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小动物患者的眼部急症。

Ocular Emergencies in Small Animal Patients.

机构信息

Cornell University Veterinary Specialists, 880 Canal Street, Stamford, CT 06902, USA; Cornell University College of Veterinary Medicine, Ithaca, NY, USA.

出版信息

Vet Clin North Am Small Anim Pract. 2020 Nov;50(6):1261-1276. doi: 10.1016/j.cvsm.2020.07.003. Epub 2020 Aug 24.

Abstract

Small animal ocular emergencies vary from relatively benign to potentially vision or life threatening, with significant overlap in clinical signs. Careful ophthalmic examination in dim light conditions with a bright light source and competent patient head restraint are crucial to properly diagnosing ocular disease. Adjunctive ophthalmic diagnostic testing should be performed to rule out corneal ulceration, glaucoma, and dry eye before empiric topical antibiotic or steroid medications are prescribed. Most emergency cases present because of ocular redness, cloudiness, discomfort, apparent bulging, or vision loss; categorizing differential diagnoses on this basis can be helpful to the emergency clinician.

摘要

小动物眼科急症的临床表现从相对良性到潜在的视力或生命威胁不等,其临床症状有很大的重叠。在暗光条件下使用强光光源并进行熟练的患者头部固定,仔细进行眼科检查对于正确诊断眼部疾病至关重要。在开出经验性局部抗生素或皮质类固醇药物之前,应进行辅助眼科诊断测试以排除角膜溃疡、青光眼和干眼症。大多数紧急情况是由于眼部发红、混浊、不适、明显突出或视力丧失而出现的;基于此对鉴别诊断进行分类对急诊临床医生会有帮助。

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