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Use of autologous fascia lata graft to repair a complex corneal ulcer in a mare.
Irish Veterinary Journal ( IF 2.9 ) Pub Date : 2020-05-05 , DOI: 10.1186/s13620-020-00160-4
Marcos Lores 1 , Peter Rakestraw 1 , Mieke De Rijck 1 , Thomas Yarbrough 2
Affiliation  

Background Application of an autogenous fascia lata graft in the treatment of keratomalacia in the horse has not been reported. The present case describes the use of an autologous fascia lata graft to surgically treat a complicated corneal ulcer in a horse. Case presentation A 12-year-old Arabian mare was admitted to Sharjah Equine Hospital with a history of right eye ulcerative keratitis of unknown duration. Following a week of aggressive medical treatment, the condition deteriorated and a keratectomy and pedicle conjunctival graft were performed. A week later, the conjunctival graft partially dehisced and the ulcer continued to degrade.In attempting to preserve the integrity of the globe a second grafting procedure was performed when a segment of fascia lata harvested from the ipsilateral hind leg was grafted onto the corneal lesion.Response to surgery was positive and the mare was discharged from the hospital on Day 31 post diagnosis (17 days after the second surgery) with a comfortable eye.Follow-up12 months later revealed a comfortable but only partially visual eye due to corneal scarring. Conclusion Although the graft actually failed from the point of view of tissue integration, fascia lata appears to be a readily available, effective and affordable autografting material and we believe this technique has potential for short term physical and structural support of severe malacic or other complex corneal ulcers.

中文翻译:

使用自体阔筋膜移植修复母马复杂的角膜溃疡。

背景自体阔筋膜移植物在马角膜软化治疗中的应用尚未见报道。本案例描述了使用自体阔筋膜移植物对马复杂的角膜溃疡进行手术治疗。病例介绍 一匹 12 岁的阿拉伯母马因右眼溃疡性角膜炎病史不明而住进沙迦马医院。经过一周的积极治疗后,病情恶化,进行了角膜切除术和带蒂结膜移植手术。一周后,结膜移植物部分裂开,溃疡继续恶化。为了保护眼球的完整性,进行了第二次移植手术,将从同侧后腿收获的阔筋膜段移植到角膜病变处。对手术的反应是积极的,母马在诊断后第 31 天(第二次手术后 17 天)出院,眼睛舒适。12 个月后的随访显示,由于角膜瘢痕,眼睛舒适但仅部分可见。结论 虽然从组织整合的角度来看,移植物实际上失败了,但阔筋膜似乎是一种容易获得、有效且负担得起的自体移植材料,我们相信这种技术具有短期物理和结构支持严重苹果酸或其他复杂角膜的潜力溃疡。
更新日期:2020-05-05
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