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Peer-reviewed veterinary case report

Dog with eye bulge and red eye treated by removing behind-eye lipoma

By Charnock, Lauren et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2020·Atlantic Veterinary College·View original on PubMed

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Original publication title: Canine retrobulbar lipoma excision through a ventral transpalpebral anterior orbitotomy.

Species:
dog

Plain-English summary

A 5-year-old spayed female German shepherd was brought in because her left eye was bulging, red, and had a third eyelid that was sticking out. After some tests, the vet found a fatty tumor (lipoma) behind the eye. The vet performed surgery to remove the tumor through a special approach to the eye area. Three months later, the dog looked and acted completely normal again.

People also search for: dog eye bulging treatment · German shepherd eye problems · lipoma surgery for dogs

Abstract

A 5-year-old spayed female German shepherd dog was referred for diagnostic evaluation and treatment of progressive exophthalmos, conjunctival hyperemia, and protrusion of the third eyelid of the left eye. Computed tomography revealed a retrobulbar mass of the orbit, exhibiting radio attenuation consistent with adipose tissue and well-defined margins. No evidence of metastasis was detected on thoracic radiographs or abdominal ultrasound. Cytological evaluation of ultrasound-guided fine-needle aspirates was inconclusive. A ventral transpalpebral anterior orbitotomy approach facilitated excision of the abnormal retrobulbar tissue. Histopathology revealed mature adipose cells compatible with a lipoma. The patient regained normal appearance and function 3 months after surgery. Key clinical message: While rare, consider a lipoma as a differential diagnosis for a retrobulbar mass. The ventral transpalpebral orbitotomy has been described in only 3 cases in the veterinary literature, and this is the only known report of utilizing this approach for excision of a neoplastic condition.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32165748/