Surgical management of infectious and noninfectious melting corneal ulcers in cats

Surgical management of infectious and noninfectious melting corneal ulcers in cats

A melting ulcer, characterized by the stromal dissolution of the cornea, is an important eye lesion that develops due to various reasons and threatens vision. Restoration of this lesion, which causes loss of corneal transparency, requires aggressive medical and surgical treatment. In medical treatment, stromal degeneration is controlled with agents that support topical antibacterial and stromal healing. Surgical treatment is applied using various techniques to remove structures damaged due to the progression of corneal melting and to promote corneal healing. In this study, lamellar keratectomy and the third eyelid flap techniques were combined with topical medical therapy in 20 cat cases with melting ulcers. The aim of this study was to alert to general practitioners that this condition is an important cause of progressive eye loss and necessitates urgent intervention and to show that this treatment approach is easy to implement and has successful results.

___

  • 1. Hossain P. The corneal melting point. Eye (Lond) 2012; 26 (8): 1029-1030.doi: 10.1038/eye.2012.136
  • 2. Famose F. Evaluation of accelerated collagen cross‐linking for the treatment of melting keratitis in ten cats. Veterinary Ophthalmology 2015; 18 (2): 95-104. doi: 10.1111/vop.12112
  • 3. Hellander EA, Ström L, Ekesten B. Corneal cross‐linking (CXL)—A clinical study to evaluate CXL as a treatment in comparison with medical treatment for ulcerative keratitis in horses. Veterinary Ophthalmology 2019; 22 (4): 552-562. doi: 10.1111/vop.12662.
  • 4. Kim JY, Won H, Jeong S. A retrospective study of ulcerative keratitis in 32 dogs. International Journal of Applied Research in Veterinary Medicine 2009; 7 (1): 27-31.
  • 5. Estrada D, Penagos S, Viera E, Angulo PA, Arias MP. Melting ulcer in a colt: clinical management and evolution. Revista Colombiana de Ciencias Pecuarias 2013; 26 (1): 31-36.
  • 6. Vanore M, Chahory S, Payen G, Clerc B. Surgical repair of deep melting ulcers with porcine small intestinal submucosa (SIS) graft in dogs and cats. Veterinary ophthalmology 2007; 10 (2): 93-99. doi: 10.1111/j.1463-5224.2007.00515.x
  • 7. Jennings A. Managing melting eye ulcers. Veterinary Times 2010; 40 (2): 14-18.
  • 8. Pot SA, Gallhöfer NS, Matheis FL, Voelter‐Ratson K, Hafezi F et al. Corneal collagen cross‐linking as treatment for infectious and noninfectious corneal melting in cats and dogs: results of a prospective, nonrandomized, controlled trial. Veterinary ophthalmology 2014; 17 (4): 250-260.
  • 9. Guyonnet A, Bourguet A, Donzel E, Bataille G, Pascal Q et al. (2018). Bilateral bullous keratopathy secondary to melting keratitis in a Suri alpaca (Vicugnapacos). Clinical Case Reports 2018; 6 (4): 626.
  • 10. Bustamante MG, Good KL, Leonard BC, Hollingsworth SR, Edwards SG et al. Medical management of deep ulcerative keratitis in cats: 13 cases. Journal of Feline Medicine and Surgery 2019; 21 (4): 387-393.
  • 11. Kim SY, Kim JY, Jeong SW. Long-term evaluation of autologous lamellar corneal grafts for the treatment of deep corneal ulcer in four dogs: a case report. Veterinární Medicína 2019; 64 (2): 84-91.
  • 12. Dulaurent T, Azoulay T, Goulle F, Dulaurent A, Mentek M et al. Use of bovine pericardium (Tutopatch®) graft for surgical repair of deep melting corneal ulcers in dogs and corneal sequestra in cats. Veterinary ophthalmology 2014; 17 (2): 91- 99
  • 13. Galera PD, Brooks DE. Optimal management of equine keratomycosis. Veterinary Medicine: Research and Reports 2012; 3:7.
  • 14. Ollivier FJ. Medical and surgical management of melting corneal ulcers exhibiting hyper proteinase activity in the horse. Clinical Techniques in Equine Practice 2005; 4 (1): 50-71
  • 15. L Ion, I Ionascu, A Birtoiu. Melting keratitis in dogs and cats. Agriculture and Agricultural Science Procedia 2015; 6: 342-349.
  • 16. Malalana F. Melting corneal ulcers in horses: diagnosis and treatment methods. Veterinary Times 2013: 43 (40): 22-24.
  • 17. Lin CT, Petersen‐Jones SM. Antibiotic susceptibility of bacteria isolated from cats with ulcerative keratitis in Taiwan. Journal of Small Animal Practice 2008; 49 (2): 80-3
  • 18. Kiełbowicz Z, Płoneczka‐Janeczko K, Bania J, Bierowiec K, Kiełbowicz M. Characteristics of the bacterial flora in the conjunctival sac of cats from Poland. Journal of Small Animal Practice 2015; 56 (3): 203-206.
  • 19. Şaroğlu M. Kornea hastalıkları. In: Şaroğlu M (editor). Kedi ve Köpeklerde Göz Hastalıkları. 1st ed. İstanbul; Nobel; 2013. pp. 139-191 (in Turkish).
  • 20. Galera PD, Munger RJ, Laus JL. Ulcerative keratitis and keratomalacia in a dog caused by papain: a case report. Revista Brasileira de Ciência Veterinária 2004; 11: 1-2.
  • 21. Sukjong YO, Saejong YO, Hwi-Yool KIM. Nonsurgical treatment involving a contact lens and hyperosmotic solution for acute bullous keratopathy in a cat. Turkish Journal of Veterinary & Animal Sciences 2018; 42 (5): 486-491. doi: 10.3906/vet-1706-16
  • 22. Chow DW, Westermeyer HD. Retrospective evaluation of corneal reconstruction using AC ellVet™ alone in dogs and cats: 82 cases. Veterinary Ophthalmology 2016; 19 (5): 357-366.
Turkish Journal of Veterinary and Animal Sciences-Cover
  • ISSN: 1300-0128
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

