OPHTHAlMOLOGY
With regards to the actual surgery, an enucleation is
generally speaking, the best approach, however there
are instances when an exenteration may be needed
such as when there is extensive conjunctival or peri-
orbital neoplasia.
So in conclusion, in instances where a consult or sur-
gery is delayed, an E-collar and topical lubricants such
as Admyrin or Optive can be extremely handy in cases
to stop the animal from self trauma. Also remember to
remind owners to begin to starve the patient if a sur-
gical intervention may be imminent in the near future.
These cases can be tricky to manage, especially the
owners expectations. A poor to guarded prognosis
should rather be given. Discuss with the client from
the start issues such as time frames, secondary com-
plications and the possible dreaded event of enucle-
ation. Explain that to keep a non-visual, painful eye for
aesthetic reasons is unfair to the the animal.
Sadly, sometimes things are just left too late.
This was a cat with severe SCC that had de-
stroyed the globe, ocular adnexa and most
probably had metastasized to the underly-
ing bone. Such a case would be extreme-
ly difficult as there isn’t enough free skin to
close such a large wound after surgical re-
moval of the lesion.
Prognosis here … hopeless!
References:
1. Gelatt, K.N. (ed.), 2007, Veterinary Oph-
thalmology 4th Edition, Wiley-Blackwell,
Ames, Iowa
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SPEAKER:
Prof Andy Hillier
Dr. Andrew (“Andy”) Hillier is originally from South Africa where he graduated from the
Faculty of Veterinary Science at the University of Pretoria, (Onderstepoort) in 1982. After 2
years military service, he was in small animal primary care practice for 8 years in South Af-
rica (Cape Town) and Australia (Perth). Dr. Hillier completed a residency in veterinary der-
matology at the University of Florida from 1992-1994 and became board certified by the
American College of Veterinary Dermatology in 1994. Thereafter he established his own
dermatology referral practice in Australia before heading back to the US in 1996 where
he was on faculty at The Ohio State University for 17 years, becoming a Full Professor and
Head of the Dermatology + Otology Service. He left Ohio State in May 2013 to join Zoetis
as a Senior Veterinary Specialist. Dr. Hillier has published over 40 peer-reviewed articles,
edited and written books and book chapters, and lectured extensively both in the US and
internationally. His primary areas of interest are staphylococcal pyoderma, antimicrobial
drugs, atopic dermatitis, otitis and demodicosis.
Sponsored by:
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UPCOMING WEBINARS: October 2017 - Dr Rick Last
Issue 03 | JUNE 2017 | 31