1
|
Pinard CL. Diagnostic Tests Used During the Ocular Examination. Vet Clin North Am Small Anim Pract 2023; 53:279-298. [PMID: 36813386 DOI: 10.1016/j.cvsm.2022.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
This article provides a review of the required ocular tests during the ophthalmologic examinations of canine and feline patients. Knowledge of medications affecting ocular parameters and awareness of available instrumentation and test materials is essential for accurate diagnoses.
Collapse
Affiliation(s)
- Chantale L Pinard
- Department of Clinical Studies, University of Guelph, Ontario Veterinary College, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada.
| |
Collapse
|
2
|
The Effect of the Cryotherapy on the Health and Welfare of Dogs: Preliminary Study. FOLIA VETERINARIA 2022. [DOI: 10.2478/fv-2022-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Abstract
This study is focused on determining the cryotherapeutic effects in the treatment and welfare of dogs. We characterized the basic principles of cryotherapy as well as summarized and statistically processed the current state of the application of this form of therapy in a veterinary practice. Recent scientific studies have shown that cryotherapy is mainly effective in treating skin diseases and problems with the musculoskeletal system including minor injuries caused by excessive muscle strain. It can also be used in combination with anti-inflammatory drugs to treat the respiratory system. Moreover, cryotherapy can be an effective form of treatment for ageing. Our study involved a survey evaluation given to veterinarians in Slovakia, Czechia, and Hungary with a key question regarding their experiences with cryotherapy and cryosurgery in dog therapy. Statistical results demonstrated that Slovak veterinarians do not utilize cryo-methods satisfactorily. A summarization of the reasons could start a change in this unfavourable aspect in Slovak veterinary medicine and contribute to better promotion of cryotherapy application in the therapy of animals.
Collapse
|
3
|
Guerra Guimarães T, Menezes Cardoso K, Tralhão P, Marto CM, Alexandre N, Botelho MF, Laranjo M. Current Therapeutics and Future Perspectives to Ocular Melanocytic Neoplasms in Dogs and Cats. Bioengineering (Basel) 2021; 8:bioengineering8120225. [PMID: 34940378 PMCID: PMC8698280 DOI: 10.3390/bioengineering8120225] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Revised: 12/15/2021] [Accepted: 12/17/2021] [Indexed: 12/24/2022] Open
Abstract
Neoplasms of melanocytic origin are diseases relevant to dogs and cats' ophthalmic oncology due to their incidence, potential visual loss, and consequent decrease in life quality and expectancy. Despite its non-specific clinical presentation, melanocytic neoplasms can be histologically distinguished in melanocytomas, which present benign characteristics, and malignant melanomas. The diagnosis often occurs in advanced cases, limiting the therapeutic options. Surgery, cryotherapy, radiotherapy, photodynamic therapy (PDT), and laser are currently available therapeutic strategies. As no clinical guidelines are available, the treatment choice is primarily based on the clinician's preference, proficiency, and the owner's financial constraints. While surgery is curative in benign lesions, ocular melanomas present a variable response to treatments, besides the potential of tumour recurrences or metastatic disease. This review presents the currently available therapies for ocular melanocytic neoplasms in dogs and cats, describing the therapeutic, indications, and limitations. Additionally, new therapeutics being developed are presented and discussed, as they can improve the current treatment options.
Collapse
Affiliation(s)
- Tarcísio Guerra Guimarães
- Institute of Research and Advanced Training (IIFA), University of Évora, 7002-554 Évora, Portugal; (T.G.G.); (K.M.C.)
- Mediterranean Institute for Agriculture, Environment and Development (MED), University of Évora, 7006-554 Évora, Portugal;
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; (C.M.M.); (M.F.B.)
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Karla Menezes Cardoso
- Institute of Research and Advanced Training (IIFA), University of Évora, 7002-554 Évora, Portugal; (T.G.G.); (K.M.C.)
- Mediterranean Institute for Agriculture, Environment and Development (MED), University of Évora, 7006-554 Évora, Portugal;
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; (C.M.M.); (M.F.B.)
