SOJ Veterinary SciencesOpen Access Case Report needs extended period for sequestrum to loosen and slough off. Causes and mechanisms leading to corneal sequestration remain undefined. Recurrence of the lesion can occur at the original site after surgical removal. Various studies have been conducted to identify the pathophysiology of feline sequestrum, based on the tissue analysis of the sequestrum. In this case report, we describe the success of surgical outcome; determine tissue changes in feline sequestrum and the recurrence at a new site following surgical resection.
Materials and MethodsA 4-year-old spayed female cat was examined for "a black spot" on the central cornea of left eye leading to ocular irritation and discomfort persistent for the past one month; owner also reported of excessive lacrimation for the initial few days. Owner revealed a history of corneal injury one month prior to the presentation while she was playing with other mates. The local veterinarian prescribed a topical antibiotic, and after one-month follow-up, the patient was referred to the centre. General examination was performed; pupillary reflex-direct and consensual was performed. Schirmer's tear test and fluorescein dye test was performed in both eyes. The affected eye was examined under slit lamp biomicroscopy.Based on history and clinical findings the condition was diagnosed as corneal sequestrum and a surgery was planned to relieve the discomfort. Routine blood examination for blood count, serum biochemical evaluation for blood sugar, kidney function was performed prior to anaesthesia to ensure no abnormalities. Anaesthesia was induced with a combination of Xylazine HCL @ 1 mg/kg and Ketamine HCL @ 5 mg/kg IM, and Diazepam @ 0.2mg/kg IV. Protective eye gel was applied to the right eye, and the left eye was prepared for aseptic surgery. Topical tropicamide and proparacaine were applied for mydriasis and corneal anesthesia respectively. Under the magnification of operating microscope, the surgery was performed. A corneal forceps was used to hold the lesion that was noticed to be loose superiorly and attached to the broad base, an 11 No scalpel blade was used to perform lamellar keratectomy and dissect out the Abstract Purpose: To evaluate the surgical outcome and histological features of feline corneal sequestrum following superficial keratectomy.
Materials & Methods:Corneal sequestration was diagnosed in the left eye of a 4-year-old neutered female cat. After obtaining appropriate history, slit lamp biomicroscopy, Schirmer's tear test and fluorescein dye test was performed. Superficial keratectomy was performed under general and topical anesthesia. Post-operative care and management for the healing of the wound bed was instituted. The respected tissue was processed for histopathological evaluation. A follow-up for up to 1month was done to assess the surgical outcome.
Result:The slit lamp biomicroscopy showed the involvement of the sequestration up to mid-stromal layer. Tear wetting following Schirmer's tear test was normal, and t...