11.07.2015 Views

surgical repair of upper eyelid laceration in a horse - Jivaonline.net

surgical repair of upper eyelid laceration in a horse - Jivaonline.net

surgical repair of upper eyelid laceration in a horse - Jivaonline.net

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

CLINICAL REPORTSURGICAL REPAIR OF UPPER EYELID LACERATION IN A HORSE*1 2Mir Aamir Ali and Honnappa T.GEqu<strong>in</strong>e Hospital Bangalore Turf Club ltd, Bangalore, IndiaINTRODUCTIONUpper <strong>eyelid</strong> damage is more significant <strong>in</strong><strong>horse</strong>s because the <strong>upper</strong> lid moves 75% more on theequ<strong>in</strong>e cornea than does the lower <strong>eyelid</strong> (Brooks2002). Eye Lid trauma needs to be corrected earlyand accurately as possible to prevent undesirable lidscarr<strong>in</strong>g and secondary corneal desiccation andulceration.HISTORYAND CLINICAL EXAMINATIONA three-year-old <strong>horse</strong> was presented to equ<strong>in</strong>ehospital with the history <strong>of</strong> fall and <strong>in</strong>jury around theorbit and cl<strong>in</strong>ical exam<strong>in</strong>ation revealed a lacerated <strong>eyelid</strong>with an <strong>in</strong>jury <strong>in</strong> the periorbital area. (Fig 1)layer was sutured a close to the lid marg<strong>in</strong> as possiblewith 3-0 polypropylene. Simultaneously the periorbitalarea was sutured with sta<strong>in</strong>less steel staples.(Fig2)JIVA Vol. 9 Issue 2 August 2011Fig 1. Lacerated <strong>upper</strong> <strong>eyelid</strong>RESULT AND DISCUSSIONHorse was anesthetised us<strong>in</strong>g xyalaz<strong>in</strong>e(@0.5mg/kg body wt i/v (Ilium xyazil-100, Troylabs) and ketam<strong>in</strong>e @2mg/kg body wt i/v (ketamil,Troy labs) and the wound and <strong>eyelid</strong> marg<strong>in</strong> wasaseptically prepared for surgery .The <strong>laceration</strong> wasclosed <strong>in</strong> two layers and the first layer <strong>of</strong> sutures wereplaced midway between conjunctiva, <strong>eyelid</strong> stromaand <strong>eyelid</strong> marg<strong>in</strong> <strong>in</strong> a simple <strong>in</strong>terrupted patternus<strong>in</strong>g 4-0 polyglact<strong>in</strong>- 910. The closure <strong>of</strong> the<strong>laceration</strong> was accomplished with the suturescommenc<strong>in</strong>g from the <strong>eyelid</strong> marg<strong>in</strong>. The second54Fig 2 .Upper <strong>eyelid</strong> after Sutur<strong>in</strong>gPostoperatively Neospor<strong>in</strong> ophthalmico<strong>in</strong>tment was applied thrice daily and tetanusprophylaxis was confirmed. The sutures were removedon 12th postoperative day and the wound healeduneventfully.Eyelid <strong>laceration</strong>s are frequently encountered<strong>in</strong>juries <strong>in</strong>volv<strong>in</strong>g ma<strong>in</strong>ly the lower <strong>eyelid</strong> and the<strong>in</strong>cidence <strong>of</strong> <strong>upper</strong> <strong>eyelid</strong> <strong>laceration</strong> is not common.Any abnormality <strong>in</strong> the function <strong>of</strong> the <strong>upper</strong> and lower<strong>eyelid</strong>s predisposes the globe to secondary diseases dueto loss <strong>of</strong> the lipid part <strong>of</strong> the tear film, unevendistribution <strong>of</strong> tear and excessive exposure <strong>of</strong> the globeto UV light, which is provided by the <strong>eyelid</strong>s (Brooks1999,2002,2007,2008; Gilger 2005). If let untreated oramput<strong>in</strong>g the <strong>eyelid</strong> flaps would end <strong>in</strong> complicationslike chronic conjunctivitis, exposure keratitis, recurrentcorneal abrasions, trichiasis and cicatrial entropion or1Equ<strong>in</strong>e Hospital Bangalore Turf Club ltd, Bangalore, India2Dept. <strong>of</strong> Animal Reproduction Gynecology and Obstetrics,KVAFSU, Bangalore, India* Correspond<strong>in</strong>g author email: alivetbtc@gmail.com


