Veterinary ophthalmology最新文献_第5页

The use of a "horizontal centrifugation protocol" to prepare autologous platelet-rich fibrin membranes for corneal reconstruction surgery in dogs with complicated corneal ulcerations: A case series. 使用“水平离心方案”制备自体富血小板纤维蛋白膜用于复杂角膜溃疡犬角膜重建手术：一个病例系列。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2023-09-18 DOI: 10.1111/vop.13148

Louise Baadsgaard Bruun, Tommy A Waskiw Hardon, Anne K Havnsøe Krogh, Klaus Qvortup, Steffen Heegaard, Annemarie Thuri Kristensen, Michala de Linde Henriksen

{"title":"The use of a \"horizontal centrifugation protocol\" to prepare autologous platelet-rich fibrin membranes for corneal reconstruction surgery in dogs with complicated corneal ulcerations: A case series.","authors":"Louise Baadsgaard Bruun, Tommy A Waskiw Hardon, Anne K Havnsøe Krogh, Klaus Qvortup, Steffen Heegaard, Annemarie Thuri Kristensen, Michala de Linde Henriksen","doi":"10.1111/vop.13148","DOIUrl":"10.1111/vop.13148","url":null,"abstract":"Objective: The purpose of this case series was to describe the effect of autologous PRF membrane for corneal reconstruction surgery in dogs. PRF membranes made from two healthy dogs unrelated to the current case series were used for PRF histologic analyses.Animals: Seven dogs with complicated corneal ulcerations.Procedure: A complete ophthalmic examination, hematology, and fibrinogen analysis were performed pre-surgery. A PRF clot was made from autologous blood in a serum tube after centrifugation in a horizontal Bio-PRF® Centrifuge at 700 × g for 8 min. The PRF clot was processed in a PRF-Box® into a PRF membrane. The PRF membrane was sutured to the corneal ulcer bed. Each dog had a follow-up at days 5-7, 12-14, and 30-40 post-surgery. A final long-term follow-up was performed as well.Results: A positive outcome with healing and a \"good\" quality PRF membrane was seen in six out of seven dogs. One dog had a fibrinogen level below normal range and the PRF membrane was of \"poor\" quality. This dog developed a descemetocele 13 days post-surgery and needed rescue surgery. Mean healing time for all dogs was 9 ± 5.5 days. Minimal scarring, corneal pigmentation, and vascularization were observed at the final long-term follow-up 288 ± 44 days post-surgery.Conclusion: PRF membrane was successful as graft material for corneal ulceration reconstruction surgery. Low fibrinogen appeared to have negative effect on the quality of the PRF membrane, showing the importance for the surgeon to evaluate the quality of the PRF membrane prior to surgery.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"175-189"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10673014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lateral Tarsorrhaphy and Fixation on the Orbital Ligament to Correct Macroblepharon in Dogs: 77 Palpebral Fissures. 眶韧带外侧缝合固定矫正犬大睑裂77例。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2025-01-14 DOI: 10.1111/vop.13316

Maximilian Werner-Tutschku, Barbara Nell

{"title":"Lateral Tarsorrhaphy and Fixation on the Orbital Ligament to Correct Macroblepharon in Dogs: 77 Palpebral Fissures.","authors":"Maximilian Werner-Tutschku, Barbara Nell","doi":"10.1111/vop.13316","DOIUrl":"10.1111/vop.13316","url":null,"abstract":"Purpose: To describe a surgical method for correcting lower lid entropion, lateral canthal entropion, and macroblepharon.Methods: Lid margins were incised at a 45° angle, and lateral lid margins and a rhomboid shaped piece of skin were resected based on the degree of macroblepharon. Subcutaneous tissue was sutured with absorbable sutures and anchored to the orbital ligament with a non-absorbable suture to maintain lateral canthal position. A new lateral canthus was formed using a \"figure of eight\" technique with absorbable sutures, and the skin was closed with simple interrupted sutures. Complications were categorized as minor (wound infections, delayed healing) or major (orbital ligament detachment).Results: Lateral tarsorrhaphy with orbital ligament fixation was performed on 77 palpebral fissures (PF) in 39 dogs, with English Cocker Spaniels and Great Danes being the most affected breeds. Most dogs were male (72%) with a median age of 23 months; 69% were under 50 months. Of the PF treated, 57 (74%) had no complications, 11 (14%) had minor complications, and 9 (12%) had major complications, including six cases of ruptured orbital ligament fixation and one case of unilateral entropion recurrence. One dog was euthanized due to severe complications from auto-mutilation and lack of compliance.Conclusion: This surgical method effectively corrects diamond-shaped eyes, although complications can occur, especially in male dogs with excessive facial skin.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"448-456"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Free labial mucocutaneous graft for eyelid reconstruction in four dogs. 四只狗的眼睑重建游离唇粘膜移植术。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-01-10 DOI: 10.1111/vop.13183

