Peer-reviewed veterinary case report
Treating chronic corneal ulcers in dogs with cotton-tip and scalpel
By Boutin, Marie-Pier et al.·Published in Veterinary ophthalmology·2020·Clinique Vé, Canada·View original on PubMed →
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Original publication title: Cotton-tip debridement, scalpel blade debridement, and superficial grid keratotomy for treatment of spontaneous chronic corneal epithelial defects (SCCED): A retrospective evaluation of 308 cases.
- Species:
- dog
Plain-English summary
A 9-year-old Boxer was treated for a chronic corneal issue known as a spontaneous chronic corneal epithelial defect (SCCED), which can cause persistent eye problems. The treatment involved a combination of cotton-tip debridement, scalpel blade debridement, and a superficial grid keratotomy, along with topical medications. Most dogs, including this Boxer, healed well within about 11 days, and only a small percentage experienced complications, with Boston Terriers being more prone to issues. Overall, this approach proved to be effective and affordable for treating this eye condition in dogs.
People also search for: dog eye problems treatment · Boxer corneal ulcer care · Boston Terrier eye complications
Abstract
PURPOSE: To evaluate the clinical course and outcome of canine SCCEDs treated with a combination of cotton-tip debridement (CTD), scalpel blade debridement (SBD), and superficial grid keratotomy (SGK). METHODS: Medical records of dogs diagnosed with SCCED and treated by the same diplomate (FJO) from 2011 to 2019 were reviewed. Age, breed, sex, affected eye, time of onset before treatment, previous procedures performed, time to healing, need for a second treatment, and complications were reported. RESULTS: A total of 308 eyes (291 dogs) met the inclusion criteria and were included in the study. All dogs received the same treatment (CTD + SBD + SGK) and the same topical medication (tobramycin 0.3% solution and sodium chloride 5% ointment). All eyes healed. Mean age at presentation was 9 years and 6 months (114.4 ± SD 28.0 months), and Boxer was the most common breed (93/308; 30.2%). Mean corneal healing time was 11.5 days (±SD 6.6). Complications occurred in 15/308 (4.9%) eyes. The three main complications observed were infected epithelial ulcer, infected stromal ulcer, and melting corneal ulcer, and 7/15 (46.7%) of the complications were diagnosed in Boston Terrier. Healing occurred after one treatment in 299/308 (97.1%) eyes, and the remaining cases needed a second treatment. CONCLUSIONS: CTD + SBD + SGK is an inexpensive and efficient treatment for SCCED in dogs. Boston Terrier may be at higher risk of developing complications following this procedure.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33085183/