Köpeklerde Üçüncü Göz Kapağı Bezi Prolapsusu Olgularının Sağaltımında, Bezin Kısmi Ekstirpasyonu Yönteminin İncelenmesi
Öz
Gözyaşı filminin, kornea yüzeyinden ve konjunktivadan yabancı cisimleri uzaklaştırma, kornea ve konjunktivayı kayganlaştırma ve avasküler korneaya besin maddesi sağlama gibi birçok işlevi bulunmaktadır. Gözyaşı salgılanmasından sorumlu olan bezlerden biri olan üçüncü göz kapağı bezinin prolapsusu göz kapaklarının iç açısında dikkat çeken görünümü ile tüm hasta sahiplerini daima rahatsız etmiş ve bu durumun giderilmesi yönünde veteriner hekim ve araştırıcıların değişik girişimlerde bulunmasına neden olmuştur. Bunun için ÜçüncüGöz kapağı bezinin prolapsusu olgularının sağaltımında kullanılmakta olan birçok yöntem vardır. Bu yöntemler arasında, Blogg’un ankoraj tekniği, Kaswan ve Martin’in orbital kenar ankoraj tekniği, Morgan’ın cep yöntemi ve bezin kısmi ekstirpasyonu gibi bazı cerrahi girişimler sayılabilir. Bu çalışmada Üçüncü Göz Kapağı bezi prolapsusu olgularının sağaltım metotlarının incelenmesi amacıyla 10 adet prolabe üçüncü göz kapağı bezi olgusuna Parsiyel Ekstirpasyon yöntemi uygulanmıştır. Uygulanan yöntem teknik güçlük ve uygulama süresi, kanama ve ödem oluşumu, göz kapağının normale dönme süresi, nüks olasılığı ve gözyaşı miktarı üzerine etkisi yönünden incelenmiştir. Sonuç olarak, diğer cerrahi girişimlerin ve/veya tekniklerin mutlak bir tedavi sağlayamadığı olgularda, son uygulama seçeneği olarak da parsiyel ekstirpasyon uygun bulunmuştur.
Anahtar Kelimeler
Kaynakça
- Barnett KC, Sansom J. (1985). Dry Eye In The Dog And Its Treatment. Trans Ophthalmol Soc. U K. 104: 462-466.
- Dugan SJ, Severin GA, Hungerford, LL, Whiteley HE, Roberts, SM. (1992). Clinical and Histologic Evaluation of The Prolapsed Third Eyelid Gland In Dogs. J Am Vet Med Assoc, 201 (15): 1861-1867.
- Gum GG, Gelatt KN, Ofri R. (1999). Physiology of The Eye. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P.151-181.
- Hirsh SG, Kaswan RL. (1995). A Comparative Study of Schirmer Tear Test Strips in Dog. Vet Comp Ophthalmol, 5: 211-214.
- Kaswan RL, Salisbury MA. (1990). A New Perspective on Canine Keratoconjunctivitis Sicca. Treatment With Ophthalmic Cyclosporin. Vet Clin North Am (Small Anim Pract), 20: 583-613.
- Kirschner SE. (2000). Diseases of The Eyelid. In Saunders Manual of Small Animal Practice, 2nd Ed. Ed. Birchard And Schering, Philadelphia: W.B. Saunders, P. 1317-1322.
- Martin CL, Munnell J, Kaswan R. (1988). Normal Ultrastructure And Histochemical Characteristics of Canine Lacrimal Glands. Am J Vet Res. 49: 1566-1572.
- Moore CP. (1999). Diseases and Surgery of The Lacrimal Secretory System. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P. 583-607.
- Morgan RV, Duddy JM, Mcclurg K. (1993). Prolapse of The Gland of The Third Eyelid in Dogs. A Retrospective Study of 89 Cases (1980-1990). J Am Anim Hosp Assoc, 29: 56-60.
- Munnell JF, Martin CL. (1988). Lipid Secreting (Harderian-Like) Acini In The Canine Superficial Gland of The Third Eyelid. Anat His Em, 17: 91.
- Rickards DA. (1973). Removal of Hypertrophied Nictitans Gland. Vet Med Small Anim Clin, 68: 1107-1109.
- Saito A, Watanabe Y, Kotani, T. (2004). Morphologic Changes of The Anterior Corneal Epithelium Caused By Third Eyelid Removal in Dogs. Vet Ophthalmol, 7: 113-119.
