indolent ulcer: primary persistent erosion
Descritta con il termine di ulcera indolente del boxer
Da allora le ulcere del Boxer sono state descritte anche in molte altre razze canine e nel cavallo.
Il disturbo primario e’ dovuto ad una alterazione di adesione tra epitelio e lo stroma corneale.Non si sa se le alterazione della membrana basale siano primarie o secondarie a malattia dell’epitelio.
Erosione evidenziata con la fluoresceina:
Quando si descrive questa malattia si usa il termine erosione piuttosto che ulcera perche’ la membrana basale non e’ solitamente continuata.
Si sospetta una erosione indolente quando una erosione non complicata non guarisce al primo controllo
Di solito affected are elderly, but can 'also affect young subjects after removal of the gland often harder
Clinical signs:
blepharospasm and epiphora when appropriate erosion infected there' a very small conjunctival inflammation
They appear as focal areas often grayish opaque to both eyes. At the edge of the epithelium and 'edema and rolled
The difference with the degenerative processes and endothelial cells' that the latter are accompanied by edema and diffuse corneal edema in indolent erosion and' focal limited to the wound bed.
Surgical treatment: removal of the epithelium altered
1 2 superficial keratectomy
Cheratomia episode 3 or 4
grid surface penetrating keratoplasty (in cases of diffuse endothelial disease)
surface grid keratotomy:
practice with a 25 G needle at a distance of 0.5 mm al'effetto to adhere to the epithelium stroma.Dopo the removal of the epithelium no longer 'attached bed erosion in and around its edges is the pits surface with the tip of an insulin needle.
fundamental in these subjects to associate a moisturizing treatment with the addition of antioxidants to help repair processes
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