☁️Eye Proptosis Reduction☁️ 🌟Traumatic ocular proptosis is defined as forward displacement of the eye with entrapment of the eyelids behind the eye. 🌟Main causes encountered in blunt head trauma, bite wound, retrobulbar hemorrhage, orbital fracture, or excessive restraint of animals with large palpebral fissures and shallow orbits, force required to displace the globe in brachycephalic breeds is minimal due to their shallow orbit. 🌟Loki a 5 y old Chihuahua intact dog represented with eye proptosis due to blunt trauma during fight with another dog. ✨Physical ex.: Full physical ex. and diagnostic imaging is crucial to evaluate if there’re life threating injuries that should be treated first, such as internal bleeding or any fractures.. during this time globe should be kept moist. -Forward globe displacement and entrapment of eyelids evident with inspection, Auscultation revealed tachycardia, rapid shallow respiration, compensated shock with 12% dehyd. -Neurological ex. Of the globe gave normal direct pupillary light reflex and intact vision which were favourable prognostic indicators and intact optic nerve. -Ophthalmic ex. Revealed congested globe ,hyphema, bruises over the upper eyelid. ✨Surgical procedure: The eye showed normal vision, vascularity and movability so after correction of the dehydration and stabilizing the patient surgeon decided to do globe replacement by tarsorrhaphy suture technique with the sequence of: 1. Lateral Canthotomy 2. Globe reduction 3. Temporary Tarsorhaphy ✨Treatment plan: • Systemic broad spectrum antibiotic 7-10 days. • Mydriatic eye drops as 1% atropine Q12hrs. • Topical triple antibiotic ointment q6-8hrs. • Systemic corticosteroid 5-7days. • Soft palatable food Re-evaluate the patient after 5-7 days for assessment suture placement, swelling, comfort, Generally suture removed after 14-21 days. After removal full ophthalmic ex. assess vision, blink response, globe position, Schirmer tear test preformed to assess moisture of the eye. By: Dr.ahmad tarek Barakat
Very informative masha'Allah🙏
Business Owner @ Dr Paws | Veterinary Surgeon
1wGood job