Veterinary Wound Healing Association 5th Congress, Hannover, Germany. May 10-12 2001

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SURGICAL THERAPY OF PALPEBRAL DISEASES IN DOGS

A. Meyer-Lindenberg
Clinic for Small Animals, School of Veterinary Medicine Hannover, Bünteweg 17, D-30173 Hannover


Palpebral diseases requiring surgical therapy are one the one hand hereditary changes such as palpebral agenesia, entropium, ectropium and distichiasis. On the other hand acquired diseases such as tumours of the eyelids, inflammatory changes like chalazion or hordeolum as well as trauma are indications for surgery.

The most important aspect of palpebral surgery is the conservation and optimal reconstruction of the eyelid to guarantee its function (protection of the eyeball, distribution of tear fluid).

The most frequent surgery of the eyelid is the removal of palpebral tumours. Early removal is essential as small size tumours can usually be removed without extensive grafting of the palpebra. In case of large size tumours where more than 1/4 or 1/3 of the eyelid has to be removed, more extensive grafting, i.e. shifting or rotation flap is required.

Injuries of the eyelids caused by biting or accidents are less frequently an indication for surgical intervention. However, a quick and adequate treatment is of great importance, as severing of the eye lid with gaping of the wound edges may cause loss of function of the palpebra. This may result in dehydration of the cornea and even in the loss of eye function.

It is the aim of this presentation to describe special techniques for surgical therapy of eyelid tumours and eyelid injuries.
 
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