Nonsurgical treatment involving a contact lens and hyperosmotic solution for acute bullous keratopathy in a cat
Nonsurgical treatment involving a contact lens and hyperosmotic solution for acute bullous keratopathy in a cat
A 4-year-old castrated male Korean domestic shorthair cat was referred with bilateral corneal edema. Focal and generalizedacute bullous keratopathy in the oculus dexter and oculus sinister, respectively, were diagnosed by ophthalmologic examinations.Intensive topical treatment was administered to both eyes. A therapeutic soft contact lens was inserted in the oculus sinister as a cornealbandage instead of surgical treatment. The patient achieved complete recovery at 44 days after treatment. A therapeutic soft contact lensand an intensive regimen involving a topical hyperosmotic solution successfully treated acute bullous keratopathy in a feline patient.
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- 1. Moore PA. Feline corneal disease. Clin Tech Small Anim Pract 2005; 20: 83-93.
- 2. Pederson SL, Pizzirani S, Andrew SE, Pate DO, Stine JM, Michau TM. Use of a nictitating membrane flap for treatment of feline acute corneal hydrops in cats – 21 eyes. Vet Ophthalmol 2016; 19: 61-68.
- 3. Glover TL, Nasisse MP, Davidson MG. Acute bullous keratopathy in the cat. Vet Comp Ophthalmol 1994; 4: 66-70.
- 4. Hansen PA, Guandalini A. A retrospective study of 30 cases of frozen lamellar corneal graft in dogs and cats. Vet Ophthalmol 1999; 2: 233-241.
- 5. Christie CL. Therapeutic contact lenses. Cont Lens Anterior Eye 1999; 22: S20-S25.
- 6. Maggs DJ. Cornea and sclera. In: Maggs DJ, Miller PE, Ofri R, editors. Slatter’s Fundamentals of Veterinary Ophthalmology. 5th ed. St. Louis, MO, USA: Elsevier; 2012. pp. 184-219.
- 7. Blackmore SJ. The use of contact lenses in the treatment of persistent epithelial defects. Cont Lens Anterior Eye 2010; 33: 239- 244.
- 8. Leibowitz HM, Rosenthal P. Hydrophilic contact lenses in corneal disease. Arch Ophthalmol 1971; 85: 283-285.
- 9. Insler MS, Benefield DW, Ross EV. Topical hyperosmolar solutions in the reduction of corneal edema. CLAO J 1987; 13: 149-151.
- 10. Knezović I, Dekaris I, Gabrić N, Cerovski J, Barišić A, Bosnar D, Raštegorac P, Parać A. Therapeutic efficacy of 5% NaCl hypertonic solution in patients with bullous keratopathy. Coll Antropol 2006; 30: 406-408.
- 11. Pattullo K. Acute bullous keratopathy in a domestic shorthair. Can Vet J 2008; 49: 187-189.
- 12. Cooley PL, Dice PF. Corneal dystrophy in the dog and cat. Vet Clin North Am Small Anim Pract 1990; 20: 681-692.
- 13. Pierce KE Jr, Wilkie DA, Gemensky-Metzler AJ, Curran PG, Townsend WM, Petersen-Jones SM, Bartoe JT. An association between systemic cyclosporine administration and development of acute bullous keratopathy in cats. Vet Opthalmol 2016; 19 (Suppl. 1):7 7-85.
- 14. Michau TM, Gilger BC, Maggio F, Davidson MG. Use of thermokeratoplasty for treatment of ulcerative keratitis and bullous keratopathy secondary to corneal endothelial disease in dogs: 13 cases (1994–2001). J Am Vet Med Assoc 2003; 222: 607-612.
- 15. Espana EM, Grueterich M, Sandoval H, Solomon A, Alfonso E, Karp CL, Fantes F, Tseng SC. Amniotic membrane transplantation for bullous keratopathy in eyes with poor visual potential. J Cataract Refract Surg 2003; 29: 279-284.