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Peer-reviewed veterinary case report

Horse's eyelid injury healed after surgery and filler treatment

By Lamkin, Irini et al.·Published in Veterinary ophthalmology·2024·Department of Clinical Sciences, United States·View original on PubMed

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Original publication title: Restoration of function following traumatic superior eyelid avulsion in a horse treated with advancement flap blepharoplasty (H-plasty) and subdermal hyaluronic acid filler.

Species:
horse

Plain-English summary

A 21-year-old American Paint Horse stallion was brought in after being attacked by another stallion, which caused severe injuries including the loss of most of his left upper eyelid. The veterinarian performed surgery to repair the eyelid and used a special filler to help improve eyelid function. Over the next few weeks, the horse healed well, and after receiving the filler treatment, he was able to blink completely again. The horse's eye was comfortable and looked good after the treatment.

People also search for: horse eyelid injury treatment · horse eye problems · eyelid surgery for horses · hyaluronic acid for horse injuries

Abstract

OBJECTIVE: To describe the successful restoration of superior eyelid function in a horse following traumatic avulsion using an advancement flap blepharoplasty and subdermal hyaluronic acid filler. ANIMAL STUDIED: A 21-year-old American Paint Horse stallion who was attacked by a fellow stallion resulting in numerous traumatic injuries including avulsion of approximately 75% of the left superior eyelid. PROCEDURES: With standing sedation and locoregional anesthesia, the superior eyelid wound was debrided and an advancement flap blepharoplasty (H-plasty) and temporary tarsorrhaphy were performed. Routine healing of the surgical site occurred over the subsequent weeks, though lagophthalmos persisted. At 2 and 4 weeks post-operatively, 2.4% cross-linked hyaluronic acid was injected subdermally into the superior eyelid to attempt to improve corneal coverage. At 8 weeks post-operatively, a complete blink was restored and the cosmetic outcome was good. CONCLUSIONS: Injection of subdermal hyaluronic acid filler following eyelid injuries or blepharoplastic procedures that result in lagophthalmos can improve corneal coverage by the eyelids and allow for maintenance of a comfortable and visual eye.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37335902/