Clinic for Ruminants, Vetsuisse Faculty, University of Bern.
Ophthalmology section, Vetsuisse Faculty, -University of Zurich.
Schweiz Arch Tierheilkd. 2022 Oct;164(10):687-693. doi: 10.17236/sat00368.
The study aimed to describe clinical indications for eye enucleation and exenteration, the occurrence of complications and long-term outcome in cattle, and examine owners' attitude towards enucleation and exenteration and their satisfaction with the surgical outcome. Medical records from the two veterinary teaching hospitals in Switzerland were reviewed to identify cattle that underwent unilateral enucleation or exenteration between January 2013 and December 2020. Data extracted included medical history, ocular examination, clinical diagnosis, surgical procedure including anesthesia, suture material and pattern used, complications, and treatment thereof. Long-term follow-up was evaluated via national animal database inquiries to determine survival time and via owners' interviews with the use of a standardized questionnaire that included questions regarding the occurrence of complications and reason for culling, production performances and perceived quality of life after surgery, concerns, factors affecting the decision to proceed with surgery, and general satisfaction with the outcome. Descriptive statistics, Fisher's exact tests and unpaired t-test were used to summarize the data and assess association between variables. Association was considered significant if p < 0,05. Thirty-eight cases were identified, with a median age of 5 years. More than half of the cases (55,3 %) were diagnosed with non-neoplastic ocular lesions represented by severe trauma with loss of globe content, globe rupture with history of infectious keratoconjunctivitis or hypopyon, or congenital malformations. The remaining cases were diagnosed with neoplastic lesions, including ocular squamous cell carcinoma (OSCC), melanoma, or sarcoma. Complications following surgery were reported in 29 % of cases and included postoperative infection and recurrence of OSCC. There was no significant association between ocular diagnosis and the occurrence of postoperative complications or survival time. Surgery did not seem to influence the animals' postoperative production performance or the perceived quality of life. Most owners (92 %) were satisfied with the surgical outcome. The occurrence of postoperative complications leading to increased overall costs and culling was the main reason for lower owner satisfaction.
本研究旨在描述牛只眼球摘除和眼眶内容剜除的临床指征、并发症的发生情况和长期预后,并探讨畜主对眼球摘除和眼眶内容剜除的态度及其对手术结果的满意度。对瑞士两所兽医教学医院 2013 年 1 月至 2020 年 12 月间接受单侧眼球摘除或眼眶内容剜除的牛进行病历回顾。提取的资料包括病史、眼部检查、临床诊断、手术程序(包括麻醉、缝线材料和使用方式)、并发症及其治疗。通过国家动物数据库查询评估长期随访情况,以确定存活时间,并通过对畜主进行访谈,使用标准化问卷评估并发症的发生情况和淘汰原因、生产性能以及手术后的生活质量感知、顾虑、影响手术决策的因素以及对手术结果的总体满意度。使用描述性统计、Fisher 确切检验和非配对 t 检验汇总数据并评估变量之间的关联。如果 p<0.05,则认为关联具有统计学意义。共确定 38 例病例,中位年龄为 5 岁。超过一半的病例(55.3%)诊断为非肿瘤性眼部病变,包括严重创伤伴眼球内容物丧失、眼球破裂伴传染性角膜结膜炎或前房积脓病史或先天性畸形。其余病例诊断为肿瘤性病变,包括眼部鳞状细胞癌(OSCC)、黑色素瘤或肉瘤。术后报告发生 29%的病例出现并发症,包括术后感染和 OSCC 复发。眼部诊断与术后并发症的发生或存活时间之间无显著关联。手术似乎并未影响动物术后的生产性能或生活质量感知。大多数畜主(92%)对手术结果满意。导致总体成本增加和淘汰的术后并发症发生是降低畜主满意度的主要原因。