• DVM360_Conference_Charlotte,NC_banner
  • ACVCACVC
  • DVM 360
  • Fetch DVM 360Fetch DVM 360
DVM 360
dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care
dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care
By Role
AssociatesOwnersPractice ManagerStudentsTechnicians
Subscriptions
dvm360 Newsletterdvm360 Magazine
News
All News
Association
Breaking News
Education
Equine
FDA
Law & Ethics
Market Trends
Medical
Politics
Products
Recalls
Regulatory
Media
dvm360 LIVE!™
Expert Interviews
The Vet Blast Podcast
Medical World News
Pet Connections
The Dilemma Live
Vet Perspectives™
Weekly Newscast
dvm360 Insights™
Publications
All Publications
dvm360
Firstline
Supplements
Vetted
Clinical
All Clinical
Anesthesia
Animal Welfare
Behavior
Cardiology
CBD in Pets
Dentistry
Dermatology
Diabetes
Emergency & Critical Care
Endocrinology
Equine Medicine
Exotic Animal Medicine
Feline Medicine
Gastroenterology
Imaging
Infectious Diseases
Integrative Medicine
Nutrition
Oncology
Ophthalmology
Orthopedics
Pain Management
Parasitology
Surgery
Toxicology
Urology & Nephrology
Virtual Care
Business
All Business
Business & Personal Finance
Hospital Design
Personnel Management
Practice Finances
Practice Operations
Wellbeing & Lifestyle
Continuing Education
Conferences
Conference Listing
Conference Proceedings
Upcoming dvm360 Conferences
Resources
CBD in Pets
CE Requirements by State
Contests
Partners
Spotlight Series
Team Meeting in a Box
Toolkit
Top Recommended Veterinary Products
Vet to Vet
Veterinary Heroes
  • Contact Us
  • Fetch DVM360 Conference
  • Terms and Conditions
  • Privacy
  • Do Not Sell My Information
  • About Us

© 2023 MJH Life Sciences and dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care. All rights reserved.

Advertisement
By Role
  • Associates
  • Owners
  • Practice Manager
  • Students
  • Technicians
Subscriptions
  • dvm360 Newsletter
  • dvm360 Magazine
  • Contact Us
  • Fetch DVM360 Conference
  • Terms and Conditions
  • Privacy
  • Do Not Sell My Information
  • About Us
  • MJHLS Brand Logo

© 2023 MJH Life Sciences™ and dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care. All rights reserved.

Common ocular disorders and treatments for the small animal practitioner (Proceedings)

April 1, 2008
Paul A. Gerding Jr., DVM, MS, DACVO

Indications of a full thickness eyelid wedge resection include mass, tumor and entropion/ectropion.

Full Thickness Eyelid Wedge Resection

-indications: mass, tumor and entropion/ectropion

-up to 1/3 of eyelid margin can be removed safely and skin reapposed

-use 2 layer closure (conjunctiva-6-0 absorbable; skin-4-0 or 5-0 nylon)

-initial skin suture should be at skin margin

Corneal Grid Keratotomy

-indications: indolent corneal ulceration only

-initially need to debride which can be done by #15 blade and local anesthesia only

-I use a 21 gauge needle (tip does not need to be bent)

-grid approximately 1mm into normal epithelium/stroma

Advertisement

-consider concurrent use of a collagen shield

-triple antibiotic BID (gentocin may be toxic to reepithelialization), ± atropine

Prolapsed Gland of Third Eyelid

-always attempt to replace a viable gland

-examine for scrolled cartilage and excise if present

-a number of tacking procedures exist but the pocket technique is recommended

-2 parallel incisions are made in the bulbar conjunctiva above and below the gland

-outside edges of each incision are apposed with a continuous pattern of 7-0 vicryl-burying the knot

-postop triple antibiotic HC ointment recommended

-generally will tack down up to 2 times before considering excision

Eyelid Tacking

-most commonly necessary and performed in Shar-pei and Chow Chow puppies with neonatal entropion

-used in adults to break spastic entropion

-usually no anesthesia necessary (young puppies); sedation may be required in select patients

-4-0 – 5-0 nylon used in vertical or horizontal pattern (I prefer a horizontal approach but published illustrations usually show a vertical one)

-staple blepharoplasty quick and simple alternative to sutures

-attempt to leave sutures/staples in place for up to 3 weeks

-likely that permanent corrective surgery will be necessary—usually performed at 4 – 6 months of age (sooner if corneal ulceration is a problem)

Vitreous Centesis

-indications: a safe and effective procedure for injection and or aspiration in visual or nonvisual eyes ie. injection for ciliary body ablation or aspirate for cytology/C & S-bacterial or fungal

-21 to 23 gauge needle

-needle is directed obliquely through the ora serrata (approx.. 7 – 8 mm posterior to limbus) and into the vitreous to avoid the lens

Temporary Tarsorrhaphy

-indications: stromal ulceration where optimal corneal surgery (i.e. conjunctival graft) is not possible; providesprotection following corneal graft

-techniques

-suture: 4-0 or 5-0 nylon; location

-tissue adhesive: VetBond® (n-butyl cyanoacrylate)

Related Content:

Ophthalmology
Bausch + Lomb debuts Project Watson health care products for dogs
Bausch + Lomb debuts Project Watson health care products for dogs
Sentrx Animal Care teams up with Provet
Sentrx Animal Care teams up with Provet
Get back to school with dvm360 Flex™ continuing education
Get back to school with dvm360 Flex™ continuing education

Advertisement

Latest News

Partners for Health Pets and VHMA collaboration publish white paper

Vetstoria releases its Fill Rate platform

What's new with the "Dentistry Lane" across the veterinary profession?

Meet the BlackDVM Network

View More Latest News
Advertisement