Effect of owner presence on healing of spontaneous chronic corneal epithelial defects after anterior stromal puncture

IF 1.7 4区农林科学 Q2 VETERINARY SCIENCES

Veterinary ophthalmology Pub Date : 2024-09-13 DOI:10.1111/vop.13274

Natalia L. Rivera‐Viscal, Ellison Bentley, Taylor A. Opgenorth, Michael R. Lasarev

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Abstract

ObjectiveTo examine the effect of client presence on healing rates of spontaneous chronic corneal epithelial defect (SCCEDs) following debridement and anterior stromal puncture (ASP).Animals StudiedSixty‐eight client‐owned dogs.ProceduresDogs presenting prior to the COVID‐19 shutdown were assigned to the C group (client in the room, 31/68), while dogs presenting after were assigned to group NC (no client in the room, 37/68). Inclusion criteria were retention of fluorescein, non‐adherent epithelium, persistence for at least 1 week, and recheck within 1 month. Exclusion criteria were concurrent ocular disorders and endocrinopathies. Success was defined as negative fluorescein retention at first recheck. t‐Tests, rank‐sum tests, and chi‐squared or Fisher's exact tests were used to compare findings between groups. Logistic regression was used to determine whether odds of success at first recheck differed between groups or were modified by other characteristics.ResultsDogs in the NC group were older (9.9 vs. 8.7 years, p = .014) and had more bandage contact lenses (BCLs) placed (65% vs. 29%, p = .003). There were no other significant differences between groups. BCL placement was associated with significantly greater odds of healing by first recheck (OR = 4.00, 95% CI: 0.63–11.2; p = .008). The NC group initially had 2.5 times greater odds of healing than the C group; after adjusting for BCL placement, the association between client location and healing weakened (aOR = 1.80, 95% CI: 0.63–5.13; p = .277).ConclusionsHealing was marginally associated with not having the client in the room, likely due to increased BCL use. BCL application improves SCCED healing rates following debridement/ASP.

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主人的存在对前基质穿刺后自发性慢性角膜上皮缺损愈合的影响

目的研究客户在场对清创和前基质穿刺（ASP）后自发性慢性角膜上皮缺损（SCCED）愈合率的影响。程序在 COVID-19 关闭之前出现的狗被分配到 C 组（客户在场，31/68），之后出现的狗被分配到 NC 组（客户不在场，37/68）。纳入标准为荧光素滞留、上皮不粘附、持续至少 1 周、1 个月内复查。排除标准为并发眼部疾病和内分泌疾病。t 检验、秩和检验、卡方检验或费雪精确检验用于比较组间结果。结果 NC 组的狗年龄更大（9.9 岁对 8.7 岁，p = .014），放置的绷带接触镜 (BCL) 更多（65% 对 29%，p = .003）。组间没有其他明显差异。放置 BCL 与首次复查时痊愈的几率明显增加有关（OR = 4.00，95% CI：0.63-11.2；p = .008）。NC 组最初的痊愈几率是 C 组的 2.5 倍；在对 BCL 放置进行调整后，客户位置与痊愈之间的关联减弱（aOR = 1.80，95% CI：0.63-5.13；p = .277）。使用 BCL 可提高清创/ASP 后的 SCCED 愈合率。

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来源期刊

Veterinary ophthalmology 农林科学-兽医学

CiteScore

2.70

自引率

37.50%

发文量

审稿时长

12-24 weeks

期刊介绍： Veterinary Ophthalmology is a peer-reviewed, international journal that welcomes submission of manuscripts directed towards academic researchers of veterinary ophthalmology, specialists and general practitioners with a strong ophthalmology interest. Articles include those relating to all aspects of: Clinical and investigational veterinary and comparative ophthalmology; Prospective and retrospective studies or reviews of naturally occurring ocular disease in veterinary species; Experimental models of both animal and human ocular disease in veterinary species; Anatomic studies of the animal eye; Physiological studies of the animal eye; Pharmacological studies of the animal eye.