Peer-reviewed veterinary case report
Double drape tectonic patch with cyanoacrylate glue for surgical repair of corneal defects: 8 cases.
- Journal:
- Veterinary ophthalmology
- Year:
- 2021
- Authors:
- Rodriguez, Elena N et al.
- Affiliation:
- Department of Veterinary Clinical Sciences · United States
Plain-English summary
This study looked at a new method for treating serious eye injuries in cats and dogs, specifically deep or penetrating corneal defects, which are problems with the clear front part of the eye. Eight pets were treated using a special double layer of plastic material glued to the eye with a strong adhesive, and then covered with a flap of tissue from the third eyelid. Most of the pets, seven out of eight, healed well within about 20 days, but one cat had a serious complication that required the eye to be removed. Overall, this technique seems to be a good option that could be quicker and less costly than other surgical methods.
Abstract
OBJECTIVE: To describe the use of a double drape tectonic patch with cyanoacrylate glue technique for the treatment of deep or penetrating corneal defects in cats and dogs. ANIMALS STUDIED: Eight client-owned animals of which five were cats and three were dogs. PROCEDURE: Eight cases: Four with descemetoceles, three with corneal perforations, and one with a deep stromal ulcer were treated with a double layer of plastic drape material adhered to the cornea with a cyanoacrylate (2-octyl or 2-octyl, N-butyl)-based tissue adhesive. The patch was then covered with a third eyelid flap. RESULTS: Seven of the eight eyes healed uneventfully with a median time to healing time of 20 days (range 14-28 days). After healing, the glue patch had loosened and was removed. One eye of one cat developed bacterial keratitis with an iris prolapse adjacent to the patch and was subsequently enucleated. Only two of the eight eyes had increased corneal neovascularization. CONCLUSION: Treatment of deep or penetrating corneal defects with a double drape tectonic patch and cyanoacrylate glue is a viable option which may be a faster and less expensive alternative to other globe sparing surgical options.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/33616291/