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
| | - Pedro Tralhão
- Center of Veterinary Ophthalmology, Oftalvet, 4050-102 Porto, Portugal;
| | - Carlos Miguel Marto
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; (C.M.M.); (M.F.B.)
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Institute of Experimental Pathology, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
| | - Nuno Alexandre
- Mediterranean Institute for Agriculture, Environment and Development (MED), University of Évora, 7006-554 Évora, Portugal;
- Department of Veterinary Medicine, University of Évora, 7004-516 Évora, Portugal
| | - Maria Filomena Botelho
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; (C.M.M.); (M.F.B.)
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
| | - Mafalda Laranjo
- Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal; (C.M.M.); (M.F.B.)
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal
- Center for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
- Clinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, Portugal
- Correspondence:
| |
Collapse
|
4
|
Badanes Z, Espinheira Gomes F, Ledbetter EC. Choroidal melanocytic tumors in dogs: A retrospective study. Vet Ophthalmol 2020; 23:987-993. [PMID: 33085213 DOI: 10.1111/vop.12839] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 09/30/2020] [Accepted: 10/01/2020] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To describe clinical features of dogs diagnosed with choroidal melanocytic tumors at a veterinary teaching hospital. ANIMALS STUDIED Retrospective case series of 13 dogs (14 melanocytic tumors) with choroidal melanocytic tumors. PROCEDURES Medical records of dogs evaluated by the Cornell University ophthalmology service with a clinical diagnosis of a choroidal melanocytic tumor between 2008 and 2020 were reviewed. A choroidal melanocytic tumor was clinically defined as any well-demarcated, raised pigmented choroidal lesion underlying the retina. Histopathology results were consulted when available. Signalment and clinical features were recorded, including fundoscopic location, histopathologic findings, treatment, and outcome. RESULTS Choroidal melanocytic tumors were identified in 14 eyes of 13 dogs. The mean (±standard deviation) of dogs was 8.6 (±3.5) years. Seven different breeds were represented, with Labrador/Labrador mix being the most common. Ten of the 14 melanocytic tumors were diagnosed incidentally. Four dogs presented for vision loss and ocular discomfort, and diagnosis was made on histopathology examination following enucleation. Pulmonary metastasis was suspected in one dog with an incidentally found choroidal melanocytic tumor OD. Fundoscopic location was available for 8 melanocytic tumors, with 6 (75%) located in the tapetal fundus. Histopathologic diagnosis was melanocytoma for 3 and malignant melanoma in 1 globe, with optic nerve head invasion in 50%. Local recurrence was not seen in any orbit following enucleation. CONCLUSION Choroidal melanocytic tumors are uncommon in dogs. Metastasis appears to be rare and was only suspected in one dog, but intraocular tumor growth can lead to retinal detachment, glaucoma, and necessitate enucleation.
Collapse
Affiliation(s)
- Zachary Badanes
- College of Veterinary Medicine, Department of Clinical Sciences, Cornell University, Ithaca, NY, USA
| | - Filipe Espinheira Gomes
- College of Veterinary Medicine, Department of Clinical Sciences, Cornell University, Ithaca, NY, USA
| | - Eric C Ledbetter
- College of Veterinary Medicine, Department of Clinical Sciences, Cornell University, Ithaca, NY, USA
| |
Collapse
|
5
|
Maini S, Hurley-Bennett K, Dawson C. Case Series Describing the Use of Low-Temperature Vacuum-Dehydrated Amnion (Omnigen) for the Treatment of Corneal Ulcers in Cats and Dogs: 46 Cases (2016-2017). Top Companion Anim Med 2020; 41:100474. [PMID: 32919060 DOI: 10.1016/j.tcam.2020.100474] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 08/26/2020] [Accepted: 09/04/2020] [Indexed: 12/13/2022]
Abstract
Amniotic membrane is widely used in the treatment of ocular surface disorders in human and veterinary patients. Preservation and storage of amnion has proven challenging, prompting the development of new preservation techniques. Omnigen, a novel low-temperature vacuum-dehydrated amnion, is reported to possess enhanced structural properties and biochemical stability in vitro, but its clinical use in veterinary patients is not well described. This study aims to document and describe the varied use of Omnigen for the surgical treatment of corneal ulceration in cats and dogs. A total of 45 patients (46 eyes) were recruited from the clinical record system of the Royal Veterinary College (London) between January 2016 and December 2017. Brachycephalic breeds were over-represented (37/45; 82.2%). Omnigen was used as a standalone graft in 5/46 (10.9%) eyes, as a supplementary graft in 29/46 (63.0%) eyes and as a patch in 12/46 (26.1%) eyes. Graft failure occurred in 10/46 eyes (21.7%). At final examination 43/46 eyes (93.5%) had healed and 31/33 eyes (93.9%) were visual. This study demonstrates the successful use of Omnigen for the surgical treatment of corneal ulceration in cats and dogs. Further studies are needed to clarify its properties and benefits in the clinical field.
