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Peer-reviewed veterinary case report

Dog with lens capsule tear and suspected malignant glaucoma

By Denis, Heidi M·Published in Veterinary ophthalmology·2002·Animal Eye Associates, United States·View original on PubMed

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Original publication title: Anterior lens capsule disruption and suspected malignant glaucoma in a dog.

Species:
dog
Canine GlaucomaMovement & jointsDogs

Plain-English summary

A Boston Terrier puppy was brought in with a serious eye injury, including a tear in the lens capsule and a corneal defect, which caused the iris to prolapse. The vet performed surgery to repair the eye, but the puppy developed high eye pressure and other complications afterward. They suspected a type of glaucoma and treated it with a procedure to remove the vitreous fluid from the eye. Thankfully, the puppy's eye pressure returned to normal, and after three weeks, he regained his vision. Two years later, he remains comfortable and only needs occasional eye drops.

People also search for: Boston Terrier eye injury treatment · puppy glaucoma symptoms · corneal tear surgery recovery

Abstract

A Boston Terrier puppy presented with a full-thickness peripheral corneal defect, iris prolapse and anterior lens capsule tear in the left eye (OS). Phacofragmentation and primary repair of the corneal laceration was performed. At surgery, subluxation of the lens was also apparent. One day postoperative, there was severe corneal edema, diffuse hyphema, an intraocular pressure (IOP) of 65 mmHg and a small amount of vitreous that protruded from the corneal incision OS. Malignant glaucoma or pupillary block glaucoma were suspected. Intravenous mannitol was administered preoperatively and had no effect. An anterior vitrectomy was performed on the vitreous within the anterior chamber and pupil. One day postoperative the IOP was 16 mmHg in the right eye (OD) and 20 mmHg OS. Postoperative iridocyclitis was managed medically, and additional elevations in IOP were not recorded. Resolution of the elevated IOP following anterior vitrectomy was supportive of pupillary block or malignant glaucoma. Vision returned 3 weeks after the initial surgery. Two years after the initial injury, the eye is visual and comfortable with infrequent topical anti-inflammatory therapy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/12071863/