Since this was a wild, wild week I had a bunch of cases that qualified as a "case of the week". I'd say my last case of the week, the dog that took a fall from the balcony will be a case of the week soon but I'm getting a little nervous about putting the cases on before "the fat lady sings".
Patches, on the other hand can
hardly get any worse than she was when she came in even if every
thing we did fails. She was a "walk in" that "just
started having a problem a week or two ago". I think you
can identify the problem here. Both eyes had ruptured and there
was iris material plugging the holes in the cornea in both eyes.
Right Eye
Left Eye
As you can see we are performing
conjuntival flap proceedures to plug the hole in each cornea.
The tissue and it's new blood supply have some chance of allowing
the eye to inflate. Both eyes contained infection so if sealing
occurs and the tissue inside is still viable we still have lots
of things that can go wrong. However, I was pleased with the results
of the surgery and Patches seemed happy as a lark with both of
his eyes sewn closed.
Right Eye
Left Eye
I'm letting the pictures do the talking on this case of the week since it's getting late on "posting night" but I thought they were those kinda pictures. I'll add more on the outcome of this case as it becomes an "other interesting case"!
After ten days the eyes looked
like this. You can see the conjunctival flaps extending down to
the site of the former holes in the cornea. The right eye appears
to be smaller than the left and it does not appear to have vision.
The left eye appears to have vision. (July 17)
Another week later we cut free
the tissue of the conjunctival flap. We hope that the tissue of
the flap will regress over the next few weeks. We will try to
get a picture of the flap after this regression. As you can see
the left eye looks pretty good but the right eye is probably not
funtional. (July 24)