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Peer-reviewed veterinary case report

Long-term results and recurrence risks of corneal sequestrum in cats

By Gómez, Alberto Palella et al.·Published in The Veterinary record·2023·Willows Veterinary Centre & Referral Service, United Kingdom·View original on PubMed

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Original publication title: Long-term treatment outcomes and risk factors for recurrence in feline corneal sequestrum: 72 cases (2009-2017).

Species:
cat

Plain-English summary

A 6-year-old Persian cat was diagnosed with corneal sequestrum, a painful eye condition where dead tissue forms on the cornea. The cat underwent surgery to remove the affected tissue, and most cats like her had good outcomes, with about 19% experiencing a recurrence of the problem within 245 days. Additionally, around 27% of cats developed corneal sequestrum in the other eye after surgery. Overall, surgical treatment was effective, but pet owners should be aware of the possibility of recurrence or development in the other eye.

People also search for: cat corneal sequestrum treatment · Persian cat eye problems · cat eye surgery recovery

Abstract

BACKGROUND: This study aimed to evaluate long-term treatment outcomes in feline corneal sequestrum (FCS), compare the recurrence rates between different surgical techniques, identify possible recurrence risk factors and monitor the development of FCS in the contralateral eye. METHODS: The medical records of 72 cats (79 eyes) with FCS treated between 2009 and 2017 were retrospectively analysed. RESULTS: The most commonly affected breeds were Persian, domestic shorthaired and Burmesecats. The mean age was 6.9 years. Sixty-five cats (90%) were affected unilaterally. Sixty-six eyes (83%) underwent surgery: keratectomy in 34 eyes (52%) and keratectomy followed by a graft procedure in 32 eyes (48%). Recurrence occurred in 13 out of 66 eyes (19%) at a median of 245 days after surgery. Skull conformation, location of the FCS, type of surgical procedure and concurrent ocular surgery did not significantly affect the recurrence rate. Eighteen cats (27%) developed FCS in the contralateral eye at a median of 635 days after surgery. LIMITATIONS: Limitations are related to the retrospective nature of the study, the use of telephone follow-up for assessment of recurrence in some cats and the small number of cases. CONCLUSIONS: Surgical excision had a successful outcome in most cases. The type of surgical procedure and skull conformation did not affect the recurrence rate. One-quarter of the cats developed FCS in the contralateral eye.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/36912180/