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恒河猴弹道伤继发眼内异物的诊断与手术治疗()

Diagnosis and surgical management of an intraocular foreign body secondary to ballistic wound in a Rhesus macaque ().

作者信息

Sharun K, Kumar R, Kalaiselvan E, Singh M, Rawat T, Saxena A C, Kinjavdekar P, Pawde A M

机构信息

MVSc Student in Veterinary Surgery and Radiology, Division of Surgery, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, 243122, Uttar Pradesh, India.

Division of Surgery, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, 243122, Uttar Pradesh, India.

出版信息

Iran J Vet Res. 2020 Summer;21(3):234-237.

Abstract

BACKGROUND

Intraocular foreign bodies (IOFBs) such as air gun pellet is a rare finding in wild animals like Rhesus macaque (). The purpose of the present scientific report is to describe the surgical retrieval of IOFB secondary to ballistic wound in a wild Rhesus macaque.

CASE DESCRIPTION

A juvenile female wild Rhesus macaque was brought with the history of swollen and inflamed right eye for the past several days.

FINDINGS/TREATMENT AND OUTCOME: Clinical examination revealed presence of partially healed wound over the dorsal eyelid. Radiographic examination revealed the presence of a metallic foreign body inside the right orbit. Inflamed and persistently closed eyelid prevented the further localization of the metallic foreign body. Lateral canthotomy was performed under general anesthesia. Following the failure to recover the metallic foreign body from the ocular adnexa, right eye vitrectomy was performed to retrieve the IOFB. The metallic foreign body was recovered from the posterior chamber of the right eye. Due to the poor prognosis of the already damaged eye, enucleation of the eye was performed which was followed by tarsorrhaphy. Further examination of the foreign body identified it as a 4.5 mm (.177 Calibre) air gun pellet. Post-operatively animal was treated with antibiotics and anti-inflammatory drugs. The animal recovered uneventfully.

CONCLUSION

Intraocular foreign bodies secondary to gunshot wound should always be considered as a surgical emergency. Enucleation should be performed in cases having poor prognosis to avoid further complications especially in wild animals like Rhesus macaque.

摘要

背景

眼内异物(如气枪子弹)在恒河猴等野生动物中是一种罕见的发现。本科学报告的目的是描述一只野生恒河猴因弹道伤继发眼内异物的手术取出过程。

病例描述

一只幼年雌性野生恒河猴因右眼肿胀发炎数天前来就诊。

检查结果/治疗及结果:临床检查发现上睑有部分愈合的伤口。影像学检查显示右眼眶内有金属异物。发炎且持续闭合的眼睑妨碍了对金属异物的进一步定位。在全身麻醉下进行了外眦切开术。从眼附属器未能取出金属异物后,进行了右眼玻璃体切除术以取出眼内异物。金属异物从右眼后房取出。由于已受损眼睛预后不佳,进行了眼球摘除术,随后进行了睑裂缝合术。对异物的进一步检查确定其为一颗4.5毫米(.177口径)的气枪子弹。术后动物接受了抗生素和抗炎药物治疗。动物恢复顺利。

结论

枪伤继发的眼内异物应始终被视为手术急症。对于预后不佳的病例,应进行眼球摘除术以避免进一步并发症,尤其是在恒河猴等野生动物中。

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