Effects of Nylon and Polyglactin 910 Suture Material on Perilimbal Corneal Wound Healing in the Dog

The effects of fine suture materials on corneal wound healing in the dog were studied. In 20 dogs, standardized perforating perilimbal clear corneal wounds were made and closed with either monofilament Polyglactin 910 or nylon. Five dogs each were euthanized 8,12,16, and 21 days postoperatively. Results of gross, biomicroscopic, and histologic examinations at 8,12,16, and 21 days showed nylon and Polyglactin 910 to cause similar inflammatory responses. Epithelialization and suppuration around the suture tracts were observed more frequently when Polyglactin 910 was used. Both materials were associated with a foreign body (granulomatous) response. There was no loss of wound integrity with either material. Strengths of the incised corneal tissues with and without the sutures intact were determined. At day 16 postsurgery, there was a statistically significant difference in tissue strengths between cases in which sutures were and were not intact. This difference was not apparent at 21 days postsurgery, which suggested that the suture dependent phase ends between the 16th and 21st postsurgical days. In addition, at day 16 there was no statistical difference between the tissue strength of wounds sutured with nylon or Polyglactin 910. Corneal suture materials studied should remain in place for at least 16 days, and absorbable material is only appropriate if it retains tensile strength for 16 days.     

Retrobulbar Block in Combination with General Anesthesia for Equine Ophthalmic Surgery

The use of retrobulbar block in conjunction with general anesthesia was evaluated in the horse. A prospective study of 12 cases fulfilling criteria for application of retrobulbar block was compared to a retrospective survey of 25 cases (control group) in which retrobulbar block was not performed. Retrobulbar block was done using a modified Peterson technique and 2% lidocaine HCI without epinephrine. In the control group, four horses exhibited signs compatible with initiation of the oculocardiac reflex; three horses developed bradyarrhythmias and hypotension during global traction related to enucleation, and cardiac arrest occurred in one horse during cataract extraction. In the retrobulbar block group, one horse developed bradyarrhythmia subsequent to retrobulbar block.