Combined Intraocular Silicone Prosthesis and Conjunctival Flap for Glaucoma after Corneal Perforation in a Dog

다국어 초록 (Multilingual Abstract)

A 7-month-old intact male Maltese dog was presented with a 1.5-month history of glaucoma in the right eye (OD). Ophthalmic examinations revealed a corneal perforation with iris entrapment, corneal edema and neovascularization, and buphthalmos OD. Intraocular pressures were 33 mmHg OD and 19 mmHg in left eye (OS). The right eye was diagnosed with chronic glaucoma and corneal perforation with iris entrapment. Now that the eye was blind, implantation of intraocular silicone prosthesis (ISP) and conjunctival flap were elected to salvage the globe. The corneal perforation healed with the conjunctival pedicle flap and the cornea accommodated the ISP properly. A satisfactory cosmetic result was achieved without complications in the 15 months following the procedure. Therefore, this case report indicates the combined an ISP and a conjunctival flap would be an alternative for the treatment of glaucoma associated with corneal perforation in dogs.

참고문헌 (Reference)

1 Gelatt KN., "Veterinary Ophthalmology" Wiley-Blackwell 793-831, 2013

2 Gelatt KN, "Veterinary Ophthalmic Surgery" Saunders 157-190, 2011

3 Gelatt KN, "Veterinary Ophthalmic Surgery" Saunders 51-88, 2011

4 Sapienza JS, "Surgical procedures for glaucoma : what the general practitioner needs to know" 23 : 38-45, 2008

5 Lin CT, "Surgical outcome and ocular complications of evisceration and intraocular prosthesis implantation in dogs with end stage glaucoma : a review of 20 cases" 69 : 847-850, 2007

6 Cho J, "Surgery of the globe and orbit" 23 : 23-37, 2008

7 McLaughlin SA, "Intraocular silicone prosthesis implantation in eyes of dogs and a cat with intraocular neoplasia : nine cases(1983-1994)" 207 : 1441-1443, 1995

8 Riggs C, "Intraocular silicone prostheses in a dog and a horse with corneal lacerations" 196 : 617-619, 1990

9 Koch SA, "Intraocular prosthesis in the dog and cat : the failures" 179 : 883-885, 1981

10 Ruoss E, "Intascleral silicone prosthesis in the dog : a retrospective study of 22cases" 25 : 164-169, 1997

11 Brightman AH, "In traocular prosthesis in the dog" 13 : 481-485, 1977

12 Whitley RD, "Implantation of intraocular silicone prostheses in dogs" 7 : 802-811, 1985

13 Graham JE, "Implantation of an intraocular silicone prosthesis in a great horned owl(Bubo virginianus)" 13 : 98-103, 1999

14 Gilger BC, "Glaucoma and corneal stromal abscess in a horse treated by an intraocular silicone prosthesis and a conjunctival pedicle flap" 15 : 10-15, 1993

15 Pena MT, "A new type of intraocular prosthesis for dogs" 140 : 67-68, 1997