William M Irving, Kelly Caruso, Matthew J Annear, Cameron Whittaker, Benjamin D Reynolds, Paul M G McCarthy, Jeffrey Smith

{"title":"Free labial mucocutaneous graft for eyelid reconstruction in four dogs.","authors":"William M Irving, Kelly Caruso, Matthew J Annear, Cameron Whittaker, Benjamin D Reynolds, Paul M G McCarthy, Jeffrey Smith","doi":"10.1111/vop.13183","DOIUrl":"10.1111/vop.13183","url":null,"abstract":"Purpose: To describe a technique for eyelid margin reconstruction following large mass resection utilizing a free labial mucocutaneous graft.Methods: Four dogs (4 eyes) underwent en bloc eyelid mass excision under general anesthesia. Measurements were made of the mass followed by free labial mucocutaneous graft retrieval, resection of the mass, and then transplantation of retrieved region of labial mucocutaneous tissue into the resulting defect.Results: Three patients underwent eyelid margin reconstruction with a free labial mucocutaneous graft. One patient received a pedicle advancement graft combined with a free labial mucocutaneous graft. In all cases, a length of 120%-150% of the eyelid defect was retrieved from the oral labia. Postoperative follow-up ranged from 6 weeks to 4 months. All cases had superficial graft necrosis and depigmentation of the donor tissue with total healing time taking up to 8 weeks. All cases had an esthetic and functional reconstruction.Conclusions: This technique allows reconstruction of the majority of the eyelid margin, greater than that which can be closed primarily. Due to tissue sloughing, the healing time can be extended but cosmetic outcomes are good. Eyelid reconstruction utilizing a free labial graft restored a mucocutaneous margin and recreated a functional eyelid, thus avoiding trichiasis or secondary keratitis.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"243-252"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of multi-layer porcine small intestinal submucosa for the reconstruction of deep corneal defects in cats. 应用多层猪小肠粘膜重建猫的深层角膜缺损。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-02-27 DOI: 10.1111/vop.13196

JingWen Luo, ZhenLei Zhou

{"title":"Application of multi-layer porcine small intestinal submucosa for the reconstruction of deep corneal defects in cats.","authors":"JingWen Luo, ZhenLei Zhou","doi":"10.1111/vop.13196","DOIUrl":"10.1111/vop.13196","url":null,"abstract":"Objective: This study documented the application of porcine small intestinal submucosa (SIS) as a stand-alone scaffold for treating deep corneal defects in cats.Methods: Medical records of 20 cats with deep stromal ulcers, perforations, or corneal sequestra that underwent surgical treatment with SIS grafts between 2021 and 2022 were retrospectively reviewed. Data on re-epithelialization time, corneal transparency score, and complications were collected to analyze the reconstruction of deep corneal defects after SIS biomaterial implantation.Results: All cats were unilaterally affected. The corneal defects varied in size, with a median diameter of 8.3 mm (range: 3-15 mm). Re-epithelialization of the SIS graft was completed 16-32 days after surgery (median, 22.3 days). No, mild, or moderate corneal transparency was detected in 90% of the cases. Complications were observed in eight cases (40%), including aqueous leakage (10%), partial SIS malacia (25%), and persistent bullous keratopathy (5%). The follow-up period ranged 90-725 days, with a median duration of 255 days. The SIS graft was successfully applied as a single scaffold in 17 of 20 cases (85%).Conclusion: The results of this study suggest that the application of commercial SIS is an effective surgical technique for managing deep corneal defects in cats.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"264-274"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simplified medial canthoplasty: Technique and early postoperative complications in 601 dogs (1180 eyes). 简化内侧角成形术：601只狗（1180只眼）的手术技术和术后早期并发症。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-08 DOI: 10.1111/vop.13266

