Advanced Surgery-Lecture 7 (Ophthalmic And Aural Procedures)

Front 1

What is Blepharospasm?

Back 1

Squinting

Front 2

What is photophobia?

Back 2

Sensitivity to light

Front 3

Raising of the 3rd eyelid due to the eye retracting is called ______.

Back 3

Enophthalmos

Front 4

Keratis is what?

Back 4

Inflammation of the cornea

Front 5

Describe the oculorespiratory cardiac reflex.

Back 5

pushing or injecting in the eye can cause braycardia and respiratory depression. (lubricate the eye every 90 minutes).

Front 6

This drug is a neuromuscular blocking agents, reduce extraocular muscle tone, and improves eye position.

Back 6

Pancuronium or Atracurium

Front 7

What is entropion?

Back 7

Inward rolling of the eye

Front 8

What can entropion cause?

Back 8

rubbing on the cornea by the skin and lashes which is painful and can create ulcerations and conjunctivitis.

Front 9

True or False

Entropion is most often an inherited disease and has breed dispositions.

Back 9

True (Shar pei, chow, st. bernard, rottie, great dane, bull mastiff, lab, english bulldog

Front 10

True or False

You can use both chlorohex and alcohol on the eye.

Back 10

False,

Front 11

True or False

You should vacuum around the eyes, never brush off and or adhesive rollers.

Back 11

False! You can suck up the eye

Front 12

What is tacking?

Back 12

Young animals-help roll out the eye lid, not always curative

Front 13

How would you cut an eyelid when doing repairs?

Back 13

Removal of a crescent shaped, or reverse D piece of skin and resuturing. (Caution, suture ends shouldn't be able to poke the eye).

Front 14

What size suture should be used in eye surgery?

Back 14

5-0 or smaller

Front 15

What are some post-op considerations when sending an animal home after entropion sx?

Back 15

E-collar may be helpful, typically sent home with a topical antibiotic w/ no steroids.

Front 16

Which gland are masses most typically from?

Back 16

Meibomian glands (secrete oily portion of the tears)

Front 17

True or False

Meibomian gland adenoma is most often malignant in dogs and benign in cats.

Back 17

False, dogs are benign, cats are malignant

Front 18

What is the most common eyelid neoplasia in the dog?

Back 18

meinomian gland adenoma

Front 19

what is the most common eyelid neoplasia in cats?

Back 19

squamous cell carcinoma

Front 20

True or False

Some indications for eyelid mass removal surgery would be if the mass gets large, concern about malignancy, corneal irritation, the patient is traumatizing the mass, or for cosmetic reasons.

Back 20

True

Front 21

Prolapse of the 3rd eyelid or nictating membrane is called ______.

Back 21

Cherry eye

Front 22

True or False

surgery for cherry eye involves making 2 incisions into the top eyelid, and inverting the gland so that it becomes buried in the conjunctival pocket. The 2 edges are then sutured together, and the knot buried so that it doesn't rub against the cornea.

Back 22

False Incisions are made into the 3rd eyelid

Front 23

What is the likelihood of curing ear disease with TECA?

Back 23

92%

Front 24

What type of anesthesia is utilized for a TECA?

Back 24

general anesthesia (an overnight stay at the hospital is required)

Front 25

True or False

After a TECA sx, an animal's hearing should get better.

Back 25

False, their hearing is typically no worse or better

Front 26

Name 2 risks of TECA surgery

Back 26

infection, temporary facial nerve paralysis, skin disease at sx site

Front 27

What is lateral ear canal resection?

Back 27

removal of the lateral ear canal to allow access to the horizontal canal. (doesn't prevent the occurrence of future ear problems and can sometimes make tx harder).

Front 28

When is a lateral ear canal indicated?

Back 28

when the ear canal is strictured or if tumors are present. (also helps get air to the canal) ear meds will still be needed also

Front 29

True or false

The procedure for a lateral ear canal is an incision that is made on both sides of the vertical canal, where the skin is then reflected and the flap is turned down and sutured to make a drainboard.

Back 29

True

Front 30

What will the owner need to be taught after a lateral ear canal sx?

Back 30

They'll need to be taught how to clean the ear. (Be aware of the ear drum)

Front 31

Formation of a hematoma within the cartilage of the ear pinna that is usually caused by shaking the head due to an ear infection or other puritic conditions is called ______

Back 31

aural hematomas

Front 32

How would you treat aural hematomas?

Back 32

First, treat the underlying problem, most often surgery will be needed but the ear will heal if left alone (very painful though).

Front 33

What should the owner know about treatment of aural hematomas?

Back 33

it is a frustrating condition to treat and will require work on their part.

Front 34

What is the most common method to correct ear hematomas?

Back 34

Incision drainage

Front 35

What type of sutures are placed to hold the ear together?

Back 35

Mattress sutures (will need to be left in for 3 weeks)

Front 36

What are 2 breeds that are predisposed to cherry eye?

Back 36

cocker spaniel, bulldog, boston terrier, great dane, pugs

Front 37

If you have a dog that is over 7 years old and presents for cherry eye, what is one thing that you should always keep in mind?

Back 37

Neoplasia should always be in the back of your mind.

Front 38

Name 2 surgical procedures of the ear

Back 38

Lateral ear canal resection, vertical ear canal resection, ventral bulla osteotomy, total ear canal ablation with lateral bulla osteotomy (TECA), aural hematoma