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Update on surgical cosmetic solutions in equine ophthalmology.

J Equine Vet Sci

December 2024

Department of Veterinary Medicine, Faculty of Sciences, Integrated Veterinary Research Unit (IVRU) - Namur Research Institute for Life Sciences (NARILIS), University of Namur, Namur, Belgium. Electronic address:

Following eye removal surgery, ocular cosmetic solutions exist for the equine patient. The objective of this review is to summarize the current best evidence on equine ophthalmic cosmetic solutions. A literature review of ophthalmic cosmetic solutions in horses was conducted.

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Purpose: Mitigating unwanted refractive errors is crucial for surgeons to ensure quality vision after penetrating keratoplasty (PK). The primary objective of the present study is to highlight the importance of microstructural matching of the host and the donor cornea during PK on the distribution of the corneal tissue while suturing.

Methods: For this purpose, the present study undertakes an in-vitro PK model to analyse the effect of suturing and host-donor misalignment on corneal birefringence.

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Dehiscence is a common complication of corneal transplant surgery involving separating the graft from the host eye. The present article aims to investigate fundamental insights into the mechanical and structural aspects of the graft-host junction (GHJ) of a graft that survived in a patient for 13 years after penetrating keratoplasty (PK). Additionally, it adopts the sutur retention strength (SRS) test procedure defined in ISO:7198-2016 and aims to provide a comprehensive test protocol to study the biomechanics of the GHJ in extracted PK buttons.

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Article Synopsis
  • The study aimed to evaluate visual and refractive outcomes of intraocular lens (IOL) fixation surgeries in cases where the natural lens support was absent.
  • A total of 120 eyes from 112 patients were reviewed, with findings indicating that iris-fixated IOLs performed better than scleral-fixated ones in terms of visual efficacy.
  • The results suggested that surgical techniques using smaller incisions and foldable IOLs are safer and more effective than traditional methods that require larger incisions.
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To present a complex case of Ahmed tube exposure 6 months after the implantation associated with corneal melting and iris prolapse, and the surgical reposition that required multiple allografts and limbal reconstruction. A 60-year-old patient arrived at the emergency room with tube exposure combined with corneal melting and iris prolapse from a previously placed Ahmed valve 6 months prior. Our approach was to use one corneoscleral graft to repair the melted cornea and avoid further iris prolapse and a second scleral graft to cover the repositioned tube.

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