Köpeklerde Karşılaşılan Üçüncü Göz Kapağı Bezi Prolapsusunun Morgan Cep Tekniği ile Sağaltımı

Bu çalışmanın amacı, köpeklerde karşılaşılan üçüncü göz kapağı bezinin prolapsusunun yenidenkonumlandırılması için uygulanan Morgan cep tekniğinin klinik sonuçları ve komplikasyonlarınıdeğerlendirmekti.Bu çalışma kapsamında üçüncü göz kapağı bezi prolapsusu tespit edilen 13 köpekte (n=18 vaka)Morgan cep tekniği kullanılarak tedavi edildi.Etkilenen köpeklerin yaşları 6 ay ila 2 yıl arasında değişti. Köpeklerin 9’u erkek (% 69.23), 4’ü dişicinsiyete aitti (% 30.77). Beş köpekte kiraz gözü çift taraflı (% 38.46) olarak tespit edildi.Çalışmada tespit edilen 18 adet üçüncü göz kapağı bezi prolapsusunun 17’sinde başarı ile cerrahitedavi uygulandı.Bu çalışmanın sonuçlarına dayanarak, köpeklerde Morgan cep tekniğinin üçüncü göz kapağıbezinin prolapslarında bezin yeniden konumlandırılması için güvenilir bir yöntem olduğu sonucunavarılmıştır.

Treatment of Third Eyelid Gland Prolapse in Dogs with Morgan’s Pocket Technique

The purpose of this study was to evaluate the clinical outcome and complications of Morgan’s pocket technique in the repositioning of the prolapsed third eyelid gland in dogs. From 13 dogs, 18 eyes with protrusion of the third eyelid gland were treated using Morgan’s pocket technique. The affected dogs were 3 months to 3 years old. Nine dogs were male (69.23 %) and 5 were female (30.77 %). In five dogs the cherry eye was bilateral (38.46 %). Eighteen protruded third eyelid glands were surgically treated with success in 17 eyes. Based on the results of this study, it was concluded that the pocket technique can be considered as a reliable metod for the repositioning of a prolapsed gland of the third eyelid in dog.