Ingrid Allgoewer

{"title":"Simplified medial canthoplasty: Technique and early postoperative complications in 601 dogs (1180 eyes).","authors":"Ingrid Allgoewer","doi":"10.1111/vop.13266","DOIUrl":"10.1111/vop.13266","url":null,"abstract":"Purpose: To present a novel modified medial canthoplasty (MCP) technique, the application in 601 dogs (1180 eyes), and a review of the early postoperative complications related to the technique.Introduction: Macroblepharon and nasal entropion is a common presentation in many brachycephalic dog breeds promoting chronic keratitis. The previously described MCP techniques limit the medial shortening of the eyelids to the location of the lacrimal puncta. A novel technique was developed allowing for a more extensive eyelid shortening nasally.Methods: The modification of the here described technique includes the longitudinal splitting of the lacrimal canaliculi allowing for an extensive shortening of the lids beyond the lacrimal puncta. Records of 601 dogs which underwent the modified MCP were reviewed regarding breed, indications for surgery, follow-up, and early postoperative surgical complications. Descriptive statistics were applied.Results: Six hundred one dogs (1180 eyes) were included in this study. Twenty-four different breeds underwent the simplified MCP with the Pug (n = 403) being the most represented breed. Indications were macropalpebral fissure, medial entropion, pigmentary keratitis, trichiasis by haired caruncle, strabismus after globe prolapse, and facial nerve paralysis. The overall complication rate was 1.01% (12/1180) and consisted of wound dehiscence 0.59% (7/1180), corneal ulceration caused by suture material 0.25% (3/1180), and wound infection (2/1180). None of the 601 operated dogs developed serious complications related to the surgical technique.Conclusions: The simplified MCP is a novel technique with a very low complication rate.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"497-505"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low-dose intravitreal injection of 4 mg preservative-free gentamicin and superficial lamellar keratectomy combined with modified Gundersen grafts to control chronic heterochromic iridocyclitis and secondary keratitis in horses. 低剂量玻璃体内注射 4 毫克不含防腐剂的庆大霉素和表层板层角膜切除术结合改良的 Gundersen 移植来控制马的慢性异色性虹膜睫状体炎和继发性角膜炎。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-08-06 DOI: 10.1111/vop.13264

Lauren N Charnock, Richard J McMullen

{"title":"Low-dose intravitreal injection of 4 mg preservative-free gentamicin and superficial lamellar keratectomy combined with modified Gundersen grafts to control chronic heterochromic iridocyclitis and secondary keratitis in horses.","authors":"Lauren N Charnock, Richard J McMullen","doi":"10.1111/vop.13264","DOIUrl":"10.1111/vop.13264","url":null,"abstract":"Objective: To describe a combined treatment approach for heterochromic iridocyclitis and secondary keratitis (HIK) in horses.Animal studied: A total of 15 horses (16 eyes).Procedures: Sixteen eyes from 15 horses (mean age 14.1 years, range 6-26 years) received low-dose (4 mg) intravitreal preservative-free gentamicin injection (IVGI) and modified Gundersen grafts with standing sedation and local anesthesia following a clinical diagnosis of HIK. Additional therapies of suprachoroidal triamcinolone (8 mg) injection, episcleral bromfenac implants, and suprachoroidal cyclosporine implants were performed in individual cases. Leptospira titers were also reported when available.Results: The most frequent ophthalmic findings were pigmented keratic precipitates (n = 15/16 eyes, 94%), corneal edema (n = 14/16 eyes, 88%), and pigmented cells suspended in the anterior chamber (n = 7/16 eyes, 44%). Postoperative treatment generally consisted of topical and systemic NSAIDs, topical antibiotics, and a topical mydriatic agent. Complications included persistent corneal edema (7/16, 44%), corneal ulceration (6/16, 38%), graft failure requiring revision (2/16, 13%), stromal abscess (1/16, 6%), surgery site infection (1/16, 6%), and suspected retinal degeneration following IVGI (1/16, 6%). One case was enucleated 6 months after treatment (1/16, 6%). Of the 12 eyes with at least 3 months of post-treatment follow-up, 10 were comfortable and visual with static or improved symptoms of HIK.Conclusions: This multimodal treatment approach aims to address both the anterior uveitis and endothelial decompensation frequently seen in horses with HIK. The surgery can be performed under standing sedation. Continued evaluation and long-term follow-up is necessary in all horses with HIK.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"386-402"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidirectional corneoconjunctival transposition in the treatment of large keratomalacia in 7 dogs and 5 cats. 多向角膜结膜转位治疗大角膜软化症7只狗5只猫。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2023-03-21 DOI: 10.1111/vop.13086

