Corneal disease in dogs: there is a hole in my cornea (Proceedings)

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Corneal disease in dogs: there is a hole in my cornea (Proceedings)

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Aug 01, 2011

Topics

Dermoids, Corneal Ulcers, Trauma-induced corneal lesions, Lipid Keratopathy, Pigmentary Keratitis, Endothelial Degeneration

Corneal Ulcers

    1) Superficial Ulcers
    2) SCCED (superficial chronic corneal epithelial defect)
          • Indolent Ulcers
          • Boxer ulcers
          • Non-healing ulcers
     3) Complicated Ulcers

Superficial Ulcers

     – Duration
          • Uncomplicated ulcer will heal in 2 days
          • If doesn't behave "typically" consider underlying conditions
     – Age
          • Young dog: distichia, ectopic cilia, entropion
          • Old dog: indolent/non-healing ulcer
     – Work-Up
          • Fluorescein Stain
          • Close look at eyelids and conjunctiva for hairs or foreign bodies
     – Treatment for uncomplicated, superficial ulcers
          • Topical Antibiotic
               o BNP ointment/ Neo-Poly-Gramicidin
               o Tobramycin drops
          • Atropine
               o One drop in office should be sufficient
          • E Collar
     – Recheck 2 - 3 days