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因常规白内障手术后青光眼而摘除眼球或进行眼内容剜出术的犬类患者的主要品种分布,以及摘除眼球内常见的组织病理学发现。

Major breed distribution of canine patients enucleated or eviscerated due to glaucoma following routine cataract surgery as well as common histopathologic findings within enucleated globes.

作者信息

Scott Erin M, Esson Douglas W, Fritz Kevin J, Dubielzig Richard R

机构信息

Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive, Madison, WI 53706, USA.

出版信息

Vet Ophthalmol. 2013 Jul;16 Suppl 1:64-72. doi: 10.1111/vop.12034. Epub 2013 Feb 13.

Abstract

PURPOSE

To identify the most significantly represented breeds that were enucleated or eviscerated due to intractable glaucoma following elective cataract surgery and to describe the major histopathologic features of enucleated globes.

METHODS

A retrospective review of the Comparative Ocular Pathology Laboratory of Wisconsin database revealed 153 canine evisceration or enucleation submissions that met inclusion criteria. The most commonly represented breeds were identified, and enucleated globes of these breeds were further evaluated histologically (n = 69). Following standard hematoxylin & eosin staining, globes were evaluated for the presence of; corneal pathology, goniodysgenesis, pigment dispersion, pre-iridal fibrovascular membranes (PIFVMs), peripheral anterior, and/or posterior synechiation, inflammatory infiltrates, lens pathology, retinal pathology, and/or endophthalmitis.

RESULTS

The most significantly represented breeds were the Cocker Spaniel (11.7%), Boston Terrier (10.5%), Labrador Retriever (6.5%), Bichon Frise (6.5%), Shih Tzu (5.8%), and Jack Russell Terrier (5.8%). Common histopathologic findings included inflammatory keratitis, the presence of PIFVMs, and lymphoplasmacytic uveal infiltrates.

CONCLUSIONS

The Cocker Spaniel, Boston Terrier, Labrador Retriever, Bichon Frise, Shih Tzu, and Jack Russell Terrier may be at increased risk of the development of glaucoma following elective cataract surgery. These findings have potential clinical implications.

摘要

目的

确定因择期白内障手术后难治性青光眼而被摘除眼球或进行眼内容剜出术的最具代表性的犬种,并描述摘除眼球的主要组织病理学特征。

方法

对威斯康星比较眼病理学实验室数据库进行回顾性研究,发现153例符合纳入标准的犬眼内容剜出术或眼球摘除术病例。确定最常见的犬种,并对这些犬种的摘除眼球进行进一步组织学评估(n = 69)。在进行标准苏木精和伊红染色后,评估眼球是否存在角膜病变、前房角发育异常、色素播散、虹膜前纤维血管膜(PIFVMs)、周边前粘连和/或后粘连以及炎性浸润、晶状体病变、视网膜病变和/或眼内炎。

结果

最具代表性的犬种为可卡犬(11.7%)、波士顿梗犬(10.5%)、拉布拉多寻回犬(6.5%)、卷毛比雄犬(6.5%)、西施犬(5.8%)和杰克罗素梗犬(5.8%)。常见的组织病理学发现包括炎性角膜炎、PIFVMs的存在以及淋巴细胞浆细胞性葡萄膜浸润。

结论

可卡犬、波士顿梗犬、拉布拉多寻回犬、卷毛比雄犬、西施犬和杰克罗素梗犬在择期白内障手术后发生青光眼的风险可能增加。这些发现具有潜在的临床意义。

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