Ocular proptosis yog ib qho tseem ceeb tshaj plaws ntawm qhov muag pom kev kub ntxhov hauv cov tsiaj canine. Nws muaj qhov txav mus rau pem hauv ntej ntawm lub qhov muag, uas tshwm sim los ntawm kev raug mob uas ua rau lub qhov muag tawm ntawm nws lub orbit. Txawm hais tias nws tuaj yeem tshwm sim hauv txhua hom, tshwj xeeb tshaj yog nyob rau hauv cov dev brachycephalic.
Yog koj xav paub ntau ntxiv txog ocular proptosis hauv dev, nws txoj kev kho, ua rau thiab rov zoo koom nrog peb hauv tsab xov xwm tom ntej ntawm peb lub xaib, uas peb tseem yuav tham txog cov tsos mob thiab kev kuaj mob.
ocular proptosis yog dab tsi?
Proptosis los yog anterior dislocation ntawm lub qhov muag muaj xws li pob qhov muag tawm ntawm lub orbit vim yog kev raug mob. Tam sim ntawd tom qab lub pob muag txav tawm ntawm nws qhov chaw ib txwm nyob hauv qhov chaw orbital, daim tawv muag kaw, yog li tiv thaiv lub qhov muag rov qab mus rau qhov qub.
Vim li no, cov xwm txheej hauv qab no tshwm sim:
- Venous return is impaired, ua rau conjunctival congestion.
- Cov pob txha qhuav tawm thiab mob hnyav(xws li mob keratitis) tshwm sim.
- Cov leeg pob txha tuaj yeem tawg, ua rau subconjunctival hemorrhage.
- Cov paj hlwb yuav raug cuam tshuam, los ntawm kev raug mob nws tus kheej lossis los ntawm cov kab mob uas tsim tawm, ua rau dej muag.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias ocular proptosis yog ib txwm muaj xwm txheej ceev ophthalmological uas yuav tsum tau kho mob tam sim ntawd thiab phais mob kom txo tau txoj kev pheej hmoo ntawm irreversible. tsis pom kev. Txawm hais tias qhov pom kev tsis tuaj yeem rov qab los, kev kho sai thiab raug kho yuav khaws lub qhov muag thiab ua kom zoo nkauj ntawm tus tsiaj.
Ua rau ocular proptosis hauv dev
Ocular proptosis hauv dev tshwm sim vim yog traumatisms uas ua rau lub qhov muag tawm ntawm nws lub orbit. Cov kev raug mob no suav nrog:
- Nkauj kho siab heev
- Sib ntaus sib tua
Nov yog txheej txheem uas tshwm sim ntau dua nyob rau hauv cov dev ntawm brachycephalic breeds (pas) vim lawv lub qhov muag loj, flattened orbits thiab heev. dav palpebral qhib. Hauv cov tsiaj uas tsis yog brachycephalic, qhov kev raug mob yuav tsum tau tsim proptosis ntau dua.
Symptoms of Ocular Proptosis in Dogs
Cov tsos mob tshwm sim tuaj yeem pom hauv lub qhov muag prolapsed yog:
- Edema thiab o ntawm daim tawv muag.
- Dab cornea.
- pob txha ulcers.
- Chemosis: edema in the conjunctiva that cover the eyeball.
- Subconjunctival hemorrhage.
- Hyphema: muaj ntshav nyob rau hauv lub anterior chamber.
- Miosis (contraction of the me nyuam kawm ntawv) or mydriasis (dilation of the pupil).
Diagnosis of Ocular Proptosis in Dogs
Kev kuaj mob ntawm canine ocular proptosis yuav tsum muaj cov khoom hauv qab no:
- Ophthalmological exam: ib qho kev tshuaj ntsuam xyuas txhua yam ntawm lub qhov muag yuav tsum tau ua los ntsuas qhov kev ua haujlwm ntawm lub qhov muag thiab yog li muaj peev xwm ua tau. coj txoj kev kho mob thiab muab kev kwv yees.
- Skull X-ray: thaum nws tshwm sim los ntawm kev raug mob, nws yog ib qho tseem ceeb uas yuav tau ua lub taub hau X-ray kom txiav tawm. ua tau pob txha pob txha. Tsis tas li ntawd xwb, nws tseem ceeb heev uas yuav tsum paub yog tias muaj kev puas tsuaj ntawm theem ntawm lub voj voog, vim tias qhov no nws yuav tsis tuaj yeem hloov lub qhov muag ntawm qhov chaw.
- :::tawm. tsiaj.
Tshuaj mob ocular proptosis hauv dev
Raws li peb tau hais nyob rau hauv nqe lus dhau los, ocular proptosis yog ib qho xwm txheej ophthalmological uas yuav tsum tau kho tam sim ntawd kom tsis txhob muaj qhov tsis pom kev tsis pom kev lossis, tsawg kawg, kom tsis txhob muaj lub qhov muag (tshem tawm ntawm lub qhov muag). Vim li ntawd nws thiaj tseem ceeb ua kom sai li sai tau.
