3304. INTERN. The 10-year-old Shih Tzu has an itchy dry eye for the past 11 months. What to do?

VIDEO by intern
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The objective is to educate the owner on why I (Dr Sing Kong Yuen) advised enucleation in this case

Enucleation is needed as the dog sufferred chronic eye pain and itchiness. (This is not a video about how the eyeball is removed).  So you have to plan how you will produce the script to answer the above objective to the owner.

Use edited video footages. There are 2 videos.
Use parts of owner's comments, parts of vet's comments and your conclusion.


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Hook: (Maybe 1 W and 1 H in the hook, out of 4 Ws and 1 H)

Video footage of dog and settings (e.g. dog lives in Bishan-Toa Payoh Town, Singapore) is preferred.


Shih Tzus, Pugs and Pekineses ..a breed known for prolapse of the eyeball...(Intern, do your research).

Why do such breeds ?

How it causes eye corneal ulceration?  Painful, sunlight and breezes...rub eyes....



Be Kind To Pets Veterinary Educational Video Image



Title: Eyeball removal (enucleation) to resolve the chronic pain and itchiness in a Shih Tzu's left eye.




INTRODUCTION

Many owners delay seeking veterinary treatment...itchy, painful....more ulceration...keratitis
corneal perforation (descemetocoele)....Intern to review my other cases and show images of descemetocole, chronic ulcerative keratitis etc.

Eyeball removal is an emotive issue for dog owners as for human beings.

This case, Dr Sing Kong Yuen gave his opinion. Recurring pain, loss of eyesight present already.....
In my opinion, the best solution is to remove the painful and itchy eye.

The left eyeball is very itchy as it is a dry eye

Post op








Pre-op video

POST-OP VIDEO

CONCLUSION
If the dog has lost his eye-sight as in this case and has to keep rubbing his itchy eyes against the wall daily to relieve his itchiness, the best solution for him is to remove the painful and infected eyeball. After around 14 days, he lives a normal pain-free life.

Early treatment of eye injuries may prevent enucleation if the corneal ulcerations are not serious. However, failure to get the eye treated by the vet or the treatment had not been effective may lead to recurring eye pain and dry eye. In such cases, enucleation may be best for the dog.

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ORIGINAL FILES