1Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, MS.
2Department of Mathematics, Florida Gulf Coast University, Fort Myers, FL.
J Am Vet Med Assoc. 2022 Apr 15;260(9):1057-1062. doi: 10.2460/javma.22.01.0007.
To retrospectively evaluate the complication rate following dorsal placement of a commercially available 1-hole subpalpebral lavage system (SPL) at a veterinary teaching hospital.
102 client-owned horses with ophthalmic disease.
Medical records of horses (2010 to 2020) with ophthalmic disease were reviewed to determine whether a commercially available SPL system was dorsally placed. Data collected from the medical record included signalment, presenting complaint(s), diagnosis, ophthalmic procedures performed, SPL laterality, hospital service that placed the SPL, anesthetic technique for placement (general anesthesia or sedation with local nerve blocks), duration of SPL management while hospitalized or at home, type of enclosure for the horse, use of eye protection, duration of time the SPL was in place, location of SPL management (home vs hospital), types and numbers of medications administered, recorded complications, and outcome of the globe. Complications experienced during treatment were categorized as either ocular or nonocular. The χ2 test for independence test and Fisher exact test were performed to examine the relationship between the department that placed the SPL, method of anesthesia, antimicrobial administration, type of facial protection used, and complication type and rate.
Overall complication rate for SPL systems was 29.1% (37/127), with 21.2% (27/127) being ocular complications and 7.9% (10/127) being nonocular complications. SPL complication rate was not affected by any variable that was examined.
Commercially available SPL systems placed dorsally have a low ocular complication rate. These SPL systems may be placed by veterinarians with varied training backgrounds and managed at home without significantly increasing complication rate.
回顾性评估在一家兽医教学医院，使用市售的 1 孔皮下灌洗系统（SPL）行巩膜下置管的并发症发生率。
102 例患有眼部疾病的患畜。
回顾性分析 2010 年至 2020 年患有眼部疾病的马的病历，以确定是否使用市售的 SPL 系统行巩膜下置管。从病历中收集的资料包括一般信息、主要症状、诊断、进行的眼部手术、SPL 的侧别、置管的医院科室、用于置管的麻醉技术（全身麻醉或局部神经阻滞下镇静）、住院或在家中进行 SPL 管理的时间、马的围置方式、是否使用眼部保护装置、SPL 留置时间、SPL 管理地点（在家或在医院）、使用的药物种类和数量、记录的并发症以及眼球结局。将治疗过程中出现的并发症分为眼部和非眼部。使用卡方检验和 Fisher 确切概率法检验来评估置管科室、麻醉方法、抗菌药物使用、使用的面部保护类型与并发症类型和发生率之间的关系。
SPL 系统的总体并发症发生率为 29.1%（37/127），其中 21.2%（27/127）为眼部并发症，7.9%（10/127）为非眼部并发症。SPL 并发症发生率不受任何检查变量的影响。
市售的 SPL 系统行巩膜下置管的眼部并发症发生率较低。这些 SPL 系统可由具有不同培训背景的兽医置管，并且在家中管理而不会显著增加并发症发生率。
