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Radical Eye Exenteration and Second Intention Healing in Horses: A Case Series
Affiliation:1. Department of Clinical Sciences, College of Veterinary Medicine, J.T. Vaughan Large Animal Teaching Hospital, Auburn University, Auburn, AL;2. Kennesaw Mountain Veterinary Services, Kennesaw, GA;1. The Laboratory of Veterinary Molecular Pathology and Therapeutics, Division of Animal Life Science, Institute of Agriculture, Tokyo University of Agriculture and Technology, Tokyo, Japan;2. Racehorse Hospital, Miho Training Center, Japan Racing Association, Tokyo, Japan;3. The Laboratory of Comparative Animal Medicine, Division of Animal Life Science, Institute of Agriculture, Tokyo University of Agriculture and Technology, Tokyo, Japan;1. Université Paris-Est, Ecole Nationale Vétérinaire d''Alfort, CIRALE-Hippolia, Goustranville, France;2. INRA, USC BPLC 957, Maisons-Alfort, France;3. Université Paris-Est, Ecole Nationale Vétérinaire d''Alfort, Maisons-Alfort, France;4. OTR3, Paris, France;1. Department of Veterinary Medical Sciences, University of Bologna, Ozzano Emilia, Bologna, Italy;2. AUB-INFA, University of Bologna, Granarolo dell’Emilia, Bologna, Italy;3. Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, TX;1. Department of Pathophysiology, Faculty of Veterinary Medicine, University of Life Sciences, Lublin, Poland;2. Department and Clinic of Animal Reproduction, Sub-Department of Andrology and Biotechnology of Animal Reproduction, Faculty of Veterinary Medicine, University of Life Sciences, Lublin, Poland;1. Department of Animal Science, University of Minnesota, St. Paul, MN;2. Department of Animal and Range Science, Montana State University, Bozeman, MT;3. Department of Applied Economics, University of Minnesota, St. Paul, MN;1. Animal Science Institute, Universidade Federal Rural do Rio de Janeiro, Rio de Janeiro, Brazil;2. Veterinary Institute, Universidade Federal Rural do Rio de Janeiro, Rio de Janeiro, Brazil;3. Animal Health Laboratory, Universidade Estadual do Norte Fluminense, Rio de Janeiro, Brazil;4. Laboratory for Horse Performance Evaluation (LADEq), Brazilian Army Calvary School, Rio de Janeiro, Brazil;5. Equine Health Laboratory (EQUILAB), Universidade Federal Rural do Rio de Janeiro, Seropédica, Brazil
Abstract:Exenteration of an eye may be necessary in clinical practice for a variety of disease processes. Specifically, neoplastic processes may require wide excision margins that may not allow primary closure of the surgical site. This report describes a series of horses undergoing unilateral radical eye exenteration for which primary closure was not possible because of the extent of tissue excised. For each case, the underlying pathology, surgical technique, perioperative treatments, and outcome are described. Six cases were treated of which three survive at this time, two were euthanized because of recurrence, and one was euthanized for unrelated problem. Radical exenteration of the eye with wide margins and second intention healing is easy to perform and well tolerated in horses. It should be considered when extensive resection is required for instance in neoplastic processes. Aftercare is required as for all wounds that heal by second intention; time from surgery to epithelialization is approximately 4 months.
Keywords:Neoplasia  Squamous cell carcinoma  Adnexa  Enucleation
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