Abstract

Background:A 3-year-old female spayed domestic shorthair was presented to the Urgent Care Service at Colorado State University’s Veterinary Teaching Hospital for progressive cloudiness of the right eye after being diagnosed with a corneal ulcer by primary veterinarian two days prior. The patient was on chronic administration of an anti-inflammatory dose of oral Prednisolone (0.5 mg/kg of body weight) for front leg lameness of unknown origin.

Key Findings:Ophthalmic examination revealed a corneal bullae comprising around 30% of the corneal surface of the right eye (OD), moderate keratoconus, and overlying corneal ulceration. An ophthalmic diagnosis of acute bullous keratopathy OD was made. The following day, the left eye (OS) developed acute, marked corneal edema and globular anterior protrusion of the corneal surface consistent with severe feline acute bullae keratopathy.

Significance:Surgical placement of bilateral third eyelid flap and temporary tarsorrhaphy was performed. The third eyelid flaps were removed 28 days post-surgery, revealing complete resolution of the bilateral bullous keratopathy. This case may serve to support an association between chronic steroid therapy and the development of acute bullous keratopathy in predisposed feline patients, such as those with underlying FHV-1 infection. This case report also reveals a good prognosis for severe feline acute bullae keratopathy when a third eyelid flap is being placed. A third eye flap is a surgical procedure that can be performed in emergency and urgent care clinics and should be recommended for these cases.

Keywords: Bullae Keratopathy; Corneal Hydrops; Third Eyelid Flap; Feline; Feline Herpes Virus

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Citation

Citation: Michala de Linde Henriksen., et al. “Bilateral Third Eyelid Flap Surgery in a Domestic Shorthair with Severe Acute Bullae Keratopathy". Acta Scientific Veterinary Sciences 3.8 (2020): 02-08.

Copyright

Copyright: © 2020 Michala de Linde Henriksen., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.