Akut Travmalı Kedilerde Göz Çıkıklığının Yönetimi

Öz

Küçük hayvan göz acillerinde oldukça önemli olan proptosis olgularında kalıcı görme kaybının ve bulbus okulinin hasar görmesinin önlenmesi ve gözün anatomik yapılarının korunması için erken müdahale önemlidir. Bu çalışmada akut travma geçirmiş proptozisli kedilerin tedavi ve sonuçlarının bildirilmesi amaçlandı. Göz acillerine başvuran 96 kedinin 11’inde (%11.45) proptosis tanısı konuldu. Muayenede kedilerin tamamında göz kapaklarının kenarlarının görünmediği, bulbus okuliyi boğumladığı, bulbus okulinin hiperemik ve ödemli olduğu, 9 olguda pupillary ışık refleksinin olduğu, 2 olguda ise pupillar ışık refleksinin olmadığı belirlendi. Tedavide 2 olguda enukleasyon, 3 olguda kantotomi ve geçici blefarorafi, 6 olguda da geçici blefarorafi uygulandı. Tüm vakalarda postoperatif komplikasyon şekillenmediği ve enukleasyon yapılan olgular dışında diğer olgularda görme fonksiyonunun olduğu belirlendi. Sonuç olarak proptoziste gözün anatomik yapılarının korunması ve görme fonksiyonunun devamı için acil müdahale önemlidir. Bu çalışmadan elde edilen sonuçlar kediler ve ilgilileri için tatmin edicidir.

Anahtar Kelimeler

• Blefarorafi
• göz travması
• kedi
• proptosis

Management of Eye Protrusion in Cats with Acute Trauma

Abstract

Preventing permanent vision loss and damage to the bulbus oculi in cases of proptosis, which is very important in small animal eye emergencies, and protecting the anatomical structures of the eye. Early intervention is important for protection. In this study, patients with proptosis who had experienced acute trauma. It was aimed to report the treatment and results of cats. Proptosis was diagnosed in 11 of 96 cats (11.45%) who presented to eye emergencies. On examination, all cats had eye. It was determined that the edges of the eyelids were not visible, the bulbus oculi was muffled, the bulbus oculi was hyperemic and edematous, there was a pupillary light reflex in 9 cases, and there was no pupillary light reflex in 2 cases. In the treatment, enucleation was applied in 2 cases, canthotomy and temporary blepharraphy were applied in 3 cases, and temporary blepharraphy was applied in 6 cases. It was determined that there were no postoperative complications in all cases and visual function was observed in all cases except for those who underwent enucleation. As a result, urgent intervention is important to protect the anatomical structures of the eye and maintain visual function in proptosis. The results obtained from this study are satisfactory for cats and their caregivers.

Keywords

• Blepharorrhaphy
• cat
• eye trauma
• protrusion

Kaynakça

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