Thomas Dulaurent, Manon Rozoy, Laure Steun, Pierre-François Isard

{"title":"Multidirectional corneoconjunctival transposition in the treatment of large keratomalacia in 7 dogs and 5 cats.","authors":"Thomas Dulaurent, Manon Rozoy, Laure Steun, Pierre-François Isard","doi":"10.1111/vop.13086","DOIUrl":"10.1111/vop.13086","url":null,"abstract":"Objective: To describe the use of multidirectional corneoconjunctival transposition (CCT) as a surgical treatment for large keratomalacia.Method: A prospective study including dogs and cats initially presenting with keratomalacia larger than 6 × 6 mm and affecting more than half of the corneal thickness. Signalment, concurrent eye diseases, ulcer size, bacterial culture and susceptibility testing results, follow-up, and outcome were recorded. The surgery consisted of harvesting of two or three opposite corneoconjunctival grafts, after removal of the malacic tissue using a square-edge keratectomy. The medical treatment consisted of administration of topical and systemic antibiotics, topical atropine, and N-acetylcysteine. Follow-up examinations were performed at D7, D14, D21, and D28, and then at various time points. The corneal clarity score (CCS) was recorded upon completion of the follow-up period.Results: Seven dogs and five cats were included. Brachycephalic dogs were overrepresented, with no breed predisposition in cats. Concurrent eye diseases were corneal pigmentation in three dogs, hypopyon in two dogs, nictitating membrane wound in one dog, and corneal perforation in one cat. The size of the keratomalacia ranged from 6 × 6 to 9.5 × 11.5 mm. The short-term complications were suture dehiscence (two of 12) and progression of the keratomalacia (one of 12). The long-term complications were corneal pigmentation (10 of 12), corneal epithelial inclusion cyst (two of 12), and marginal synechiae (one of 12). All animals were sighted at the last follow-up. The median CCS was G3 (range G2-G4).Conclusion: Multidirectional CCT is an effective surgical treatment for large keratomalacia in dogs and cats.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"124-134"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9147300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brow rhytidectomy with or without Stades-like procedure for correction of pseudoptosis and trichiasis-entropion of the upper eyelid in Chow Chow and Shar-Pei dogs: A retrospective study of 27 dogs (2019-2022). 使用或不使用Stades样手术进行眉部皱褶切除术，以矫正松狮犬和沙皮狗上眼睑假性睑外翻和倒睫：27只犬的回顾性研究（2019-2022年）。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-07-12 DOI: 10.1111/vop.13257

Havi Sarfaty, Raaya Ezra-Elia, Nili Kahane, Shai Sandalon, Yifat Segev, Lionel Sebbag

{"title":"Brow rhytidectomy with or without Stades-like procedure for correction of pseudoptosis and trichiasis-entropion of the upper eyelid in Chow Chow and Shar-Pei dogs: A retrospective study of 27 dogs (2019-2022).","authors":"Havi Sarfaty, Raaya Ezra-Elia, Nili Kahane, Shai Sandalon, Yifat Segev, Lionel Sebbag","doi":"10.1111/vop.13257","DOIUrl":"10.1111/vop.13257","url":null,"abstract":"Purpose: Heavy brows in Chow Chow and Shar-Pei dogs can be associated with pseudoptosis and trichiasis-entropion of the upper eyelids, causing vision impairment and ocular discomfort. This study describes the outcomes of brow rhytidectomy ± Stades-like procedure to address these anatomical abnormalities.Methods: Retrospective medical records review (2019-2022).Results: Twenty-seven dogs (n = 15 Chow Chow, n = 12 Shar-Peis) were included, aged 1.9 ± 1.5 years (0.5-6.5 years). Presenting complaints included recurrent episodes of ocular inflammation (n = 13, 48.1%), blepharospasm (n = 10, 37.0%), corneal ulcers (n = 8, 29.6%), entropion (n = 6, 22.2%), and impaired vision (n = 4, 14.8%). Brow skin was removed as follows: (i) First incision parallel and 10-15 mm dorsal to upper lid, slightly extending beyond medial/lateral canthi; (ii) second incision forming an arc with its apex 15-35 mm dorsal to the first incision; and (iii) standard two or three layers closure. In 22/27 dogs, a Stades-like procedure was performed by removing a 2-4 mm strip of skin above eyelid margin and leaving it to heal by secondary intention (no sutures). At last recheck (follow-up 354.5 ± 187.8 days), 19/27 dogs (70.4%) had an adequate eyelid conformation, 7/27 dogs (25.9%) were considered under-corrected, and 1/27 dogs (3.7%) was over-corrected. Most owners (81.5%) were satisfied with the surgical results. Most cases (96.3%) had no recurrence of the clinical signs during the entire follow-up period.Conclusions: Brow rhytidectomy ± Stades-like procedure provide good cosmetic and clinical outcomes in Chow Chow and Shar-Pei dogs, although under correction may occur in severely affected dogs and with advancing time.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"364-370"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Superficial keratectomy for the treatment of spontaneous chronic corneal epithelial defects in dogs. 表层角膜切除术治疗犬自发性慢性角膜上皮缺损。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-03-11 DOI: 10.1111/vop.13203