Effects of sugar beet pulp based total mixed ration on growth performance and blood profile status in male Nili Ravi buffalo calves

Faisal SHAHZAD, Muhammad RAJAB, Saeed AHMED, Hifz-ul-RAHMAN

The effects of hatching time and feed access time on chick quality, organ development, blood parameters, and intestinal morphology in broilers

Volkan İPEK, Arda SÖZCÜ, Aydın İPEK, Müjdat Müfit KAHRAMAN

Determination of nutritional value of some quinoa varieties

Tugay AYAŞAN

Genetic polymorphism of alpha S1-casein in Bulgarian sheep breeds and its effect on milk composition

Petya VELEVA, Deyana GENCHEVA, Darina PAMUKOVA, Nikolina NAYDENOVA

In vitro exposure to di-(2-ethylhexyl) phthalate (DEHP) stimulates spontaneous feline uterine contractions

Ruhi KABAKÇI, İbrahim Mert POLAT, Taha Burak ELİFOĞLU, Ebru YILDIRIM, Hasan Ceyhun MACUN

Effects of activated charcoal and zeolite on serum lipopolysaccharides and some inflammatory biomarkers levels in experimentally induced subacute ruminal acidosis in lambs

Ali Abbas NIKVAND, Mohammad NOUR, Mohammad RAZI JALALI, Mohammad Reza TEIMORY AZADBAKHT

Assessment of changes in the saliva cortisol level of horses during different ways in recreational exploitation

Bogusława DŁUGOSZ, Tomasz PRÓCHNIAK, Monika STEFANIUK-SZMUKIER, Marta BASIAGA, Jarosław ŁUSZCZYŃŚK, Magdalena PIESZKA

Awareness and adoption level of subclinical mastitis diagnosis among dairy farmers of Punjab, India

Vidya NIMBALKAR, Harish Kumar VERMA, Jaswinder SINGH, Suresh Kumar KANSAL

Evaluation of hemodynamic, hematological parameters and the clinical effects of dexmedetomidine-ketamine and xylazine-ketamine anesthesia in rabbits

Şükrü GÜRLER, Ünal YAVUZ, Esra KİRAZOĞLU

Transcriptome sequencing analysis of ovarian granulosa cells in FecB hybrid ewe lamb

Cuiling WU, Chunxin WANG, Bo ZHA, Yunhui ZHAO, Zhuo ZHAO, Yuezhen TIAN, Kechuan TIAN, Mingxin ZHANG