CLINICAL REPORTectropion. (Rebuhn 1980,1994,1999; Thomas miller1999).REFERENCESBrooks DE. (1999): Equ<strong>in</strong>e Ophthalmology. In: Gelatt KN,ed. Veter<strong>in</strong>ary Ophthalmology, 3rd ed. Philadelphia,PA: Lipp<strong>in</strong>cott Williams & Wilk<strong>in</strong>s,; pp 10531116Brooks, DE, (2002): Equ<strong>in</strong>e Ophthalmology made easy.Jackson Hole, WY: Teton NewMedia.BrooksD.E. And Mathews A.G. (2007): In: Gelatt KN, ed.thVeter<strong>in</strong>ary Ophthalmology, 4 ed. Philadelphia, PA:Lipp<strong>in</strong>cott Williams & Wilk<strong>in</strong>s,;ppBrooks D.E (2008): Eyelid diseases: In: Blackwell's fivendm<strong>in</strong>ute veter<strong>in</strong>ary consult equ<strong>in</strong>e 2 ed. WileyBlackwell. Pp. 306-307.Gilger B.C. (2005): Equ<strong>in</strong>e Ophthalmology W BSaunders Philadelphia. pp .133-135.Rebhun W.C. (1980): Repair <strong>of</strong> <strong>eyelid</strong> <strong>laceration</strong> <strong>in</strong><strong>horse</strong>s. Vet Med Small Anim Cl<strong>in</strong> 75(8): 1281-1284.Rebhun W.C.(1994):Ocular Emergencies .Vet Cl<strong>in</strong> NorthAm Equ<strong>in</strong>e Pract 10(3) 591-602.Rebhun W.C. (1999): Diseases <strong>of</strong> the <strong>eyelid</strong>s :In equ<strong>in</strong>ethmedic<strong>in</strong>e and surgery Vol II 5 ed. MosbyPhiladelphia .pp 1233-1234.ndThomas R Miller (1999): Eyelids; In Equ<strong>in</strong>e surgery 2ed. W B Saunders pp 454-455.INFOMANIA1. The cross between a muscovy and common duck is calleda. Mulard b. keets c. greylag d. swangoose2. This is one <strong>of</strong> the worlds smallest pigs.It is highly endangered ,seen now more <strong>in</strong> Manas National park,Assam.Identify.a. Pigmy hog b. Criollo c. Black hairless d. Kunekune3. This is the newborn <strong>of</strong> rabbit or even its embryo.Dur<strong>in</strong>g 600 AD, the Pope declared that it is not a meat .Thereafter beganits consumption <strong>in</strong> monasteries dur<strong>in</strong>g periods <strong>of</strong> fast<strong>in</strong>g and soon the domestication <strong>of</strong> the species.What was thedelicacy named.a. Laurices b. nuggets c. sizzler d. bunnies4. Its scientific name is Bos javanicus, a small southeast asian bov<strong>in</strong>e ,but a different species from cattle.Its diseaseresistance and adaptation skills are more than those <strong>of</strong> cattle.Whats its common name,a. Banteng b. Madura c. Tibetan dwarf d . Dexter5. Ebola, Marburg, Lassa, Machupo viruses- what is not true for all <strong>of</strong> thema. Viral haemorrhagic fevers b. viral threat agents associated with animals c. Category A bioterrorism agentsd.Zoonotic6. P<strong>in</strong>kies/fuzzies/crawlers/hoppers are different stages/ages <strong>of</strong> a rodent used as pet /reptile food <strong>in</strong> many countries.Whichrodent.a. Capybara b. Mice c. Rat d. bandicoot.7. Three new dog breeds have been added to the list <strong>of</strong> recognized breeds <strong>of</strong> American Kennel Club.They are F<strong>in</strong>nishlaphhund, English Coonhound and ?a. Cesky terrier b. Dorgi c. Teddy bear goldendoodles d. Leonberger8. Who was Sun Yan Seta. Ch<strong>in</strong>ese communist leader b. Nobel peace price w<strong>in</strong>ner c.APek<strong>in</strong>ese dog who survived the Titanic disasterd. A Pomeranian dog which survived the Titanic disaster9. From which country,the Greyhounds comea. Egypt b. Germany c. Congo d. Ch<strong>in</strong>a10. What was the name <strong>of</strong> Adolf Hitler's female German Shepherd dog.On his last day, the cyanide capsules were tested onthis dog.a. Blondi b. Rumphael c. Boyitt d. Paula11. What is Cynophobiaa. Fear <strong>of</strong> colours b. Fear <strong>of</strong> blue colour c. Abnormal fear <strong>of</strong> dogs d. Fear <strong>of</strong> red colour12. La Perm,Munchsk<strong>in</strong>,Chartreux,Ma<strong>in</strong>e Coonwhat is there <strong>in</strong> common for the foura. Ext<strong>in</strong>ct breeds <strong>of</strong> cat b. Exist<strong>in</strong>g breeds <strong>of</strong> cat c. Places <strong>in</strong> France d. Breeds <strong>of</strong> cowsCompiled by : Dr. Jayesh.V, Veter<strong>in</strong>ary Surgeon, District Veter<strong>in</strong>ary Center, Kalpetta,WayanadAnswer - Page 65JIVA Vol. 9 Issue 2 August 201155

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!