Collapse
Affiliation(s)
- Serena Maini
- Department of Clinical Science and Services, The Royal Veterinary College, Ophthalmology Service, University of London, North Mymms, Herts, UK.
| | - Kiera Hurley-Bennett
- Department of Clinical Science and Services, The Royal Veterinary College, Ophthalmology Service, University of London, North Mymms, Herts, UK
| | - Charlotte Dawson
- Department of Clinical Science and Services, The Royal Veterinary College, Ophthalmology Service, University of London, North Mymms, Herts, UK
| |
Collapse
|
6
|
Cochrane ZN, Mohoric PJ. Deep lamellar keratectomy and penetrating scleroplasty using CO 2 laser photoablation and bimodal grafting for the treatment of a limbal melanoma in a dog. Clin Case Rep 2020; 8:751-756. [PMID: 32274051 PMCID: PMC7141737 DOI: 10.1002/ccr3.2750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 01/03/2020] [Accepted: 01/27/2020] [Indexed: 12/05/2022] Open
Abstract
A novel approach for en bloc resection of a limbal melanoma using a CO2 laser in a dog. Benefits of this advanced technique include excellent surgical precision, improved hemostasis, and the induction of coagulative necrosis of neoplastic cells.
Collapse
|
7
|
Barachetti L, Giudice C, Cescon M, Mortellaro CM, Ferrari R, Rampazzo A. The effects of soft cryotherapy on conjunctiva and cornea in isolated pig eyes and comparison with standard liquid nitrogen: A pilot ex vivo study. Vet Ophthalmol 2020; 23:544-551. [PMID: 32154991 DOI: 10.1111/vop.12752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Revised: 01/06/2020] [Accepted: 01/23/2020] [Indexed: 12/29/2022]
Abstract
PURPOSE To evaluate the immediate effects on cornea and conjunctiva of a cryosurgical method based on the application of a dimethyl ether, propane and isobutene solution (DMEPI, Histofreezer® ), and of Liquid Nitrogen (LN2 ; Cry-Ac Cryogun® ). METHODS A total of 52 isolated pig eyes were obtained at the slaughterhouse, preserved for less than one hour in Ringer Lactate and divided into four groups. The first group included eyes treated with two applications of DMEPI in the center of the cornea, the second group eyes treated with DMEPI on the third eyelid's conjunctiva, the third group eyes treated with LN2 on the third eyelid's conjunctiva and the fourth group included eyes treated with LN2 on the central cornea. Each cryogen application (0.8 cm area) lasted 40 seconds. Each group included one (untreated) control eye. The eyes were submitted for routine histopathological evaluation. Histological alterations were recorded and scored with a semiquantitative scoring system. RESULTS No tissue alteration was detected on the conjunctiva, in any of the groups. Treated corneas showed mild to moderate cytoplasmic vacuolization of epithelial cells, shrinkage and hypereosinophilia of small groups of basal epithelial cells and stromal cleft formation. CONCLUSIONS Soft cryosurgery caused no severe acute histologically detectable damage to cornea and conjunctiva in isolated pig eyes, and no significant difference was observed when LN2 and DMEPI treatments were compared. Further in vivo studies should be performed in order to verify possible delayed effects and the clinical efficacy of DMEPI cryosurgery in specific corneal and/or conjunctival diseases.
