J Am Vet Med Assoc. 2023 Jul 5;261(9):1368-1373. doi: 10.2460/javma.23.04.0207. Print 2023 Sep 1.
To evaluate intraoperative and postoperative complications and outcomes following subconjunctival enucleations with and without third eyelid removal in domestic rabbits.
18 client-owned rabbits with ocular disease confined to the globe that underwent 20 subconjunctival enucleation procedures at a veterinary teaching hospital.
Records were retrospectively reviewed for all enucleations performed at a veterinary teaching hospital from 2014 to 2022. A standard subconjunctival enucleation procedure was performed in all cases, with third eyelid removal in 2 surgeries and without third eyelid removal in the remaining 18 surgeries. Outcomes were assessed on the basis of observations in medical records and owner follow-up.
20 total enucleations were included. Reported reasons for enucleation included suspected or confirmed ocular Encephalitozoon cuniculi infection in 9 rabbits, refractory glaucoma in 4 rabbits, and various intraocular diseases in 5 rabbits. The only intraoperative complication reported was hemorrhage during the third eyelid removal in 1 surgery. Postoperative complications included serous to mucoid discharge from the surgical site in 8 of 20 surgeries and swelling at the surgery site in 2 of the 8 cases that had discharge. Postoperative swelling spontaneously resolved within 3 months of surgery; postoperative discharge spontaneously resolved within 10 months of surgery.
Subconjunctival enucleation with or without third eyelid removal in rabbits may be a viable enucleation technique to reduce the risk for intraoperative hemorrhage, but it can result in postoperative complications, including transient discharge and swelling at the surgical site.
评估家兔行结膜下剜除术时联合或不联合第三眼睑切除术的术中及术后并发症和结局。
18 只患有眼部疾病且仅局限于眼球的患宠兔,在一家兽医教学医院接受了 20 次结膜下剜除术。
对 2014 年至 2022 年期间在一家兽医教学医院进行的所有剜除术的记录进行了回顾性分析。所有手术均采用标准的结膜下剜除术,其中 2 例手术中联合第三眼睑切除术,18 例手术中不联合第三眼睑切除术。根据病历中的观察结果和主人的随访来评估结果。
共纳入 20 例完全的剜除术。行剜除术的报告原因包括 9 例疑似或确诊眼弓蛔虫感染的兔、4 例难治性青光眼的兔和 5 例各种眼内疾病的兔。唯一报告的术中并发症是 1 例手术中在第三眼睑切除时发生的出血。术后并发症包括 20 例手术中的 8 例手术部位出现浆液至黏液样分泌物和 8 例中有 2 例手术部位肿胀。术后肿胀在术后 3 个月内自发消退;术后分泌物在术后 10 个月内自发消退。
家兔行结膜下剜除术联合或不联合第三眼睑切除术可能是一种可行的剜除技术,可降低术中出血的风险,但可能会导致术后并发症,包括手术部位短暂的分泌物和肿胀。