Sweeney C R, Russell G E
Department of Clinical Studies, School of Veterinary Medicine, New Bolton Center, University of Pennsylvania, Kennett Square 19348-1692, USA.
J Am Vet Med Assoc. 1997 Nov 15;211(10):1271-4.
To determine type and frequency of complications associated with use of a one-hole subpalpebral lavage (SPL) system in horses.
Retrospective study.
150 horses with 156 SPL systems.
Signalment, primary complaint, method used for placement, time SPL system was in place, and complications were retrieved from medical records.
Complications were not associated with placement, maintenance, or removal of 66 of 156 (42%) SPL systems. A minor complication was reported in association with 53 (34%) SPL systems, and a serious complication was reported in association with 37 (24%). The 3 most common minor complications were mild swelling of the eyelid (31 horses), tearing of SPL system tubing (20), and loss of the injection cap (30). Serious complications included problems with the SPL system requiring its premature removal and possible replacement (26 horses), removal of the SPL system by the horse (6), infection of the eyelid (4), loss of the footplate in the eyelid (5), and cornea ulceration (1).
Proper attention to the size of the footplate and placement of the SPL system in the eyelid should decrease the risk of serious complications. Minor eyelid swelling should be expected in the first 48 hours after SPL system placement.
确定马使用单孔睑下冲洗（SPL）系统相关并发症的类型和发生率。
回顾性研究。
150匹马，配备156个SPL系统。
从病历中获取动物信息、主要诉求、放置方法、SPL系统放置时间及并发症情况。
156个（42%）SPL系统中，66个的放置、维护或移除未出现并发症。53个（34%）SPL系统出现轻微并发症，37个（24%）出现严重并发症。3种最常见的轻微并发症为眼睑轻度肿胀（31匹马）、SPL系统管路撕裂（20匹马）和注射帽丢失（30匹马）。严重并发症包括SPL系统出现问题需提前移除并可能更换（26匹马）、马自行移除SPL系统（6匹马）、眼睑感染（4匹马）、眼睑中脚板丢失（5匹马）和角膜溃疡（1匹马）。
适当关注中脚板大小及SPL系统在眼睑中的放置应可降低严重并发症风险。预计在SPL系统放置后的头48小时内会出现轻微眼睑肿胀。