Collapse
Affiliation(s)
- Laura Barachetti
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Milan, Italy.,Istituto Veterinario di Novara, Italy
| | - Chiara Giudice
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Milan, Italy
| | | | - Carlo M Mortellaro
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Milan, Italy
| | - Roberta Ferrari
- Department of Veterinary Medicine, Faculty of Veterinary Medicine, University of Milan, Italy
| | - Antonella Rampazzo
- Veterinary Ophthalmology Service Equine Department Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
| |
Collapse
|
8
|
Yaw TJ, Michaels B, Reavill D, Zaffarano BA. Liquid nitrogen cryosurgery for a chromatophoroma in a captive largemouth bass (Micropterus salmoides). J Exot Pet Med 2016. [DOI: 10.1053/j.jepm.2016.07.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
|
9
|
Andreani V, Guandalini A, D'Anna N, Giudice C, Corvi R, Di Girolamo N, Sapienza JS. The combined use of surgical debulking and diode laser photocoagulation for limbal melanoma treatment: a retrospective study of 21 dogs. Vet Ophthalmol 2016; 20:147-154. [PMID: 27167349 DOI: 10.1111/vop.12383] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate effectiveness and safety of debulking and diode laser photocoagulation (DPC) for the treatment of limbal melanoma (LM). PROCEDURE Retrospective multi-institutional case series. Medical records of animals diagnosed with LM at the Centro Veterinario Specialistico (CVS) and at the Long Island Veterinary Specialists from 1994 to 2014 were retrieved. Signalment, location, extent of tumors, recurrence rate, and early and late complications were reported. Patient follow-up information was obtained from veterinary ophthalmologists, primary care veterinarians, and where appropriate, owners. RESULTS Twenty-one eyes of 21 dogs (13 females and 8 males) were included in this study. The dogs' average age was 6 years (range: 7 months-11 years). The follow-up period ranged from 1-108 months (median 48 months) after the last DPC procedure. Long-term follow-up was obtained by telephone interviews in 6 of 20 cases and by clinical re-evaluations in 14 of 20 cases. The most common early complications were a moderate anterior uveitis and peripheral corneal edema (21/21 eyes). Late complications included corneal fibrosis and/or pigmentation (20/21). In one case, a severe bullous keratopathy associated with extensive corneal fibrosis was observed (1/21). One case was blind due to concurrent Sudden Acquired Retinal Degeneration (SARD). However, after surgery 2 of 20 eyes lost vision and one of these was enucleated. CONCLUSIONS Debulking, in addition to diode laser photocoagulation, was technically straightforward to perform, minimally invasive, well tolerated, and highly successful in this case series.
Collapse
Affiliation(s)
- Valentina Andreani
- Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 53, Rome, 00137, Italy
| | - Adolfo Guandalini
- Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 53, Rome, 00137, Italy
| | - Nunzio D'Anna
- Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 53, Rome, 00137, Italy
| | - Chiara Giudice
- Department of Veterinary Sciences and Public Health (DiVet), University of Milan, via Celoria 10, Milan, 20133, Italy
| | - Roberta Corvi
- Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 53, Rome, 00137, Italy.,Department of Veterinary Sciences, University of Teramo, Strada Provinciale 18 snc, Piano d'Accio, Teramo, 64100, Italy
| | - Nicola Di Girolamo
- Department of Ophthalmology, Centro Veterinario Specialistico (CVS), Via Sandro Giovannini 53, Rome, 00137, Italy
| | - John S Sapienza
- Long Island Veterinary Specialists, 63 South Service Road, Plainview, 11803, NY, USA
| |
Collapse
|
10
|
Cichocki BM, Myrna KE, Moore PA. Modified penetrating keratoplasty with Acell®bioscaffold implant in seven horses with deep full-thickness corneal stromal abscess. Vet Ophthalmol 2016; 20:46-52. [DOI: 10.1111/vop.12349] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Brian M. Cichocki
- Department of Small Animal Medicine and Surgery; College of Veterinary Medicine; University of Georgia; Athens GA USA
| | - Kathern E. Myrna
- Department of Small Animal Medicine and Surgery; College of Veterinary Medicine; University of Georgia; Athens GA USA
