• Title/Summary/Keyword: superficial keratectomy

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Application of porcine small intestinal submucosa (Vetrix BioSIS®) for recurrent corneal sequestrum in an American shorthair cat

  • Kim, Youngsam;Kang, Seonmi;Nam, Sunhwa;Yun, Seongjin;Seo, Kangmoon
    • Korean Journal of Veterinary Research
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    • v.60 no.4
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    • pp.229-232
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    • 2020
  • A 15-year-old, spayed, female American shorthair cat presented with recurrent corneal sequestrum in the right eye. The cat had undergone superficial keratectomy twice for corneal sequestrum treatment 5 and 11 months previously. Two layers of porcine small intestinal submucosa (SIS; Vetrix BioSIS®) were applied to the surgical corneal defect after keratectomy. Thereafter, clinical signs, such as lacrimation, blepharospasm, and corneal ulcer, disappeared 50 days postoperatively. Moreover, the application of SIS with keratectomy prevented recurrence until 651 days after surgery. SIS could be applied as an additional bioscaffold for surgical repair of corneal sequestrum recurring after superficial keratectomy alone in cats.

Application of superficial keratectomy and soft contact lens for the treatment of symblepharon in a cat: a case report

  • Kim, Youngsam;Kang, Seonmi;Seo, Kangmoon
    • Journal of Veterinary Science
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    • v.22 no.2
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    • pp.19.1-19.5
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    • 2021
  • A 7-month-old intact female Persian cat was diagnosed with symblepharon accompanied by epiphora, brownish ocular discharge, and ocular discomfort in the left eye. Superficial keratectomy (SK) was performed to remove adhesions between the conjunctiva and cornea. To prevent re-adhesion after SK, the detached conjunctival tissue was sutured to the corneal limbus, and a soft contact lens (SCL) was inserted and a partial temporary tarsorrhaphy was performed. The SCL and tarsorrhaphy sutures were maintained for 22 days, and symblepharon did not recur 347 days postoperatively. SK combined with SCL is a relatively easy and cost-effective surgical option for feline symblepharon.

Superficial Keratectomy in a Standing Horse with Advanced Corneolimbal Squamous Cell Carcinoma

  • Ji, Dong-Beom;Choi, Eunsang;Ben-Shlomo, Gil;Kim, Ah-Young;Jeong, Kyu-Shik;Jeong, Manbok
    • Journal of Veterinary Clinics
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    • v.35 no.4
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    • pp.161-165
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    • 2018
  • A 12-year-old gelding Warmblood Horse was presented with a corneolimbal mass in the right eye (OD) of 6 months duration. Clinical signs included ocular discomfort, persistent mucoid ocular discharge, and conjunctival hyperemia. The mass was excised by superficial keratectomy under sedation in a standing position, followed by a topical application of 0.04% mitomycin C (MMC), and a placement of a conjunctival advancement graft. The histopathological diagnosis was squamous cell carcinoma. One month after surgery, recurrence of the mass was suspected upon examination of the eye. Topical MMC and 5-fluorouracil followed by cryotherapy were applied as adjunctive therapies after debulking of the mass. The surgical site healed without complications and with a cosmetically acceptable result. No recurrence of the mass was noted four years following the second procedure.

Clinical Features and Outcomes of Superficial Keratectomy and Conjunctival Advancement Hood Flap in Three Dogs with Different Extents of Corneal Edema

  • Kim, Youngsam;Nam, Sunhwa;Kang, Seonmi
    • Journal of Veterinary Clinics
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    • v.38 no.2
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    • pp.98-102
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    • 2021
  • Three dogs with different extents of corneal edema were presented to the Dana Animal Hospital Eye Center. The dogs (3 eyes) were diagnosed with corneal endothelial degeneration with clinical signs of corneal edema, conjunctival hyperemia, and mild blepharospasm through a full ophthalmic examination. For the treatment of corneal edema, superficial keratectomy using a crescent microsurgical knife was performed, and a conjunctival advancement hood flap was applied to the stromal defects. In two cases where corneal edema and opacity were observed only in a part of the cornea, corneal edema was reduced and did not progress to other parts of the cornea and corneal transparency and vision were also well-maintained during the follow-up on days 349 and 231 after the surgery. In a case where the whole cornea was edematous and cloudy, corneal edema and opacity had not clearly improved at the last follow-up on day 275 after the surgery. In conclusion, SKCAHF relieved corneal edema and improved vision, and the prognosis tended to be better when there was less corneal edema caused by CED.

