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Phacoemulsification on the Eye with Corneal and Iridal Perforation and Anterior Lens Capsule Disruption by Cat Claw in a Miniature Poodle Dog

푸들에서 고양이 발톱에 의한 각막과 홍채 천공 및 수정체 전낭 파열에 대한 수정체유화흡인술 증례

  • Kang, Seonmi (Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University) ;
  • Lee, Yesran (Seoul Animal Clinic) ;
  • Yang, Jeongwhan (Seoul Animal Clinic) ;
  • Seo, Kangmoon (Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University)
  • Received : 2017.07.27
  • Accepted : 2017.10.17
  • Published : 2017.10.31

Abstract

A 2-year-old miniature poodle dog was referred to Seoul Animal Clinic for assessment of traumatic ocular lesion by cat claw. Corneal perforation accompanied by hyphema following iridal laceration was observed in the left eye. Topical antibiotics, mydriatics and systemic antibiotics/steroids were applied to treat severe uveitis with miosis and fibrinous exudate. Although lenticular lesion was explored after mydriasis, it was obscured by severe corneal edema around corneal perforation. Despite aggressive treatments, the uveitis became more serious in the next day. To prevent septic implantation syndrome from anterior lens capsule disruption, phacoemulsification surgery was performed. The anterior lens capsule disruption was detected during continuous curvilinear capsulorhexis. The left eye remained the vision with mild posterior capsule opacification and intermittent conjunctival hyperemia during seven-month follow-up.

Keywords

References

  1. Adan A, Casaroli-Marano RP, Gris O, Navarro R, Bitrian E, Pelegrin L, Sanchez-Dalmau B. Pathological findings in the lens capsules and intraocular lens in chronic pseudophakic endophthalmitis: an electron microscopy study. Eye (Lond) 2008; 22: 113-119. Epub 2006 Oct 13. https://doi.org/10.1038/sj.eye.6702615
  2. Baykara M, Dogru M, Ozcetin H, Erturk H. Primary repair and intraocular lens implantation after perforating eye injury. J Cataract Refract Surg 2002; 28: 1832-1835. https://doi.org/10.1016/S0886-3350(02)01274-9
  3. Bell CM, Pot SA, Dubielzig RR. Septic implantation syndrome in dogs and cats: a distinct pattern of endophthalmitis with lenticular abscess. Vet Ophthalmol 2013; 16: 180-185. https://doi.org/10.1111/j.1463-5224.2012.01046.x
  4. Dalesandro N, Stiles J, Miller M. Septic lens implantation syndrome in a cat. Vet Ophthalmol 2011; 14: 84-87. https://doi.org/10.1111/j.1463-5224.2011.00882.x
  5. Davidson MG, Nasisse MP, Jamieson VE, English RV, Olivero DK. Traumatic anterior lens capsule disruption. J Am Anim Hosp Assoc 1991; 27: 410-414.
  6. Dubielzig RR, Ketring KL, McLellan GJ, Albert DM. Diseases of the lens. In: Veterinary Ocular Pathology A Comparative Review, 1st ed. Edinburgh: Saunders Elsevier. 2010: 323-347.
  7. Miller KV, Eisley KM, Shanks RM, Lahr RM, Lathrop KL, Kowalski RP, Noecker RJ. Recurrent enterococcal endophthalmitis seeded by an intraocular lens biofilm. J Cataract Refract Surg 2011; 37: 1355-1359. https://doi.org/10.1016/j.jcrs.2011.04.014
  8. Miller PE. Uvea. In: Slatter's Fundamentals of Veterinary Ophthalmology, 5th ed. Missouri: Elsevier Saunders. 2013: 220-246.
  9. Moisseiev J, Segev F, Harizman N, Arazi T, Rotenstreich Y, Assia EI. Primary cataract extraction and intraocular lens implantation in penetrating ocular trauma. Ophthalmol 2001; 108: 1099-1103. https://doi.org/10.1016/S0161-6420(01)00575-9
  10. Ofri R. Lens. In: Slatter's Fundamentals of Veterinary Ophthalmology, 5th ed. Missouri: Elsevier Saunders. 2013: 272-290.
  11. Paulsen ME, Kass PH. Traumatic corneal laceration with associated lens capsule disruption: a retrospective study of 77 clinical cases from 1999 to 2009. Vet Ophthalmol 2012; 15: 355-368. https://doi.org/10.1111/j.1463-5224.2011.00990.x
  12. Rajaraman R, Lalitha P, Raghavan A, Palanisamy M, Prajna NV. Traumatic lenticular abscess: clinical description and outcome. Am J Ophthalmol 2007; 144: 144-146. https://doi.org/10.1016/j.ajo.2007.02.040
  13. Rubsamen PE, Irvin WD, McCuen BW 2nd, Smiddy WE, Bowman CB. Primary intraocular lens implantation in the setting of penetrating ocular trauma. Ophthalmol 1995; 102: 101-107. https://doi.org/10.1016/S0161-6420(95)31073-1
  14. Salman A, Parmar P, Philip VR, Thomas PA, Jesudasan CA. Traumatic intralenticular abscess: a case series. Clin Exp Ophthalmol 2007; 35: 252-255. https://doi.org/10.1111/j.1442-9071.2006.01449.x
  15. Kang S, Lee E, Park S, Park SW, Noh H, Seo K. Septic Implantation Syndrome Following Anterior Lens Capsule Disruption by Cat Claw in Three Dogs. J Vet Clin 2014; 31: 344-349. https://doi.org/10.17555/ksvc.2014.08.31.4.344
  16. Van Der Woerdt A. Lens-induced uveitis. Vet Ophthalmol 2000; 3: 227-234. https://doi.org/10.1046/j.1463-5224.2000.00107.x
  17. Wilcock BP, Peiffer RL. The pathology of lens-induced uveitis in dogs. Vet Pathol 1987; 24: 549-553. https://doi.org/10.1177/030098588702400613