What to do if a child has superglued their eyelashes and Erythromycin (erythromycin) ophthalmic ointment is ineffective?

Management of Superglued Eyelashes in a Child

Acetone-free nail polish remover is the most effective solution for dissolving superglue from eyelashes when mineral oil is unavailable.

Recommended Approach for Superglue Removal

When a child has superglued their eyelashes and erythromycin ophthalmic ointment has proven ineffective, the following steps should be taken:

First-Line Options:

1. Acetone-free nail polish remover - Apply carefully to the affected eyelashes using a cotton swab, avoiding contact with the eye itself
2. Baby oil or vegetable oil - If available, apply gently to the affected area
3. Petroleum jelly (Vaseline) - Can be used as an alternative to mineral oil

Application Method:

• Apply the chosen solution using a clean cotton swab
• Gently work the solution into the glued eyelashes
• Allow 1-2 minutes for the solution to soften the adhesive
• Carefully separate the lashes with a clean cotton swab or fine-toothed comb

Cautions and Safety Considerations

• Never use acetone-containing products near the eyes as they can cause severe ocular damage
• Ensure the child keeps their eyes closed during the application process
• Have saline solution or clean water available to flush the eye immediately if any solution contacts the eye
• If the superglue has contacted the eye itself or cornea, this becomes an emergency requiring immediate ophthalmology consultation

Alternative Approaches if First-Line Options Fail

• Warm compresses - Apply for 5-10 minutes to help soften the adhesive
• Gentle mechanical separation - After softening with oil/solution, carefully separate lashes with a fine-toothed comb
• Time - In some cases, the superglue will naturally loosen and come off within 1-3 days

When to Seek Ophthalmology Consultation

Immediate ophthalmology referral is necessary if:

• The superglue has contacted the cornea or conjunctiva
• There is pain, redness, or vision changes
• The eyelids are stuck together
• Removal attempts have been unsuccessful after 24 hours

Follow-up Care

After successful removal:

• Gently cleanse the area with mild soap and water
• Apply preservative-free ocular lubricants if irritation persists
• Monitor for signs of conjunctivitis or corneal abrasion (redness, pain, tearing)

While erythromycin ophthalmic ointment is commonly used for bacterial conjunctivitis 1, it is ineffective for dissolving superglue adhesive. The principles of eyelid hygiene discussed in blepharitis management 1 can be helpful for post-removal care, but the primary focus should be on safe removal of the adhesive using the methods outlined above.