Context/Contenido

All the post published on this blog are cases either diagnosed, treated or attended by me, surgeries I performed myself or they are based on my experiences through my years working as a vet. The photos have also be done by me, unless it is told otherwise.
Todas las entradas mostradas en este blog son casos que atendí, cirugías que hice o están basados en mi experiencia de mis años como veterinaria. Las fotos también han sido hechas por mi, a menos que se diga su procedencia.

Wednesday 25 February 2015

Tear gland/glándula lacrimal

Eye corner: infected tear gland.
Most of our pet's fight end up with some nasty wound in the neck, paws or back, or a painful scratch in the cornea. In this case, the third eyelid and the tear gland of this little girl was torn out by the fangs of another dog. 

On presentation, her tear gland was so swollen, infected and, despite of her eye discharging, it was so dry that its function and healing was compromised. Although she seems to be very bright and alert, it was too painful for her to check up her wound without any sedation (read more)
Under a very mild general anaesthesia, it was clear that part of the tissue was already necrotic, and the best option would be removing the tear gland. The cons would be that she would need artificial tear drops for good, otherwise her eyes would be too dry and conjunctivitis would constantly occur. We could also see that her third eyelid was torn in two different sites, and suturing it without tension was very challenging. And another concern was her "cloudy" cornea, infected and ulcerated.


This surgery often have a very good prognose, the main complications being related to the sutures inflammating the conjunctiva or even scratching the cornea, leading to ulcers and pain. In this case, her cornea was already affected, and she was sent home on the same day with some eye oinment, antibiotics and pain relief.

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