OPHTHALMOLOGY
GLAUCOMA (Fig 5 & 6)
Salvage if:
• Glaucoma can be medically managed
• There are no signs of pain such as blepharospasm
and epiphora
Enucleate if:
• Poor response to aggressive anti-glaucoma treat-
ment
• Poor DPR or CPR from other eye
• Chronically painful
UVEITIS
Fig. 4. A suspect Squamous Cell Carcinoma which has already
destroyed the majority of the orbital contents
Salvage if:
• Can be managed with topical and / or oral corticos-
teroids or NSAIDs
• Non-painful eye
Enucleate if:
• Chronically painful
• Secondary glaucoma
• Mydriatric pupil
• No menace response
• Poor medical management
MELTING ULCER (Fig 7)
Salvage if:
• Medical management appears to be assisting
• Client is able to intensively administer medication
Enucleate if:
• Ruptured globe
• Poor response to medical management
• Panophthalmitis or vitreal pathology accompanying
the melting ulcer
Fig. 5. Bilateral uveitis in a cat with secondary glaucoma in the
left eye (note the buphthalmic globe)
Fig. 6. Maltese Poodle with chronic glaucoma leading to sec-
ondary keratitis due to the lagophthalmos
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Issue 03 | JUNE 2017 | 30
Fig. 7. Horse with an early melting ulcer