| | - Phillip A. Moore
- Department of Small Animal Medicine and Surgery; College of Veterinary Medicine; University of Georgia; Athens GA USA
| |
Collapse
|
11
|
Wang AL, Kern T. Melanocytic Ophthalmic Neoplasms of the Domestic Veterinary Species: A Review. Top Companion Anim Med 2015; 30:148-57. [PMID: 27154598 DOI: 10.1053/j.tcam.2015.06.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2015] [Accepted: 06/02/2015] [Indexed: 11/11/2022]
Abstract
Melanocytic neoplasms in veterinary species occur in various ophthalmic locations including the eyelid, conjunctiva, cornea, sclera, anterior and posterior uvea, and orbit. Histology usually provides the definitive diagnosis for melanocytic ocular neoplasias. The degree of tissue invasiveness and anaplastic cellular characteristics are more reliable indicators of biological behavior than is mitotic index in most ophthalmic melanocytic tumors. Melanocytic neoplasias of the eyelid are predominantly benign in canines and equines, though in felines, there is the potential for metastasis, especially if the conjunctiva is involved. Limbal melanocytic tumors are predominantly benign in all the studied species, though there is a bimodal occurrence with this tumor type in canines, where those that appear in dogs younger than 4 years tended toward active growth, whereas those that appear in dogs older than 8 years tended to progress more slowly, and may not require therapy. The most common location for melanocytic ocular neoplasias in both canines and felines is the anterior uvea. Feline diffuse iris melanoma in particular has a higher incidence of metastasis than does canine nodular anterior uveal melanocytoma. In contrast, posterior uveal melanocytic tumors are rare in both canine and feline species and are considered benign. Orbital melanoma is rare in both canine and feline species; however, it generally carries a grave prognosis owing to its malignant nature. Knowledge of the general biological behavior and its variability among locations within the eye and between species is essential in therapeutic planning.
Collapse
Affiliation(s)
| | - Thomas Kern
- Cornell University, College of Veterinary Medicine, Ithaca, NY, USA
| |
Collapse
|
12
|
Dorbandt DM, Moore PA, Myrna KE. Outcome of conjunctival flap repair for corneal defects with and without an acellular submucosa implant in 73 canine eyes. Vet Ophthalmol 2014; 18:116-22. [PMID: 25047064 DOI: 10.1111/vop.12193] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
OBJECTIVE To report and compare the success rate of a conjunctival pedicle flap (CPF) alone vs. a CPF with an underlying acellular submucosa implant for the repair of deep or perforating corneal wounds in dogs. PROCEDURES Records of 69 dogs (73 eyes) receiving a CPF with or without an acellular submucosa implant between 2004 and 2012 were reviewed. Successful outcome was defined as a comfortable eye with vision at the last post-operative evaluation. Age, breed, underlying corneal disease, surgical time, lesion characteristics, topical therapies, and postoperative complications were investigated. RESULTS Groups consisted of dogs that had a CPF alone (n = 37) and dogs that had a CPF plus an acellular submucosa implant (n = 36). Age, lesion size, surgical time, and time to discontinuation of topical anti-proteolytic medications was not significant between groups. Topical antibiotic use was terminated 13 days sooner (P ≤ 0.01) in dogs with an acellular submucosa implant. The combined success rate of all corneal wounds was 93% with success rate of corneal perforations, descemetoceles, and deep stromal wounds being 89%, 95%, and 100%, respectively. There was no difference in overall success rate between groups. Increasing age was associated with a negative outcome (P ≤ 0.01). Lesion size, presence of a corneal perforation, and concurrent keratoconjunctivitis sicca was not associated with a negative outcome. CONCLUSIONS A comparable success rate is achieved for deep or perforating corneal wounds stabilized with a CPF alone vs. a CPF plus acellular submucosa. Glaucoma, persistent uveitis, and cataract formation were not reported as post-operative complications in this study population.
