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Peer-reviewed veterinary case report

Surgery for dogs with stubborn retrobulbar eye abscesses

By Tremolada, G et al.·Published in The Journal of small animal practice·2015·Department of Clinical Sciences, United States·View original on PubMed

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Original publication title: Surgical management of canine refractory retrobulbar abscesses: six cases.

Species:
dog
Canine GlaucomaStomach & digestionDogs

Plain-English summary

A group of six dogs with painful swelling around their eyes and difficulty opening their mouths were brought in for treatment of retrobulbar abscesses, which didn't improve with antibiotics or other methods. After imaging tests like CT scans and ultrasounds, the dogs underwent a surgical procedure called a modified lateral orbitotomy to remove the abscess. Fortunately, all the dogs that were discharged showed no signs of recurrence for up to 95 months after surgery, indicating that this surgical approach can be effective for these stubborn infections.

People also search for: dog eye swelling treatment · retrobulbar abscess in dogs · dog surgery for eye problems

Abstract

OBJECTIVE: To report the clinical presentation, surgical treatment and outcomes of dogs with retrobulbar abscesses refractory to intra-oral lancing and antibiotics. METHODS: Medical records from January 2006 through September 2014 were reviewed and dogs with retrobulbar abscesses failing treatment with antibiotics and intra-oral lancing were included. Clinicopathologic, imaging and surgical details were extracted from the medical records. Referring veterinarians and owners were interviewed via telephone for follow-up data. RESULTS: A total of six dogs were included in the study. The most common clinical signs were pain upon opening of the mouth, exophthalmos and prolapsed nictitans. Computed tomography was performed in five dogs, ultrasound in four and magnetic resonance imaging in one. Imaging identified an abscess in all dogs, with a suspected foreign body in four dogs. Surgical approach was a modified lateral orbitotomy in five dogs. No foreign body was identified during surgery in all dog. All dogs surviving to discharge did not have recurrence of clinical signs (follow-up time range: 27 to 95 months). CLINICAL SIGNIFICANCE: Dogs with retrobulbar abscesses refractory to standard therapy can experience long-term resolution of clinical signs with surgical treatment, most commonly via a modified lateral orbitotomy.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/26299784/