1887

Eye and eyelid surgery

image of Eye and eyelid surgery
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Abstract

The rabbit eye shows several anatomical differences compared to other mammals, some of which are important for surgery. This chapter details the relevant anatomy and looks at decision-making and treatment options. : Corneal ulcer treatment; Correction of entropian or ectropian; Correction of eyelid dysplasia; Removal of prolapsed superficial gland of third eyelid; Pocket technique for re-placement of prolapsed gland of third eyelid; Surgical treatment of aberrant conjunctival overgrowth; Enucleation and exenteration.

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Figures

Image of 17.1
17.1 Anatomical structures surrounding the globe. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of 17.2
17.2 Prolapse of the deep gland of the third eyelid, ‘cherry eye’. Prolapse of glandular tissue after incision through the capsule.
Image of 17.3
17.3 Prolapsed glands of the third eyelid (right eye) and protrusion (left eye).
Image of 17.4
17.4 Rectus dorsalis muscle at the dorsal bulb.
Image of 17.5
17.5 Phacoclastic uveitis with stromal diffuse keratitis.
Image of 17.6
17.6 Bilateral exophthalmos due to thymoma.
Image of 17.7
17.7 Deep corneal ulceration.
Image of 17.8
17.8 Congenital dermoid cyst. Corneal deficit after removal of dermoid cyst. End result immediately after removal.
Image of 17.9
17.9 Eyelid dysplasia in a 2-year-old French Lop rabbit. There is an extra piece of eyelid (arrow) that lacks the normal rigidity and tends to roll in and cause discomfort and spastic entropion. A method of repair is described in Operative Technique 17.3. (Courtesy of Frances Harcourt-Brown)
Image of 17.10
17.10 Prolapsed gland of the third eyelid, showing the close association with the retrobulbar venous plexus.
Image of 17.11
17.11 Aberrant conjunctival overgrowth.
Image of Debridement with a cotton bud. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Debridement with a cotton bud. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. Debridement with a cotton bud. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of Lateral cross-sectional view of suture placement through the upper and lower eyelids. The compression forces of the knot can be reduced by an underlying button.
Lateral cross-sectional view of suture placement through the upper and lower eyelids. The compression forces of the knot can be reduced by an underlying button. Lateral cross-sectional view of suture placement through the upper and lower eyelids. The compression forces of the knot can be reduced by an underlying button.
Image of Eyelid view after placement of first suture. Knot compression is reduced by a button. Depending on the size of the eyelid and button, one or two suture/button combinations may be necessary.
Eyelid view after placement of first suture. Knot compression is reduced by a button. Depending on the size of the eyelid and button, one or two suture/button combinations may be necessary. Eyelid view after placement of first suture. Knot compression is reduced by a button. Depending on the size of the eyelid and button, one or two suture/button combinations may be necessary.
Image of Postoperative appearance following temporary tarsorrhaphy.
Postoperative appearance following temporary tarsorrhaphy. Postoperative appearance following temporary tarsorrhaphy.
Image of Entropion.
Entropion. Entropion.
Image of Entropion after cleaning the eye.
Entropion after cleaning the eye. Entropion after cleaning the eye.
Image of A strip of the upper lid has been excised.
A strip of the upper lid has been excised. A strip of the upper lid has been excised.
Image of After wound closure following excision of strips from upper and lower lids.
After wound closure following excision of strips from upper and lower lids. After wound closure following excision of strips from upper and lower lids.
Image of Dysplasia of the upper lid of the right eye (the ear is to the left, the nose to the right). The region of dysplastic lid can sometimes be described as entropion. However, this effect is due to lack of support where there is no cartilage in this region. The condition is typified by the abrupt demarcation between normal and abnormal eyelid.
Dysplasia of the upper lid of the right eye (the ear is to the left, the nose to the right). The region of dysplastic lid can sometimes be described as entropion. However, this effect is due to lack of support where there is no cartilage in this region. The condition is typified by the abrupt demarcation between normal and abnormal eyelid. Dysplasia of the upper lid of the right eye (the ear is to the left, the nose to the right). The region of dysplastic lid can sometimes be described as entropion. However, this effect is due to lack of support where there is no cartilage in this region. The condition is typified by the abrupt demarcation between normal and abnormal eyelid.
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of © John Chitty
© John Chitty © John Chitty
Image of Appearance immediately following routine closure of the skin wounds.
Appearance immediately following routine closure of the skin wounds. Appearance immediately following routine closure of the skin wounds.
Image of Prior to surgery the prolapsed gland can be seen as a pale fleshy structure displacing the third eyelid.
Prior to surgery the prolapsed gland can be seen as a pale fleshy structure displacing the third eyelid. Prior to surgery the prolapsed gland can be seen as a pale fleshy structure displacing the third eyelid.
Image of Untitled
Image of Untitled
Image of Untitled
Image of Untitled
Image of Appearance of the eye on the day after surgery.
Appearance of the eye on the day after surgery. Appearance of the eye on the day after surgery.
Image of Appearance of the eye 10 days after surgery.
Appearance of the eye 10 days after surgery. Appearance of the eye 10 days after surgery.
Image of Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of Untitled
Image of Untitled
Image of Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of End result after re-placement of the gland.
End result after re-placement of the gland. End result after re-placement of the gland.
Image of Aberrant conjunctival overgrowth before surgery. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Aberrant conjunctival overgrowth before surgery. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission. Aberrant conjunctival overgrowth before surgery. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and reproduced with her permission.
Image of Untitled
Image of Untitled
Image of Untitled
Image of Orbit packed with honey-impregnated sponges.
Orbit packed with honey-impregnated sponges. Orbit packed with honey-impregnated sponges.
Image of Orbit packed with antibiotic-impregnated beads.
Orbit packed with antibiotic-impregnated beads. Orbit packed with antibiotic-impregnated beads.

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