Collapse
Affiliation(s)
- Daniel M Dorbandt
- Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, 501 D.W. Brooks Drive, Athens, GA, 30602, USA
| | | | | |
Collapse
|
13
|
Mathes RL, Moore PA, Ellis AE. Penetrating sclerokeratoplasty and autologous pinnal cartilage and conjunctival grafting to treat a large limbal melanoma in a dog. Vet Ophthalmol 2014; 18:152-9. [PMID: 24862353 DOI: 10.1111/vop.12187] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A four-year-old neutered male Labrador retriever presented to Portland Veterinary Specialists Ophthalmology Service for evaluation of a pigmented mass oculus sinister (OS) of approximately 4-month duration. Complete ophthalmic examination revealed a large, pigmented, raised, well-demarcated, epibulbar mass appearing to originate from the nasodorsal limbal region. The mass was smooth and roughly circular, extending approximately 4 mm into the sclera and 14 mm into the nasodorsal cornea. Gonioscopy directly under the mass was not possible due to mass size. The visible iridocorneal angle was normal. High-resolution B-scan ultrasound showed mass extension to Descemet's membrane and deep sclera, but no intraocular invasion. Penetrating sclerokeratoplasty was performed followed by autologous pinnal cartilage and conjunctival grafting to repair the corneoscleral defect (20 mm x 19 mm) and to restore globe integrity and function. Histopathology confirmed the mass to be a benign limbal melanoma with complete excision. The surgery site healed without complication, and the pinnal cartilage became fully incorporated into the globe. Twelve months postoperatively, the patient remains visual with a normal intraocular and fundic examination. The pinnal harvest site on the right ear healed without complication. To the authors' knowledge, this is the first reported case of corneoscleral grafting using autologous pinnal cartilage. This may represent a viable alternative to other corneoscleral grafting procedures for large defects and is an attractive treatment option due to lack of host rejection, readily available source of donor cartilage, and provision of tectonic support to the globe.
Collapse
|
14
|
Azoulay T. Adjunctive cryotherapy for pigmentary keratitis in dogs: a study of 16 corneas. Vet Ophthalmol 2013; 17:241-9. [DOI: 10.1111/vop.12089] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Thierry Azoulay
- Clinique vétérinaire des Halles; 28 Faubourg de Saverne 67000 Strasbourg France
| |
Collapse
|
15
|
Labelle AL, Labelle P. Canine ocular neoplasia: a review. Vet Ophthalmol 2013; 16 Suppl 1:3-14. [DOI: 10.1111/vop.12062] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2013] [Revised: 04/09/2013] [Accepted: 04/25/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Amber L. Labelle
- Department of Veterinary Clinical Medicine; University of Illinois Urbana-Champaign; 1008 W. Hazelwood Drive Urbana IL 61802 USA
| | - Philippe Labelle
- Antech Diagnostics; 1111 Marcus Avenue Lake Success NY 11042 USA
| |
Collapse
|
16
|
Dees DD, MacLaren NE, Teixeira L, Dubielzig RR. An unusual case of ocular melanosis and limbal melanocytoma with benign intraorbital extension in a dog. Vet Ophthalmol 2012; 16 Suppl 1:117-22. [DOI: 10.1111/vop.12009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- D. Dustin Dees
- Eye Care for Animals; 1021 E. 3300 S. Salt Lake City UT 84106 USA
| | | | - Leandro Teixeira
- Comparative Ocular Pathology Laboratory of Wisconsin; School of Veterinary Medicine; University of Wisconsin-Madison; 2015 Linden Drive Madison WI 53706 USA
| | - Richard R. Dubielzig
- Comparative Ocular Pathology Laboratory of Wisconsin; School of Veterinary Medicine; University of Wisconsin-Madison; 2015 Linden Drive Madison WI 53706 USA
| |
Collapse
|
17
|
Maggio F, Pizzirani S, Peña T, Leiva M, Pirie CG. Surgical treatment of epibulbar melanocytomas by complete excision and homologous corneoscleral grafting in dogs: 11 cases. Vet Ophthalmol 2012; 16:56-64. [DOI: 10.1111/j.1463-5224.2012.01021.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
18
|
Grundon RA, Hardman C, O’Reilly A, Stanley RG. Repair of a scleral defect with an autogenous fascia lata graft in a dog. Vet Ophthalmol 2011; 14:271-4. [DOI: 10.1111/j.1463-5224.2011.00894.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|