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.
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.
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)
Other interesting Cases