Homma K, Schoster J V
Department of Veterinary Medical Teaching Hospital, Ophthalmology, University of Wisconsin, West Madison 53706, USA.
J Vet Med Sci. 2000 Oct;62(10):1105-7. doi: 10.1292/jvms.62.1105.
A retrobulbar abscess/cellulitis occurred in a Yorkshire Terrier dog. The clinical signs were exophthalmos, prolapsed nictitating membrane and purulent ocular discharge. Ultrasonography showed a marked soft tissue swelling of the retrobulbar tissues as well as echogenic parallel lines between the globe and the medial orbital rim. Surgical exploration of the orbit was performed and no foreign body was found. The pterygopalatine fossa was incised and therapeutic retrobulbar drainage attempted. A drain was placed to encourage ventral drainage of the abscess. Anaerobic cultures revealed heavy growth of gram negative rods (prevotella bivia and prevotella buccae were isolated). Recovery was successful but subsequent treatment for keratoconjunctivitis sicca was necessary. A full recovery of tear production occurred after several weeks.
一只约克夏梗犬发生了球后脓肿/蜂窝织炎。临床症状为眼球突出、瞬膜脱出和脓性眼分泌物。超声检查显示球后组织明显软组织肿胀，以及眼球与眶内侧缘之间的回声平行线。对眼眶进行了手术探查，未发现异物。切开翼腭窝并尝试进行治疗性球后引流。放置引流管以促进脓肿的腹侧引流。厌氧培养显示革兰氏阴性杆菌大量生长（分离出二路普雷沃菌和颊普雷沃菌）。恢复成功，但随后需要治疗干眼症。几周后泪液分泌完全恢复。