William Irving, Paul McCarthy, Benjamin Reynolds, Cameron Whittaker, Kelly Caruso, Jeff Smith, Matthew Annear

{"title":"Superficial keratectomy for the treatment of spontaneous chronic corneal epithelial defects in dogs.","authors":"William Irving, Paul McCarthy, Benjamin Reynolds, Cameron Whittaker, Kelly Caruso, Jeff Smith, Matthew Annear","doi":"10.1111/vop.13203","DOIUrl":"10.1111/vop.13203","url":null,"abstract":"Objective: To report the outcome of superficial keratectomy with bandage contact lens placement for the treatment of spontaneous chronic corneal epithelial defects (SCCEDs) in dogs.Methods: Patients that underwent a superficial keratectomy with bandage lens placement for the treatment of one or more SCCEDs were retrospectively included in the study. Signalment, eye(s) affected, prior medical therapy and any procedures performed, post-operative medical therapy, healing rate, and any post-operative complications were recorded. Superficial keratectomy was performed to approximately one-fifth of corneal depth under operating microscope guidance and a bandage lens was placed immediately post-operatively. Corneas were considered healed when the fluorescein stain was negative.Results: One hundred and seven dogs met the inclusion criteria with 121 SCCEDs. The mean age of patients was 8.34 ± 2.89 years (1-15). Ninety-nine percent (120/121) of SCCEDS healed with no additional treatment within 21 days of surgery. One eye had a diamond burr debridement performed on Day 14 post-operatively and healed 2 weeks following the additional procedure. No post-operative complications were noted.Conclusions: This study found superficial keratectomy with bandage lens placement to be an effective treatment for SCCEDs.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"275-280"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Modified lateral enucleation technique-Surgery without ligation or clamping of the optic nerve: Technique description, complication rate and risk factors, and intraoperative blood loss estimation in companion animals. 改良的侧切去核术--无需结扎或钳夹视神经的手术：伴侣动物的技术描述、并发症发生率和风险因素以及术中失血量估算。

IF 1.7 4区农林科学

Veterinary ophthalmology Pub Date : 2025-03-01 Epub Date: 2024-10-23 DOI: 10.1111/vop.13293

Ingrid Allgoewer, Petr Soukup

{"title":"Modified lateral enucleation technique-Surgery without ligation or clamping of the optic nerve: Technique description, complication rate and risk factors, and intraoperative blood loss estimation in companion animals.","authors":"Ingrid Allgoewer, Petr Soukup","doi":"10.1111/vop.13293","DOIUrl":"10.1111/vop.13293","url":null,"abstract":"Purpose: The purpose of this study is to describe modification of the lateral enucleation technique without ligation or clamping of the optic nerve, document the incidence of complications, estimate intraoperative blood loss and identify possible risk factors for the developments of complications.Methods: Medical records of dogs, cats, and rabbits undergoing lateral enucleation without clamping of the optic nerve were identified and retrospectively reviewed for post-operative complications (2000-2022). The significance of possible risk factors for the development of complications, including species, sex, age, eye, surgeon, presumed ocular surface infection, cultures, follow-up, antibiotics, NSAIDs, complications and diabetes mellitus was examined in a subset of these patients (2019-2022). As a prospective study, intraoperative blood loss was estimated by gravimetric analysis in an additional subset.Results: Records of 1296 enucleations were retrospectively reviewed and detailed evaluation regarding potential risk factors was performed in 446 enucleations. The overall complication rate and surgical site infection rate was 2.31% and 2.08% respectively. Only Pseudomonas spp. bacterial culture was associated with development of complications. Estimated relative intraoperative blood loss was 2.2% and 4.1% in 43 dogs and 29 cats respectively.Conclusions: The modified lateral enucleation technique is a safe and fast procedure with minimal risk of postoperative complications in dogs, cats, and rabbits. Based on the anatomy of the orbital vasculature ligation or clamping of the optic nerve and surrounding tissue is contraindicated.","PeriodicalId":23836,"journal":{"name":"Veterinary ophthalmology","volume":" ","pages":"425-437"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0