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Peer-reviewed veterinary case report

Eye surgery complications and outcomes in Pugs compared to other dogs

By Boss, Christine et al.·Published in Veterinary ophthalmology·2020·The Veterinary Medical Center of Long Island, United States·View original on PubMed

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Original publication title: Preliminary report of postoperative complications of phacoemulsification in Pugs: A multicenter retrospective study of 32 cases.

Species:
dog

Plain-English summary

A group of 32 Pugs underwent cataract surgery (phacoemulsification) and were monitored for complications afterward. While the surgery was generally successful, 15% of the Pugs developed corneal ulcers, which is a common issue for this breed. Three months after surgery, 91% of the Pugs still had good vision, and this number remained high at 80% one year later. The study emphasizes the need for careful pre-surgery evaluations and post-surgery monitoring for eye problems in Pugs.

People also search for: Pug cataract surgery complications · Pug eye problems after surgery · corneal ulcer treatment in dogs

Abstract

OBJECTIVE: To compare complication rates and visual outcomes following phacoemulsification in Pugs versus dogs of other breeds. ANIMALS STUDIED: Thirty-two pure-bred Pugs (55 eyes) and 32 dogs of other breeds (56 eyes) undergoing phacoemulsification. PROCEDURES: Multi-institutional retrospective medical record review of perioperative factors, postoperative complications, and visual outcomes. The reference population of dogs of varying breeds included surgical cases following each Pug case at the same institutions. Perioperative risk factors and postoperative complication rates were compared between the two populations. RESULTS: Pigmentary keratitis and diabetes mellitus were the most common preoperative comorbidities, found in 75% (P&#xa0;<&#xa0;.001) and 72% (P&#xa0;=&#xa0;.12) of Pugs, respectively. No perioperative factors were significantly associated with postoperative complications in Pugs. Postoperative complication rates were similar between groups; however, the most common complication in Pugs was corneal ulceration (15% of operated eyes), whereas glaucoma was most common in the reference population (13% of operated eyes). Three months postoperatively, vision was preserved in 91% of eyes of Pugs (50/55) and 95% of the reference population (53/56). One year postoperatively, 80% (32/40) of Pug eyes and 82% (28/34) of eyes in the reference population remained sighted. CONCLUSIONS: Comorbidities and complications of cataract surgery in Pugs of this study demonstrate a predisposition for corneal disease. This highlights the importance of preoperative evaluation of factors associated with PK and corneal clarity, and postoperative monitoring for corneal ulceration in this breed.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32162486/