf.

  2. Guhan S, Peng SL, Janbatian H, Saadeh S, Greenstein S, Al Bahrani F, et al. Surgical adhesives in ophthalmology: history and current trends. Br J Ophthalmol. 2018;102:1328–35.

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  3. Sharma A, Sharma N, Basu S, Sharma R, Aggarwal S, Gupta PC, et al. Tissue adhesives for the management of corneal perforations and challenging corneal conditions. Clin Ophthalmol Auckl NZ. 2023;17:209–23.

    Article  Google Scholar 

  4. Fu L, Hollick EJ. A novel simulation model for corneal gluing. Eye Lond Engl. 2023;37:371–2.

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Funding

Funding

This simulation exercise was supported by VISUfarma B.V., Netherlands.

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Authors and Affiliations

  1. Sussex Eye Hospital, University Hospitals Sussex NHS Foundation Trust, Eastern Road, Brighton, United Kingdom

    Matthew J. Maguire, Ritika Mukhija & Mayank A. Nanavaty

  2. Brighton & Sussex Medical School, University of Sussex, Falmer, Brighton, United Kingdom

    Mayank A. Nanavaty

Authors
  1. Matthew J. Maguire
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  2. Ritika Mukhija
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  3. Mayank A. Nanavaty
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Contributions

MJM: logistics, manuscript drafting, final approval. RM: logistics, manuscript drafting, critical editing, final approval. MAN: conceptualizing, manuscript drafting, critical editing, final approval.

Corresponding author

Correspondence to Mayank A. Nanavaty.

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The authors declare no competing interests.

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The original online version of this article was revised: the author name ‘Ritika Mukhija’ was incorrectly given as ‘Ritika Mukija’.

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Maguire, M.J., Mukhija, R. & Nanavaty, M.A. A simple and effective corneal gluing simulation. Eye 38, 240–241 (2024). https://doi.org/10.1038/s41433-023-02685-8

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  • DOI: https://doi.org/10.1038/s41433-023-02685-8

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