Bella came to us as a new patient 12 days ago with a very abnormal right! Bella’s dad came to us after being unable to get an immediate appointment 🗓 with a local veterinary ophthalmologist.
Our team @bocamidtownevet was able to diagnose & initiate appropriate medical treatment for Bella prior to her appointment with @animaleyespecialtyclinic
After seeing Dr. Buss @animaleyespecialtyclinic (a few days after seeing us) Bella’s dad was thrilled & us to thank us for saving her! He stated that according to @animaleyespecialtyclinic if we had not intervened Bella would have lost her due to rupture !
A descemetocele describes a deep in which the overlying epithelium & stroma are no longer present so that only descemet’s membrane prevents globe rupture. This thin layer may be appreciated to be bulging forward in the center of the ulcerative lesion. The presence of a descemetocele is typically marked by discomfort, blepharospasm (squinting), and/or ocular discharge.
A descemetocele may be diagnosed as a corneal ulcer, the center of which fails to retain fluorescein dye. A variety of appropriate techniques have been described including the placement of a conjunctival pedicle graft (CPG), conjunctival island graft (CIG), or the advancement of a corneoscleral transposition (CCT), facilitated by operating microscopy. Antimicrobial and/or analgesic therapy should be administered as indicated post‐operatively. The use of an Elizabethan collar will prevent self‐trauma.