Standard Operating Procedures – Eye Corneal Ulcer & Tarsorrhaphy

1. Examine the pet’s eyes in more detail including ophthalmoscopy.
2. Fluorescein eye stain examination on both vision is mandatory for all eye cornea injuries. Record extent and depth associated with the ulcer and surrounding areas and take digital images (part view and view that is front of both eyes showing the outcome of the fluorescein eye test.
3. If the attention ulcer is certainly not infected, is recent (less than 2 days), >3mm in diameter and is also a strong ulcer, advise tarsorrhaphy or eyelid flap that is 3rd.
4. If there is infection, wait for 3 days before attempting tarsorrhaphy.
5. AMA – Against Medical Health Advice. Write-in the way it is file your advice for tarsorrhaphy if the owner really does not accept your guidance and want some eye just drops and the e-collar.
6. Superficial and ulcers that are small can be addressed with eye drops and e-collar.
7. Conjunctival flap may be necessary if the ulcers are large.
8. a eyelid that is 3rd and tarsorrhapy may be beneficial in situations of extensive and deep ulcers but there is a problem of not being in a position to apply the eye drops.

Tarsorrhaphy.
1. Clip hair down face esp. around the eyelids and area that is facial.
2. Clip off all hairs from the attention lids.
3. Sedation and general anaesthesia.
4. Forceps to carry up eyelid that is 3rd. Use a 10 ml syringe to flush debris and soil from the 3rd eyelid.
5. Thoroughly irrigate the eye with thoroughly clean water a few times.
6. Subconjunctival treatment of antibiotics and minimal anti-inflammatory at two spots on lower and eyelid that is upper.
7. Apply eye that is antibiotic liberally before sewing the eyelids
8. Sew up the eyelids with 3/0 sutures that are absorbable 3/0 nylon. Two horizontal mattress sutures to evert the eyelids.
9. Leave a 3-mm gap at the medial canthus for eye-drops.
10. Three eye drops 3 times/day and clean off discharge for the next week or two.
11. Stitch treatment 14 times later.

Post-op
1. Ward the dog for at the very least 3 days. I prefer 10-14 times as most Singapore dog owners are unable to crate the dog and provide right eye care.
2. Prescribe 2 bottles of eye drops (not one bottle) if the dog goes house on 3 day.
3. Prescribe discomfort killers for 4 days.
4. Follow-up 3 days post-op. Record in your own case file your follow-up with the owner 3 days after the op to evaluate in the event that eye-care is done properly. If the owner complains of eye discharge and dry exudate, advise the dog owner to bring the down back as the owner just isn’t able to supply good nursing treatment. Record this advice given for you personally file as well as not in a position to contact the owner by phone. You can send an book message instead.

Perform tarsorrhapy
Wait for 3 days before undertaking repeat tarsorrhaphy as the eye is usually severely inflamed and infected because of eye that is poor and breastfeeding of the owner. Ward the puppy for the next 10 times.

Bad post-op medical care at home.
One case reaches: tarsorrhaphy – Against Medical Advice.

Deep ulcerative keratitis dog tarsorrhapy toapayohvets, singapore Deep ulcerative keratitis dog tarsorrhapy toapayohvets, singapore Deep ulcerative keratitis dog repeat tarsorrhapy toapayohvets, singapore
tpvets_logo.jpg (2726 bytes)5448 – 5450. Tarsorrhaphy – Against Medical Health Advice. The master is unable to provide appropriate post-op nursing attention at house and the proper eye ulcer did not heal uneventfully as the eye ulcer that is left.

As at July 6, 2012, Singapore does n’t have resident approved veterinary eye specialists. It may be a good idea to refer the case to other vets if you don’t wish to perform tarsorrhaphy, third eyelid flap or conjunctival flap and deal having its post-op complications.

Some cases are illustrated in Eye Problems viewed at Toa Payoh Vets. The website has reached:

One situation where the mommy experienced in keeping puppies, takes excellent care of the Pekinese is actually shown below.