Australian Veterinary Practitioner | Volume 50 (2) June 2020 - Flipbook - Page 64
Results: Twenty-seven Shar Pei dogs with a
median age of 7.9 (min 4, max 24) months
were included in the study. Before surgery, all
dogs showed signs of severe ocular discomfort
with bilateral keratitis and visual deficit due to
blepharospasm, enophthalmos and protrusion
of the third eyelid. In 13/54 eyes, keratitis
was associated with a corneal ulcer. When
re-examined 4 weeks after surgery, correction
of the upper eyelid entropion and associated
trichiasis resolved ocular signs in 50/54 eyes.
Mild bilateral lower entropion remained in
two dogs postoperatively, which underwent
revision surgery with the Hotz-Celsus
technique. There were no cases of long-term
recurrence of entropion or ocular irritation in
the 38 eyes (19 dogs) which were re-examined
1 year after surgery.
Study design: Retrospective case series.
Animals: Client-owned dogs (n = 30).
Methods: Medical records of dogs that had
undergone a PTA with a medially applied plate
without adjunctive rigid external coaptation
were reviewed. Data collected included
signalment, complications, and assessment
of function at last physical examination.
Follow-up information was obtained by phone
conversations with owners. Complications
were classified as minor, major II, major I, and
Results: Thirty-six PTA were performed in 30
dogs. Recorded complications included eight
(22.2%) minor complications, 11 (30.6%)
major II complications and 11 (30.6%)
major I complications. One (2.8%) dog
Conclusion and clinical relevance: The forced
required amputation because of catastrophic
granulation procedure performed on the
complication. Owners provided follow-up for
upper eyelid only was effective for correction
26 dogs at a median duration of 1215 days
of entropion in the Shar Pei dogs included in
(range, 325-3495) after surgery. The outcome
this study. In our experience, it is preferable
was reported as full function in 12 dogs and
to operate on the upper eyelid alone, rather
acceptable function in 14 dogs, with no owners
than attempting to correct upper and lower
reporting unacceptable function. The owner
entropion during the same surgical operation.
of the dog in which amputation was required
The dog can then be reassessed a few weeks
was not contacted. Incorrect contact details
later to determine whether the lower entropion
prevented owner follow-up in the other three
is anatomical or secondary to the severe
dogs, but all had acceptable function at last
blepharospasm resulting from the painful
veterinary follow up.
Long-term outcomes after pantarsal
arthrodesis with medial plate fixation
without external coaptation in 30 dogs
Anesi S et al.
Vet Surg 49: 502-511, 2020; https://doi.
Objective: To report long-term outcomes of
dogs treated with pantarsal arthrodesis (PTA)
with medial plate fixation without external
Conclusion: Dogs treated with PTA by
medially applied plate had a high incidence
of complications requiring surgical or medical
management, although full or acceptable
function was achieved in 29 of 30 dogs.
Clinical significance: Pantarsal arthrodesis
offers a predictably good medium to longterm
outcome in spite of a high risk of complications.