Cov neeg saib xyuas uas kuaj pom lossis xav tias muaj kab mob ocular proptosis hauv lawv tus dev yuav tsum Tiv thaiv lub qhov muag kom tsis txhob ziab thiab puas tsuaj ntxivUa qhov no, moisten ib co gauze nrog serum los yog dej thiab muab tso rau ntawm lub qhov muag prolapsed.
Tom ntej no, koj yuav tsum mus rau lub chaw kho tsiaj thaum muaj xwm ceev. Nyob ntawd, pab kws kho tsiaj yuav ua tus saib xyuas kev tsim kho thawj zaug los tiv thaiv cov txheej txheem tsis zoo.
- Ntxawm rhais lub pob txha nrog dej ntsev thiab ua kom nws ntub thiab tiv thaiv nrog txias compresses.
- Muab corticosteroids intravenously kom txo tau qhov mob
- Dehydrate the vitreous ua kom lub qhov muag softer thiab yooj yim rau reinsert rau hauv orbital qhov chaw
- Yog hais tias tus prolapse yog ib feem, tus tsiaj yuav sedated thiab sim rov qhia lub qhov muag manually (tsis yuam nws nyob rau hauv tej yam cas). Txawm li cas los xij, feem ntau nws tsis ua haujlwm thiab nws yuav tsum tau mus rau kev kho mob phais.
LUB ZOVThaum rov kho dua, daim tawv muag sab saud yuav tsum tau muab sutured rau sab qis (tarsorrhaphy lossis blepharorrhaphy) kom lub qhov muag kaw
rau 15-20 hnub , txij li qhov tsis sib xws, lub qhov muag yuav prolapse tam sim ntawd raws li qhov tshwm sim ntawm o.
Txawm li cas los xij, qee zaum nws tsis tuaj yeem khaws lub qhov muag thiab nws yuav tsum ua qhov enucleation (tshem tawm ntawm lub qhov muag.). Feem ntau, enucleation raug pom zoo nyob rau hauv cov xwm txheej hauv qab no:
- Tuag ntau dua 2 leeg pob txha.
- Optic nerve avulsion (ib nrab los yog tag nrho cov paj hlwb).
- pob txha los yog pob txha pob txha.
- Hyphema.
- Severe sequelae 20 days after tarsorrhaphy.
Recovery from ocular proptosis in dogs
Thaum rov zoo los yog tom qab kev phais, kev kho mob yuav tsum tau tsim los tiv thaiv kev mob thiab tiv thaiv kab mob:
- Thov tshuaj txias hauv zos tam sim tom qab phais.
- Administer systemic anti-inflammatories (corticosteroids or NSAIDs: nyob rau hauv 7-10 hnub kom txo intraocular, daim tawv muag thiab optic paj hlwb o. Nws tsis pom zoo kom muab lawv los ntawm txoj kev ophthalmic (hauv qhov muag tee) txij li lub pob kws yuav raug mob.
Cov tarsorrhaphy los yog blepharorrhaphy yuav tsum tau tswj ntawm 15-20 hnub. Tom qab lub sijhawm ntawd, cov stitches yuav tsum tau muab tshem tawm thiab qhov tshwm sim tuaj yeem tshwm sim hauv qhov muag cuam tshuam yuav tsum raug soj ntsuam.
Sequelae of ocular proptosis in dogs
Canine ocular proptosis tuaj yeem ua rau muaj qhov tshwm sim, nyob ntawm qhov hnyav ntawm cov txheej txheem thiab qhov nrawm uas nws tau ua. Tshwj xeeb, qhov ua tau tshwm sim uas yuav tshwm sim hauv qhov muag cuam tshuam yog:
- dab muag.
- pob txha ulcers.
- Keratoconjunctivitis sicca.
- Keratitis
- Glaucoma.
- Ptisis bulbi: atrophy of the eyeball.
Kev Tiv Thaiv Ocular Proptosis hauv dev
Cov kev mob tshwm sim rau kev saib xyuas qhov muag yog Reserved to Severe, vim feem ntau cov qhov muag prolapsed muaj irreversible dig muag vim optic paj hlwb puas los yog intraocular puas. Qhov tseeb, tsuas yog ntawm qhov muag dislocated khaws tsis pom kev
Txawm li cas los xij, txawm li cas los xij, yuav tsum tau ua txhua yam kom muaj kev pom kev, yuav tsum tau muab sau tseg tias dev tuaj yeem hloov mus rau ib lub qhov muag tsis pom kev tsis muaj kev cuam tshuam loj heev rau lawv lub zeem muag.