Superficial Keratectomy for Corneal Dermoid in a Shih Tzu (Shin Tzu의 각막에 발생한 유피종에 대한 표층 각막 절제술 1례)

  • Park Shin-Ae;Yi Na-Young;Jeoung Man-Bok;Kwon Do-Hyoung;Kim Won-Tae;Kim Hyun-Ah;Park Jung-Hwan;Jee Hyang;Kim Dae-Yong;Nam Tchi-Chon;Seo Kang-Moon
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.268-270
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    • 2005
  • A corneal dermoid is a benign congenital mass usually affecting the lateral limbal region. A 3-month old male Shih Tzu dog with abnormal tissue on right cornea was referred to Veterinary Medical Teaching Hospital of Seoul National University. On ophthalmic examination, there was no evidence of visual impairment. Slit lamp biomicroscopy assessment revealed a mass, located in the inferior and temporal part of right cornea. The lesion was typically hemispheric and covered with pink skin. Superficial keratectomy was performed to remove the mass. On histopathological examination, the lesion was diagnosed as a corneal dermoid. Four months after operation, there had been no recurrence and hair regrowth.

"Letter-Box" Conjunctival Flap in a Dog with Severe Corneal Edema after Phacoemulsification

  • Sunhyo Kim;Dohyoung Kwon;Kangmoon Seo;Seonmi Kang
    • Journal of Veterinary Clinics
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    • v.40 no.2
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    • pp.152-157
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    • 2023
  • A two-year-old, spayed female, Bichon Frise, was referred for severe corneal edema and corneal ulcer in the left eye (OS). The cornea had gradually swelled over one week after phacoemulsification performed a month prior, and that was refractory to 5% sodium chloride eye drop instillation or temporary partial tarsorrhaphy. A complete ophthalmic examination was performed. Severe corneal edema with intrastromal bullae and moderate anterior chamber flare was found on slit-lamp biomicroscopy in the OS, which obstructed the fundus examination. Corneal thickness was measured using high-resolution ultrasound biomicroscopy. The thickness of the OS cornea was 2.74 mm. The "letter-box" conjunctival flap was planned. Dorsal and ventral superficial keratectomy followed by a hood conjunctival flap was performed. Topical and systemic antibiotics and 5% sodium chloride eye drops were prescribed. Decreased corneal thickness was observed at one week, two weeks, and two months postoperatively (1.53 mm, 1.32 mm, and 0.92 mm, respectively). There were no postoperative complications, such as ocular discomfort or recurrent corneal ulcers. The "letter-box" conjunctival flap, a type of superficial keratectomy and conjunctival advancement hood flap, effectively relieved the severe irreversible corneal edema. This could be a simple but effective surgical intervention for patients with endothelial cell damage especially after phacoemulsification.

Corneal Squamous Cell Carcinoma Presumed to Arise from Corneal Fibrosis in a Shih-Tzu Dog

  • Kim, Eunjik;Park, Youngwoo
    • Journal of Veterinary Clinics
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    • v.35 no.6
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    • pp.311-314
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    • 2018
  • Squamous cell carcinoma (SCC) is a form of neoplasm that origins from the epithelial surface of many organs. Ocular occurrence in small animals is rare, especially in the central cornea without the involvement of limbus or conjunctiva. In the current case, a 10-year-old, spayed female Shih-Tzu was presented with a central corneal mass. Through an ophthalmic examination the sign of corneal scarring around the mass was found. Pink fleshy lesion that protruded outward was removed through superficial keratectomy. The mass with the size of $8.5{\times}6.5$ millimeter was histopathologically diagnosed as corneal SCC infiltrating not only the epithelium, but also the superficial corneal stroma with surrounding superficial lymphoplasmacytic and neutrophilic chronic keratitis. Also, the adjacent, non-affected corneal epithelium was markedly hyperplastic and keratinized; the adjacent stroma was moderately vascularized and fibrotic. The pulse-dose therapy using 1% topical 5-flourouracil were applied for five cycles. The tumor has not recurred through nine months of follow-up time.

Successful Surgical Treatment of Feline Acute Bullous Keratopathy and Corneal Perforation with a Conjunctival Hood Graft

  • Kim, Joon Young;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.34 no.3
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    • pp.204-207
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    • 2017
  • We report the successful treatment of feline acute bullous keratopathy (FABK) and corneal perforation with a conjunctival hood graft. Two cats with FABK and corneal perforation had severe corneal edema with large central bullae. Their corneas were thinned and perforated. Conjunctival hood grafts were performed. All corneas recovered after 3-4 weeks. The grafts were then removed from the cornea using superficial keratectomy and no ocular irritation was observed. One month later, the corneas had recovered, although there was very mild fibrosis. The cats had normal vision without any corneal problems at this time. Conjunctival hood graft was thus useful for the treatment of severe FABK and allowed the cats to maintain vision.