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SD - Veterinary Ophthalmic Surgery E-Book

SD - Veterinary Ophthalmic Surgery E-Book

Kirk N. Gelatt | Janice P. Gelatt | Caryn Plummer

(2011)

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Book Details

Abstract

Purchasers of Veterinary Ophthalmic Surgery have at their disposal a comprehensive, step-by-step guide to all types of ophthalmic surgical techniques across all species. Techniques are covered topographically, and species-by-species, with difficulty gradings for each one. Many of these procedures will be undertaken by the veterinary generalist, not only the specialized ophthalmologist. Nearly 1,000 large-sized illustrations, 750 of them in full colour, allow the practitioner to follow the techniques step-by-step. Internationally recognized as an authority on small animal ophthalmic surgery, Dr Gelatt is joined by expert contributors who together provide authoritative and definitive solutions to practitioners' eye surgery requirements. Whatever your field of specialism, this is the only eye surgery book you are ever likely to need.

For: residents in veterinary ophthalmology; general, small animal, and equine veterinary practitioners; veterinary ophthalmologists; veterinary medicine students.

-Comprehensive coverage of all species -Lavishly illustrated sequenced figures of all procedures -Step-by-step approach for maximum clarity -A superb collection of online video clips gives clarification of the most common procedures -The only ophthalmic surgery text for veterinarians


