The Veterinary Medical Center of Long Island, West Islip, NY, USA.
Auburn University, Auburn, AL, USA.
Vet Ophthalmol. 2020 May;23(3):442-449. doi: 10.1111/vop.12739. Epub 2020 Mar 11.
To compare complication rates and visual outcomes following phacoemulsification in Pugs versus dogs of other breeds.
Thirty-two pure-bred Pugs (55 eyes) and 32 dogs of other breeds (56 eyes) undergoing phacoemulsification.
Multi-institutional retrospective medical record review of perioperative factors, postoperative complications, and visual outcomes. The reference population of dogs of varying breeds included surgical cases following each Pug case at the same institutions. Perioperative risk factors and postoperative complication rates were compared between the two populations.
Pigmentary keratitis and diabetes mellitus were the most common preoperative comorbidities, found in 75% (P < .001) and 72% (P = .12) of Pugs, respectively. No perioperative factors were significantly associated with postoperative complications in Pugs. Postoperative complication rates were similar between groups; however, the most common complication in Pugs was corneal ulceration (15% of operated eyes), whereas glaucoma was most common in the reference population (13% of operated eyes). Three months postoperatively, vision was preserved in 91% of eyes of Pugs (50/55) and 95% of the reference population (53/56). One year postoperatively, 80% (32/40) of Pug eyes and 82% (28/34) of eyes in the reference population remained sighted.
Comorbidities and complications of cataract surgery in Pugs of this study demonstrate a predisposition for corneal disease. This highlights the importance of preoperative evaluation of factors associated with PK and corneal clarity, and postoperative monitoring for corneal ulceration in this breed.
比较哈巴狗与其他品种犬行超声乳化白内障吸除术后的并发症发生率和视力结果。
32 只纯种哈巴狗（55 只眼）和 32 只其他品种犬（56 只眼）行超声乳化白内障吸除术。
对围手术期因素、术后并发症和视力结果进行多机构回顾性病历审查。其他品种犬的参考人群包括在同一机构中每只哈巴狗手术后的手术病例。比较了这两个群体之间的围手术期危险因素和术后并发症发生率。
色素性角膜炎和糖尿病是最常见的术前合并症，分别见于 75%（P<0.001）和 72%（P=0.12）的哈巴狗。在哈巴狗中，没有围手术期因素与术后并发症显著相关。两组之间的术后并发症发生率相似；然而，哈巴狗最常见的并发症是角膜溃疡（15%的手术眼），而青光眼是参考人群中最常见的并发症（13%的手术眼）。术后 3 个月时，哈巴狗的 55 只眼中有 91%（50 只）和参考人群的 56 只眼中有 95%（53 只）视力得到保留。术后 1 年时，40 只哈巴狗眼中有 80%（32 只）和 34 只参考人群眼中有 82%（28 只）保持视力。
本研究中哈巴狗白内障手术的合并症和并发症表明其易患角膜疾病。这突出表明了在该品种中，术前评估与 PK 和角膜清晰度相关的因素以及术后监测角膜溃疡的重要性。
