Canthoplasty Advice

RE: Canthoplasty Advice

Glenn Hodgson — Sat, 19 May 2018 18:37:37 GMT

Procedure went fine. Thanks for the input. Let's see if this fixes her! Most of her flares were traumatic so it should do the trick.

RE: Canthoplasty Advice

Robert Lowe — Sun, 13 May 2018 20:51:01 GMT

Caryn's article is great. Where I differ is that if you need to place a mattress suture to reduce tension then you haven't released enough of the eyelid from the medial canthus. They will stretch apart again if you do not release this tension and require a repeat surgery 1-2 years later.

This cut across the lower eyelid and through where the nasolacrimal duct is will release the lower eyelid and completely mobilise it

RE: Canthoplasty Advice

grumpyoldman — Fri, 11 May 2018 22:55:18 GMT

you will find good diagrams in Eisners Eyes surgery and BSAVA manuals . Some people deliberately include the NLD ,reducing drainage improves tear film retention .Its worth remembering that in does not improve tear film quality or reflex tearing ,these dogs are cursed with poor corneal sensitivity without the pugs predisposition to melanosis and keratitis, they may still need post operative lubrication. If your seeing lots of them you maybe better off getting involved in corneal cross linking with Riboflavin.

RE: Canthoplasty Advice

Glenn Hodgson — Fri, 11 May 2018 13:55:29 GMT

Thanks Gareth.

I'll reply to my own question too in case anyone else stumbles upon this thread. A Great NAVC resource here after increased delving through the internet:

http://todaysveterinarypractice.navc.com/wp-content/uploads/2016/06/T1503F01.pdf

thanks CARYN E. PLUMMER whereever you are!

RE: Canthoplasty Advice

Gareth C. — Fri, 11 May 2018 09:18:29 GMT

most of the standard ophthalmology textbooks should give details. make sure your suturing is secure as they can break down. reinforce with a mattress suture