Thursday, August 9, 2018

3229. INTERN. Tarsorrhaphy and 3rd eyelid flap procedures for eye corneal ulcerations in Toa Payoh Vets



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INTRODUCTION
Singapore is a city-state with around 6 million residents. Over 80% live in high-rise apartments.




TREATMENT
Tarsorrhaphy





TIPS AND ADVICES
Eye injuries are emergencies. Get veterinary attention immediately to save the eye.
Delays in treatment may lead to eye infections and damage. This means that the eye is damaged beyond repair. The only option will be enucleation (eyeball removal), as shown in the following case study:

May 2016. Eyeball removal in a 16-year-old dog. Successful outcome.
Before eyeball removal, re-hydration.  Use only isoflurane gas anaesthesia in very old dogs.
https://www.youtube.com/watch?v=ayraLRJKvEk
After eyeball removal.
https://www.youtube.com/watch?v=l7AuFwToIjA



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TARSORRHAPHY AND/OR 3RD EYELID FLAP CASE STUDIES
 
1.  Mar 2014. Tarsorrhaphy procedure in a Shih Tzu
https://www.youtube.com/watch?v=wdezd04RSic

2.  Aug 2014. Tarsorrhaphy for traumatic proptosis in a Chihuahua
https://www.youtube.com/watch?v=-3g99Pujd6g


Successful outcome. Tarsorrhaphy 4 weeks later. No more eye rubbing
https://www.youtube.com/watch?v=kkGumbiojr4

https://www.youtube.com/watch?v=BNFXO5a8t7U (video in Myanmar language)

Tarsorrhaphy in traumatic proptosis (video shown in a Myanmar vet talk).
https://www.youtube.com/watch?v=Bl6lwzAeDiQ


3.  Jan 2015. Tarsorrhaphy and 3rd eyelid flap in a dog
https://www.youtube.com/watch?v=490SL794fwA


4.  Apr 2015. Persistent left eye discharge in a Shih Tzu
https://www.youtube.com/watch?v=TbuUHZPgfoE

5. Feedback in 2015 regarding a 2011 3rd eyelid flap surgery being a successful outcome in deep corneal ulceration in a pug
https://www.youtube.com/watch?v=bLlF9XQoGwg

6.  Feb 2015. Fluorescein eye stain test for corneal ulcerations in the dog
https://www.youtube.com/watch?v=hn3c8AOa044 

7.  Jan 2016. Tarsorrhaphy to heal a corneal ulcer in a dog
https://www.youtube.com/watch?v=snFz4sOMfs4


8.  MYANMAR CASE STUDY
Jul 2014. Tarsorrhaphy and 3rd eyelid flap in a dog at Royal Asia Veterinary Surgery, Yangon, Myanmar
https://www.youtube.com/watch?v=6v_D6VOB3ko

https://www.youtube.com/watch?v=pbLTm4t485I

https://www.youtube.com/watch?v=b55RgEw6djg


FINAL VIDEOS



1.  Final Video: Fluorescein eye stain test shows up corneal ulceration
https://www.youtube.com/watch?v=Ex0pkcZMidE


2.  Final Video: Jan 2016. Corneal ulcer did not heal. Vet 1 advised eyeball removed.
Tarsorrhaphy cum 3rd eyelid flap is successful in saving the eye.
https://www.youtube.com/watch?v=rnxrHzNfbv0


3.  Final Video: Jul 2012. Tarsorrhaphy for better healing of deep eye ulcers in a dog (example of a good video for interns).
https://www.youtube.com/watch?v=wGQgluPyxek

4.  Final Video: Apr 2013. Tarsorrhaphy for descemetocoele in a dog (example of a good video for interns)
https://www.youtube.com/watch?v=Rt2WJ5cIMeg






---------------------------------------------Standby images









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