Wright K, Ireland J L, Rendle D I
Minster Equine Practice, The Old Dairy, Galphay, Ripon, North Yorkshire, UK.
Institute of Veterinary Science, University of Liverpool, Neston, Cheshire, UK.
Equine Vet J. 2018 Mar;50(2):186-191. doi: 10.1111/evj.12743. Epub 2017 Sep 13.
Horses are reported to return to a variety of disciplines following unilateral enucleation; however, owners of horses with ocular disease are frequently reluctant to consider the procedure. There is little published information investigating owners' attitudes towards, and satisfaction following, enucleation.
To investigate the hypotheses: 1) horses return to their previous level of work following unilateral enucleation and 2) their owners are satisfied with the post-operative outcome.
Retrospective case series with cross-sectional survey.
Clinical records from eight equine referral centres in the United Kingdom were reviewed to identify horses that underwent enucleation between August 2006 and March 2015. Owner questionnaires were completed to corroborate information provided by medical records and obtain information on client perceptions.
A total of 170 cases were identified and 119 owner questionnaires completed. The most frequent primary uses of horses in the study were pleasure/leisure riding, showjumping and dressage, with 25.2% (n = 30) of horses used for competition. Following enucleation, 77.3% (n = 92) of horses were performing at an equivalent or higher level than prior to enucleation and 60.0% (n = 18/30) of competition horses were competing at an equivalent or higher level. Complications related to the surgical site (predominantly mild post-operative swelling) were reported in 3.7% of cases and nonocular complications in 3.7% of cases. Of owners who reported being concerned or very concerned about certain factors prior to surgery, ≥86.8% reported that these factors caused little or no issue post-surgery. Most owners, 90.8% (n = 108) were pleased with the outcome following surgery, with 21.3% (n = 23/108) wishing the procedure had been undertaken sooner.
Retrospective data collection from clinical records and the potential for recall bias.
Horses can return successfully to a variety of disciplines following enucleation. Owners are satisfied with the outcome and pleased that enucleation was performed.
据报道，马匹在单侧眼球摘除术后可恢复多种训练；然而，患有眼部疾病的马匹主人往往不愿考虑该手术。关于主人对眼球摘除术的态度及术后满意度的公开信息很少。
研究以下假设：1）马匹在单侧眼球摘除术后恢复到术前的工作水平；2）其主人对术后结果满意。
回顾性病例系列研究及横断面调查。
回顾英国8家马科转诊中心的临床记录，以确定2006年8月至2015年3月期间接受眼球摘除术的马匹。完成主人问卷调查，以证实病历提供的信息并获取客户认知方面的信息。
共确定170例病例，完成119份主人问卷。研究中马匹最常见的主要用途是休闲骑乘、场地障碍赛和盛装舞步，25.2%（n = 30）的马匹用于比赛。眼球摘除术后，77.3%（n = 92）的马匹表现与术前相当或更好，60.0%（n = 18/30）的参赛马匹比赛水平相当或更高。3.7%的病例报告了与手术部位相关的并发症（主要是术后轻度肿胀），3.7%的病例报告了非眼部并发症。在术前表示担心或非常担心某些因素的主人中，≥86.8%报告这些因素术后几乎没有问题或根本没有问题。大多数主人，90.8%（n = 108）对术后结果满意，21.3%（n = 23/108）希望手术能更早进行。
从临床记录中进行回顾性数据收集以及存在回忆偏差的可能性。
马匹眼球摘除术后能够成功恢复多种训练。主人对结果满意，并对进行了眼球摘除术感到欣慰。
