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Year : 2015
Tome : 166
Volume : 11-12
Pages : 325-331
Title : Postoperative complications of evisceration and intraocular silicone prosthesis implantation in dogs and cats: retrospective study of 35 cases
Authors : O. BALLAND, A. S. POINSARD
Summary : The aim of our retrospective study was to evaluate the complications encountered after evisceration surgery followed by the implantation of a scleral silicone prosthesis. Thirty-five blind eyes (22 dogs and 8 cats) were implanted between 2010 and 2014 according to the standard surgical procedure. In 18 cases, a temporary anchoring of the nictitating membrane (TANM) and a permanent lateral canthoplasty (PLC) were added to the procedure. In each case, a complete ophthalmic examination was performed at day 0, 7, 14 and 45. Clinical data, operative indications, and complications were recorded. At day 14 post surgery, the most frequent complications were epithelial corneal ulcers (n = 7), superficial and deep stromal ulcers (n = 1), and perforation of cornea (n = 1). No corneal ulcer was present at day 45 in both groups. Complications on day 14 were substantially lower in eyes with TANM and PLC compared to others (11.1% vs 30.6%). The Schirmer Tear Test (STT) had decreased on average by 20% between day 0 and day 14 in both groups. The STT at day 14 and 45 was the same. The results of our study suggest that both TANM and PLC added to the standard procedure of intraocular prosthesis implantation might reduce the risk of corneal complications.
Keywords : Evisceration, nictitating membrane anchoring, canthoplasty, dog, cat
Correspondence : O. BALLAND
Adress : Service d?Ophtalmologie du Centre Hospitalier Vétérinaire Lorrainevet, 95 rue des Mazurots, 54710 Ludres, France. balland@lorrainevet.fr
Link : pdf

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