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Equine Corneal Ulcers: Surgical Treatment
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Adjunctive surgical therapy for equine corneal ulcers
Bandage soft contact lens (SCL)
Bandage SCLs help to maintain apposition of the healing epithelium to the stroma, reduce pain, and protect the new epithelium. Disadvantages include an occasional poor fit in horses thereby resulting in limited retention times. Contact lens retention time may be improved by partial temporary lateral tarsorrhaphy.
Debridement, keratectomy and keratotomy
Removing necrotic tissue and microbial debris by keratectomy speeds healing, minimizes scarring, and decreases the stimulus for iridocyclitis. Persistent superficial ulcers may need surgical debridement and keratotomy to remove the hyaline membrane slowing epithelial healing. Debridement to remove abnormal epithelium of refractory superficial erosions can be accomplished with topical anesthesia and a cotton-tipped applicator. Superficial punctate or grid keratotomy of superficial ulcers with a 20-gauge needle can increase the ability of the epithelial cells to migrate and adhere to the ulcer surface. […]
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