| Autor: |
Dieterman, E., Hermans, H., Slenter, I. J. M., Kuijpers, N. W., Grinwis, G. C. M., Boevé, M. H. |
| Předmět: |
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| Zdroj: |
Equine Veterinary Education; Aug2022, Vol. 34 Issue 8, pe323-e330, 8p |
| Abstrakt: |
Summary: This case report describes four horses with unilateral superficial or mid‐stromal immune‐mediated keratitis (IMMK) treated with a superficial keratectomy (SK) without a conjunctival graft. In two horses, the surgery was performed under general anaesthesia, and in two horses standing with sedation and local blocks. Results of this report show that SK is a viable treatment option in horses with chronic superficial and/or mid‐stromal IMMK that can even be performed in the standing, sedated horse. When sufficient corneal tissue is removed, no recurrence is to be expected in the long‐term follow‐up (up to 31 months). In two horses, healing occurred without complications. Two horses developed a secondary bacterial infection post‐operatively (Enterococcus faecalis and Staphylococcus aureus). In one case, this resulted in a pre‐perforating melting corneal ulcer necessitating conjunctival pedicle graft surgery 13 days post keratectomy. In three horses, there was no recurrence of the IMMK with a long‐term follow‐up of 6–31 months. One case showed recurrence of IMMK in the cornea region surrounding the keratectomy 9 months after surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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