PDF

___

Morgan RV, Duddy JM, Mcclurg K. Prolapse of the gland of the third eyelid in dogs: A etrospective study of 89 cases (1980 to 1990). J Am Anim Hosp Assoc 1993; 29: 56-60.
Herrera D. Surgery of the Eyelids, Proceedings of the World Small Animal Veterinary Association Congress, Mexico, 2005; 1-4.
Moore CP, Frappier BL, Linton LL. Distribution and course of ducts of the canine third eyelid gland: Effects of two surgical replacement techniques. Vet Comp Ophthalmol 1996; 6: 258-264.
Chahory S, Crasta M, Trio S, Clerc B. Three cases of prolapse of the nictitans gland in cats. Vet Ophthalmol 2004; 7: 417-419.
Akın F, Samsar E. Göz Hastalıkları. Ankara: Medipres, 2005.
Gelatt KN, Gilger BC, Kern TJ. Veterinary Ophthalmology. 5th Edition, Oxford, United Kingdom: Blackwel Publishing. 2013.
Mitchel N. Third eye lid protrusions in dogs and cats, Veterinary Ireland Journal 2012; 2: 205-209.
Davidson HJ, Kuonen VJ. The tear film and ocular mucins. Vet Ophthalmol 2004; 7: 71-77.
Slatter D. Third eyelid. In: Slatter D. (Editor). Fundamentals of veterinary ophthalmology. 2. Edition, Philadelphia: Saunders, 1990:.227-234.
Sapienza JS, Mayordomo A, Beyer AM. Suture anchor placement technique around the insertion of the ventral rectus muscle for the replacement of the prolapsed gland of the third eyelid in dogs: 100 dogs. Vet Ophthalmol 2014; 17: 81-86.
Mazzucchelli S, Vaillant MD, Wéverberg F, et al. Retrospective study of 155 cases of prolapse of the nictitating membrane gland in dogs. Vet Rec 2012; 170: 443-445.
Singh K, Gopinathan A, Sangeetha P, et al. Morgan’s pocket technique for the surgical management of cherry eye in dogs: A report of 14 cases. Indian J Anim Res 2017; 51: 795-797.
Saito A, Izumisawa Y, Yamashita K, Kotani T. The effect of third eyelid gland removal on the ocular surface of dogs. Vet Ophthalmol 2001; 4: 13-18.
Dugan SJ, Severin GA, Hungerford LL, Whiteley HE, Roberts SM. Clinical and histological evaluation of the prolapsed third eyelid gland in dogs. J Am Vet Med Assoc 1992; 201: 1861-1867.
Fossum TW, Hedlund CS, Johnson AL, et al. Small Animal Surgery. 3rd Edition, Missouri: Mosby Elsevier, 2007.
Raghunath M, Sagar PV, Sailaja B. Surgical management of bilateral cherry eye in a dog. Intas Polivet 2016; 17: 418-419.
Rais A, Sankhala LN, Saini RK, Shringi A, Gahlot M. Surgical managment of cherry eye in Rottweiler Dog. International Journal of Science, Environment and Technology 2015; 4: 999-1001.
Gellat KN. Canine lacrimal and nasolacrimal diseases. In: Gellat KN. (Editor). Veterinary Ophthalmology. 2rd Edition, Philadelphia: Lea & Febiger 1991: 276-289.
Plummer CE, Källberg ME, Gelatt KN, et al. Intranictitans tacking for replacement of prolapsed gland of the third eyelid in dogs. Vet Ophthalmol 2008; 11: 228-233.
Martin CL. Conjunctiva and third eyelid. In: Martin CL. (Editor). Ophthalmic Disease in Veterinary medicine. London: Manson Publishing Ltd, 2009: 183-214.
Kelawala DN, Parulekar EA, Ratnu DA, Parikh PV, Patil DB. Surgical management of prolapse of nictitans gland-A clinical study of 12 dogs. Intas Polivet 2016; 17: 408-410.
Vani G, Lakshmi ND. Surgical management of cherry eye - A report of 2 dogs. Intas Polivet 2016; 17: 414-415.
Almeida DE, Mamede FV, Ortiz JPD, Laus JL. Iatrogenic keratoconjunctivitis sicca in a dog. Ciencia Rural 2004; 34; 921-924.
Dehghan MM, Pedram MS, Azari O, Mehrjerdi HK, Azad E. Clinical evaluation of the pocket technique for replacement of prolapsed gland of the third eyelid in dogs. Turkish J Vet Anim Sci 2012; 36: 352-356.
Crispin SM. Notes on Veterinary Ophthalmology. Iowa: Blackwell Publishing, 2005.
Martin CL. Cornea and sclera in ophthalmic disease in veterinary medicine. In: Martin CL. (Editor). Ophthalmic Disease in Veterinary Medicine. London: Manson Publishing Ltd, 2009: 273-278.
Blogg JR. Diseases of the eyelids. In: Blogg JR. (Editor). The Eye in Veterinary Practice (Extraocular Disease). Philadelphia: WB Saunders, 1980: 295-346.
Gross SL. Effectiveness of a modification of the Blogg technique for replacing the prolapsed gland of the canine third eyelid. Proc Am Coll Vet Ophthalmol 1983; 14:38-42.
Kaswan RL, Martin CL. Surgical correction of third eyelid prolapse in dogs. J Am Vet Med Assoc 1985; 186, 83.
Stanley RG, Kaswan RL. Modification of the orbital rim anchorage method for surgical replacement of the gland of the third eyelid in dogs. J Am Vet Med Assoc 1994; 205: 1412-1414.
Twitchell MJ. Surgical repair of a prola-psed gland of the 3 rd eyelid in the dog. Mod Vet Pract 1984: 223.
Moore CP. Imbrication technique for replacement of prolapsed third eyelid gland. In: Bojrab MJ. (Editor). Current Techniques in Veterinary Surgery. 3rd Edition, Philadelphia: Lea&Febiger, 1990:126-128.