- Strubbe DT, Gelatt KN. (1999). Ophthalmic Examination and Diagnostic Procedures. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P. 456-457.
- Tseng SCG, Tsubota, K. (1997). Important Concepts For Treating Ocular Surface And Tear Disorders. am J Ophthalmol, 124: 825-835.
- Ward DA. (1999). Diseases and Surgery of The Canine Nictating Membrane. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams &Wilkins, P.609-618.
Investigation of Partial Extirpation of The Gland for The Treatment of Prolapsed Gland of The Third Eyelid in Dogs
Öz
Tear film has many functions including removing foreign bodies from corneal surface and conjunctiva, lubrication of cornea and conjunctiva and providing nutrients to the otherwise avascular cornea. Prolapsed third eyelid gland has always caused discomfort to patient owners due to its striking appearance on the medial canthus and led the veterinary surgeons develop several procedures to treat this condition. Therefore, there are many methods that are in use for the treatment of these cases. Blogg’s anchorage technique, Kaswan and Martin’s orbital rim anchorage technique, Morgan’s pocket method and partial extirpation of the gland are some procedures among surgical interventions. In this study, dogs with 10 prolapsed third eyelid glands were used in order to evaluate surgical treatment methods for abovementioned condition. Performed technique was evaluated based on its practical difficulty and application length, bleeding and edema formation, recovery period and effects on tear production. As a conclusion, it’s suggested to use Partial Extirpation Technique as treatment of choice in non-complicated cases, where other surgical interventions and/or techniques fail to provide absolute cure.
Anahtar Kelimeler
Kaynakça
- Barnett KC, Sansom J. (1985). Dry Eye In The Dog And Its Treatment. Trans Ophthalmol Soc. U K. 104: 462-466.
- Dugan SJ, Severin GA, Hungerford, LL, Whiteley HE, Roberts, SM. (1992). Clinical and Histologic Evaluation of The Prolapsed Third Eyelid Gland In Dogs. J Am Vet Med Assoc, 201 (15): 1861-1867.
- Gum GG, Gelatt KN, Ofri R. (1999). Physiology of The Eye. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P.151-181.
- Hirsh SG, Kaswan RL. (1995). A Comparative Study of Schirmer Tear Test Strips in Dog. Vet Comp Ophthalmol, 5: 211-214.
- Kaswan RL, Salisbury MA. (1990). A New Perspective on Canine Keratoconjunctivitis Sicca. Treatment With Ophthalmic Cyclosporin. Vet Clin North Am (Small Anim Pract), 20: 583-613.
- Kirschner SE. (2000). Diseases of The Eyelid. In Saunders Manual of Small Animal Practice, 2nd Ed. Ed. Birchard And Schering, Philadelphia: W.B. Saunders, P. 1317-1322.
- Martin CL, Munnell J, Kaswan R. (1988). Normal Ultrastructure And Histochemical Characteristics of Canine Lacrimal Glands. Am J Vet Res. 49: 1566-1572.
- Moore CP. (1999). Diseases and Surgery of The Lacrimal Secretory System. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P. 583-607.
- Morgan RV, Duddy JM, Mcclurg K. (1993). Prolapse of The Gland of The Third Eyelid in Dogs. A Retrospective Study of 89 Cases (1980-1990). J Am Anim Hosp Assoc, 29: 56-60.
- Munnell JF, Martin CL. (1988). Lipid Secreting (Harderian-Like) Acini In The Canine Superficial Gland of The Third Eyelid. Anat His Em, 17: 91.
- Rickards DA. (1973). Removal of Hypertrophied Nictitans Gland. Vet Med Small Anim Clin, 68: 1107-1109.
- Saito A, Watanabe Y, Kotani, T. (2004). Morphologic Changes of The Anterior Corneal Epithelium Caused By Third Eyelid Removal in Dogs. Vet Ophthalmol, 7: 113-119.
- Strubbe DT, Gelatt KN. (1999). Ophthalmic Examination and Diagnostic Procedures. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams & Wilkins, P. 456-457.
- Tseng SCG, Tsubota, K. (1997). Important Concepts For Treating Ocular Surface And Tear Disorders. am J Ophthalmol, 124: 825-835.
- Ward DA. (1999). Diseases and Surgery of The Canine Nictating Membrane. In Veterinary Ophthalmology 3rd Ed. Ed: Gelatt. Philadelphia: Lippincott Williams &Wilkins, P.609-618.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2019 |
| Gönderilme Tarihi | 5 Ağustos 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 2 Sayı: 3 |