Table of Contents

Section Title Page Action Price
Front Cover Cover
Veterinary Ophthalmic Surgery iii
Copyright iv
Contents v
Contributors vii
Acknowledgments ix
Preface xi
Chapter 1: Surgical instrumentation 1
Introduction 1
Design of ophthalmic instruments 1
Ophthalmic surgical instruments 2
Adaptations for large animals and special species ophthalmic surgeries 11
Surgical instruments for ophthalmic surgeries 11
Instrument care, storage, and sterilization 13
Ophthalmic sutures and needles 14
Further reading 14
Chapter 2: The operating room 17
Introduction 17
Magnification 18
Illumination 20
Chairs for microsurgery 20
Patient preparation 21
Basic operative approach 22
Hemostasis 25
Electroepilation 26
Cryotherapy 26
Laser therapy 27
Perioperative drugs 30
Patient recovery/restraint 31
Subpalpebral medication systems 32
Further reading 34
Chapter 3: Anesthesia for ophthalmic surgery 37
Introduction 37
Ophthalmic effects of general anesthetics 37
Preanesthetic medications 39
Injectable general anesthetics 40
Inhalational general anesthetics 40
Neuromuscular blocking agents 41
Ophthalmic drug and anesthetic drug interactions 42
Systemic diseases and general anesthesia 43
Local or regional eyelid injections/nerve blocks 43
Retrobulbar injections/nerve blocks in animals 44
Choice of general anesthetic for selected ophthalmic surgical procedures 47
Adaptations for large animals and special species 47
Horse 47
Cattle 48
Further reading 48
Chapter 4: Surgery of the orbit 51
Surgical management of orbital diseases 51
Ancillary diagnostic procedures 52
Surgical anatomy of animal orbits 53
Surgical pathophysiology 57
Perioperative medications 59
Types of Orbital Surgical Procedures 60
Enucleation procedures in small animals 60
Evisceration with intraocular prosthesis in small animals 63
Exenteration in small animals 67
Enucleation procedures in large animals and special species 67
Orbitotomy in small animals 76
Total and partial orbitectomy 81
Orbitotomy in large animals and special species 81
Surgical management of traumatic proptosis in small animals 82
Surgical augmentation of orbital volume in small animals 83
Postoperative Care and Management 84
Postoperative complications and treatment in all species 84
Short- and long-term results in all species 86
Further reading 87
Chapter 5: Surgery of the eyelids 89
Introduction 89
Anatomy 90
Preoperative examination procedures 93
Surgical considerations of the eyelids 94
Surgical instrumentation 95
Surgical preparations of the eyelids 95
Tarsorrhaphy in small animals 95
Tarsorrhaphy in the horse 97
Aftercare for eyelid surgery in the horse 97
Lateral canthotomy 98
Surgical procedures for eyelid agenesis 98
Surgical procedures for distichiasis 100
Surgical procedures for ectopic cilia 103
Surgical procedures for entropion in small animals 103
Non-surgical treatment of entropion 103
Surgical management of entropion 105
Postoperative management and complications 111
Adaptations in Large Animals and Special Species 112
Entropion in horses 112
Entropion in sheep 113
Entropion and periocular fat pads in the Vietnamese potbellied pig (Sus scrofa) 113
Surgical procedures for ectropion 114
Ectropion in the horse 117
Surgical procedures for combined ectropion and entropion 117
Other surgical procedures 120
Surgical procedures to decrease palpebral fissure size 120
Surgical procedures to increase palpebral fissure size 122
Nasal fold trichiasis and resection in dogs 123
Surgical treatment of chalazion 123
Surgical repair of eyelid lacerations 123
Surgical procedures for minor eyelid neoplasms in small animals 126
Reconstructive blepharoplasty after removal of eyelid masses in small animals 128
Surgeries for eyelid neoplasia in the horse 132
Blepharoplastic procedures for the horse 133
Bovine eyelid surgery 137
Further reading 138
Chapter 6: Surgery of nasolacrimal apparatus and tear systems 141
Introduction 141
Nasolacrimal apparatus 141
Surgical procedures for the nasolacrimal apparatus 143
Adaptations in large animals and special species 148
Nasolacrimal obstructions in large animals 148
Nasolacrimal duct obstructions (extracorneal bullous spectaculopathy) in snakes 148
Surgery for keratoconjunctivitis sicca 150
Surgical anatomy 150
Adaptations in large animals and special species 155
Further reading 155
Chapter 7: Surgical procedures for the conjunctiva and the nictitating membrane 157
Introduction 157
Conjunctival anatomy 158
Anatomy of the nictitans 159
Bulbar/palpebral conjunctival biopsy (punch/snip) 160
Surgical repair of conjunctival lacerations 161
Surgical repair of conjunctival defects 162
Adaptations in large animals and special species 162
Surgical treatment for symblepharon 162
Conjunctival grafts/transplantation 163
Substitute materials for conjunctival grafts 174
Adaptations in large animals and special species 174
Surgeries of the Nictitans 176
Surgical treatment of everted nictitans 176
Surgical treatment for hyperplastic lymphoid follicles 177
Surgical procedures for protrusion of the gland of the nictitating membrane or 'cherry eye' 178
Surgical procedures for prominent/protruded nictitans 184
Nictitating membrane flaps 185
Partial/complete excision of the nictitans 187
Adaptations in large animals and special species 188
Further reading 188
Chapter 8: Surgery of the cornea and sclera 191
Introduction 191
Surgical anatomy 192
Surgical pathophysiology 193
Preoperative treatment considerations 194
Surgical instrumentation for corneal and scleral surgeries 195
Surgical procedures for superficial corneal diseases 196
Surgical procedures for deep corneal ulcerations 201
Surgery for corneal lacerations 210
Surgery for corneal foreign bodies 214
Corneal adhesives 215
Corneal grafts/keratoplasty 216
Thermokeratoplasty 228
Surgical treatment of limbal and scleral diseases 229
Adaptations for large animals and special species 232
Further reading 234
Chapter 9: Surgical procedures of the anterior chamber and anterior uvea 237
Introduction 237
Surgical anatomy 239
Pathophysiology 242
Perioperative considerations 243
Surgery of the anterior chamber 243
Surgical procedures of the anterior uvea 248
Laser treatment of anterior uveal cysts in the dog and cat 258
Laser treatment of anterior uveal neoplasms in the dog 258
Adaptations for large animals and special species 259
Further reading 261
Chapter 10: Surgical procedures for the glaucomas 263
Introduction 263
Diagnostic and monitoring techniques for glaucoma patients 266
Surgical anatomy 269
Preoperative treatment 273
Surgical procedures for the glaucomas 273
Anterior chamber shunts/gonioimplants 284
Cyclodestructive procedures 294
Pharmacologic ablation of the ciliary body 299
Neuroprotection 300
Further reading 301
Chapter 11: Surgical procedures of the lens and cataract 305
Introduction 305
Evolution of cataract surgery in dogs 307
Evolution of cataract surgery in horses 308
Development of the intraocular lens for the dog, cat, and horse 309
Surgical anatomy 311
Surgical pathophysiology 312
Patient selection for all species 314
Non-surgical treatment of cataracts 316
Preoperative preparation 319
Surgical procedures for cataracts and lens removal 320
Choice of ophthalmic anesthesia and surgical exposure 321
Anterior chamber entry for cataract and lens extraction 322
Capsulorhexis and anterior capsulectomies 322
Phacoemulsification 324
Phacoemulsification in small animals 327
Phacoemulsification in the horse 330
Intraocular lens implantation in small animals 334
Intracapsular cataract or lens extraction in small animals 334
Intracapsular cataract or lens extraction in the horse 335
Removal of the unstable lens in small animals 335
Intraocular lens implantation 339
Postoperative treatment and management in small animals 342
Postoperative treatment and management in the horse 342
Postoperative results and complications in small animals 343
Complications of cataract surgery in dogs 343
Postoperative results and complications after lens surgery in the horse 351
The future and challenges of cataract and lens surgery in animals 352
Further reading 352
Chapter 12: Vitreoretinal surgery 357
Introduction 357
Surgical anatomy 357
Surgical pathophysiology 359
Types of retinal detachment 360
Types of vitreoretinal surgery 360
Clinical evaluation of retinal detachments 360
Instrumentation for vitreoretinal surgeries 361
Preoperative considerations for vitreal aspiration and removal 362
Preoperative considerations for retinal detachments 363
Types of vitreoretinal surgery 363
Surgery of the vitreous 364
Adaptations for large animals and special species 369
Surgery of the retina 373
Further reading 385
Index 389