Eye
Ulcers (Part 2 of 2)
Our last column discussed how eye ulcers occur and their basic treatment.
This column explains how serious ulcers are managed.
Serious and deeper eye ulcers require aggressive therapy. Dogs
with deep ulcers are put on atropine and antibiotic ophthalmic drops,
in addition to oral antibiotics and anti-inflammatory drugs. Some
ulcers are very resistant to healing, requiring third eyelid or
conjunctival flaps in order to give the ulcer constant tissue coverage
and blood supply to aid in healing.
Invading bacteria can produce enzymes which cause healing to cease
and the ulcer may become deep enough to perforate the eyeball. This
is an emergency, requiring an ophthalmologist.
Stitches in the cornea may be required and bacterial cultures taken.
Breeds with protuberant eyes seem to be predisposed to ulcers. Symptoms
of corneal ulceration include tearing, squinting,
redness, and rubbing of the eye. In severe cases there may be a
bloody discharge or appearance of protruding tissue from the eye.
See your veterinarian as soon as possible if you suspect an eye
injury has occurred.
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