Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA, USA.
Vet Ophthalmol. 2021 Jul;24(4):346-353. doi: 10.1111/vop.12892. Epub 2021 May 6.
To describe clinical and histopathologic pre-operative diagnoses as well as associated post-operative complications following orbital silicone implantation in dogs undergoing enucleation and evaluate owner satisfaction.
One hundred and eighty-six dogs who underwent enucleation with orbital implant.
Medical records from dogs that underwent enucleation with orbital implant performed at Virginia-Maryland Veterinary Teaching Hospital between 2007 and 2019 were reviewed. Owners were surveyed via telephone regarding client satisfaction.
Enucleation followed by orbital implant placement occurred in 215 eyes of 186 dogs. The most common pre-operative diagnoses were glaucoma (68.8%), uveitis (17.7%), cataracts (15.8%), intraocular neoplasia (13.0%), and lens luxation (10.7%). The most common histopathologic diagnoses were retinal degeneration (46.5%), uveitis (39.5%), cataract (29.8%), retinal detachment (27.4%), and secondary glaucoma (26.5%). Fourteen eyes (6.5%) from ten dogs had post-operative complications reported including orbit cellulitis (n = 11), implant migration (n = 1), and implant extrusion (n = 1). Five of these dogs (50%) had concurrent diabetes mellitus. Median complication time from surgery was 41 days (range: 11-541 days). Ninety-five owner survey responses were completed with a median time of 6.3 years following surgery. Most owners, 85.3% (n = 81), were satisfied with the post-operative outcome.
Enucleation with implantation of an orbital implant is a viable and safe method for irreversibly blind eyes. Diabetes mellitus may be a risk factor for the development of post-operative complications. Intraocular neoplasia was not associated with development of post-operative complications. Results of this study indicated high owner satisfaction rates for improving cosmetic appearance after enucleation in dogs.
描述行眼球摘除术并植入眶内硅橡胶的犬只的临床和组织病理学术前诊断以及术后相关并发症，并评估犬主满意度。
对 2007 年至 2019 年期间在弗吉尼亚-马里兰兽医教学医院行眼球摘除术并植入眶内硅橡胶的 186 只犬的病历进行了回顾。通过电话对犬主进行了满意度调查。
在 186 只犬的 215 只眼中进行了眼球摘除术并植入眶内硅橡胶。最常见的术前诊断包括青光眼（68.8%）、葡萄膜炎（17.7%）、白内障（15.8%）、眼内肿瘤（13.0%）和晶状体脱位（10.7%）。最常见的组织病理学诊断包括视网膜变性（46.5%）、葡萄膜炎（39.5%）、白内障（29.8%）、视网膜脱离（27.4%）和继发性青光眼（26.5%）。10 只犬的 14 只眼（6.5%）出现术后并发症，包括眶蜂窝织炎（11 只眼）、植入物移位（1 只眼）和植入物脱出（1 只眼）。其中 5 只犬（50%）患有糖尿病。术后并发症的中位发生时间为 41 天（范围：11-541 天）。术后 6.3 年完成了 95 份犬主调查问卷，其中 85.3%（81 只眼）的犬主对术后结果满意。
对于不可逆盲眼，眼球摘除术联合眶内硅橡胶植入是一种可行且安全的方法。糖尿病可能是术后并发症发生的危险因素。眼内肿瘤与术后并发症的发生无关。本研究结果表明，对于行眼球摘除术的犬，植入眶内硅橡胶可显著改善术后的美观度，犬主满意度高。
