Transcript Surgery of The Eye Ocular Therapy

Surgery of The Eye
Ocular Therapy
by
Dr. Nimer Khraim
DVMS, MVSc
Ocular Therapy
Cleaning solution
 Its
used for washing or flashing the
conjunctival and remove of the secretion
 Like
normal saline, boric acid 1%
Ocular Therapy
Stimulant and stringent
 Its used to contract the tissue and produce
precipitation of action of protein, and used
for all type of conjunctivitis
 Like
zinc sulfate + boric acid, 1% sulfure
nitrate, copper sulfate
Ocular Therapy
Disinfectant
 These can be eye drop, used in the
conjunctival sac
 It
can be also cauterizing agent used in
case of ulcer
 Like
pure carbolic acid, trichloroacetic acid
2-5%
Ocular Therapy
Mydriactics
 It
used for dilation of the eye pupile, used
in examination of eye
 Like Atropin
1%
Ocular Therapy
Miotic
 Used
to reduce the size of pupile and also
to decrease the intra ocular p. like in case
of glucoma
 Like
esirine 0.5%, bilocarpine 1-2%
Ocular Therapy
Steroid
 Used
in either alone or compination with
antibiotic
 Dexamethazone
Affection of Eyelid
Affection of Eyelid
Ablepharon
 Its complete abcenese of eyelid
Ankyloblepharon
 Its fusion of eyelid which commonly occur
in puppies and kitten
 The
eyelid must separated up to 14 days
Affection of Eyelid
Coloboma
 Its abcense of eyelashes
Symblepharon
 Its fusion of 2 conjunctiva
Affection of Eyelid
Trichaisis
 Inward turning of eyelashes
Distchaisis
 Present second raw of eyelashes and
more common in upper eyelid
Affection of Eyelid
Entropian
 Its inversion of eyelide inside eye ball

Symptoms: irritation of eye, irritation of
conjunctiva and cornea with excessive
lacremation, photophobia, and ulceration of
cornea


Treatment: elliptical skin incision and sutute by
simple interrupted
Affection of Eyelid
Ectropian
 Eversion of eyelid, expose of conjunctiva
to the light, F.B……etc.

it most commonly occur in small animal
Affection of Eyelid
 Symptoms:
lacremation and discharge,
continuous flow of teardrops, engorged
conjunctiva and may keratitis
Skin incision as V-shape and suture the
skin
Affection of Eyelid
Chalazion
 Its firm, painless granumelatous swelling
on the upper eyelid due to occlusion of
tarsal gland
 The
mass can be seen in conjectiva or in
surface of eyelid
 Treatment:
excision
Affection of Eyelid
Hordeolum
 Acute staph infection of sabecious gland
of the eyelid
 The
eye usually red, painful and
lacremation
 Treatment:
antibiotic ointment
Affection of Eyelid
Blepharitis
 Its inflammation of eyelid may result due to
infection and inflammation
 The
eyelid become thick, edematous and
redness
Affection of Eyelid
Dacrocystitis
 Inflammation of lacrimal sac occur due to
sequlele of chronic conjectivitis or obstruction of
naso-lacrimal duct

Its very common in horse and cattle but rarly
occur in dog

Treatment: flashing the naso-lacrimal duct using
normal saline under local analgesia
Affection of third eyelid
Affection of third eyelid
 The
most common neoplasm is squamous
cell carcinoma and fibrosarcoma
 Treatment:
resection of the third eyelid
under local analgesia
 Bleeding
can be controlled by adrenaline
or copper sulfate
Affection of conjunctiva
Affection of conjunctiva
 Change
in color due to active hyperemia
or due to irritation of eyelid
 Chemosis:
edematous congectiva
 Echemosis: hemorrhage in conjectiva
Affection of conjunctiva
Dermoid cyst
 Its involve only the conjunctiva or present
just below the skin
 Treatment:
excision
Conjunctivitis
Conjunctivitis
 The
most common dis of the eye
Classification
 Acute catarrhal
 Chronic catarrhal
 Acute purulent
 Chronic purulent
Conjunctivitis
Secondary occur due to
 Lacrimal occur due to obstruction in lacrimal
duct

Kerato-conjunctivitis

Allergic

Endogenous toxin
Conjunctivitis
Symptoms
 The most common type is acute or chronic
catarrhal

Lacremation

Congestion

Photophobia
Conjunctivitis
 The
eye become red in color
 Mucoid
 In
or purulent discharge
case of purulent the symptoms is more
sever and usually associate with staph
infection
Conjunctivitis
Treatment
 Irrigation with worm normal saline
 Antibiotic
ointment
 Antihistamine
Keratitis
Keratitis
 Its
inflammation of cornia and usually
combined by:
 Loss
of translucence
 Ciliary infection
 Ulceration
 Vascularization
Keratitis
Symptoms
 Pain
 Blepharospasm
 Lacremation
 Photophobia
Keratitis
Classification of keratitis
 Superficial
 Deep
 Ulcerative (cornial ulcer)
 Pigmentary
Keratitis
Corneal ulcer
 The most common in animal and usually
due to trauma
 There
is defect I the epithelium and loss of
translucence
 Usually
combined by necrosis
Keratitis
Symptoms
 Lacremation
 Photophobia
 Blepharospasm
 Congestion
 Ocular
discharge
Keratitis
Treatment
 Antibiotic ointment with steroids
 In
some cases: cauterization (silver nitrate
with vit. A)
 The
most effective treatment are subconjunctival antibiotic with steroids
Keratitis
 Better
if fixation of the third eyelid with
lateral canthas
 After
10 days remove the suture