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Dogs + Surgical Conditions

  • Ectopic cilia can be an irritating eye problem for many dogs. Growing abnormally through the conjunctiva (the pink part of the eye), they come into contact with the cornea and can cause chronic discomfort to the eye and corneal ulceration. Surgery is necessary to help to correct the problem and help dogs live a more comfortable life. The prognosis for surgical correction of this condition is generally good.

  • Ectropion, or outward rolling of the eyelid, can cause problems such as recurring conjunctivitis and drying out of the cornea. The clinical signs are a "sagging" or outward-rolling lower eyelid, although ectropion can affect any of the eyelids. A thick mucoid discharge often accumulates along the eyelid margin. Diagnosis is usually made on physical examination. Testing for hypothyroidism and for antibodies against certain muscle fibers may be done if looking for underlying causes. The treatment for mild ectropion generally consists of medical therapy; if the condition is severe, surgical correction can be performed to shorten the eyelids.

  • Entropion, or rolling in of the eyelids, is seen in many breeds and is considered a hereditary disorder. Most dogs will squint, hold the eye shut, and tear excessively (epiphora), though some patients will develop a mucoid discharge. Entropion can cause additional eye problems, such as corneal ulcers, perforations, or development of pigment on the cornea interfering with vision and chronically irritating to the dog. Entropion is corrected with surgery.

  • An FHO, or femoral head ostectomy, is a surgical procedure that aims to restore pain-free mobility to a diseased or damaged hip by removing the head and neck of the femur (the long leg bone or thighbone). This procedure is commonly recommended for smaller dogs, especially those who are at a healthy weight. Active dogs often experience better results with FHO than less-active dogs. It is important to follow your veterinarian's post-operative instructions. Most dogs will show signs of complete recovery approximately six weeks post-operatively.

  • This handout discusses fragmented medial coronoid process (FMCP) in dogs, one of the causes of front limb lameness in young, larger breed dogs such as Bernese mountain dogs, golden retrievers, Labrador retrievers, rottweilers, and German shepherds. The clinical signs, diagnosis, treatment, and prognosis of this condition are outlined.

  • A gastropexy is a surgical procedure that is sometimes performed in large-breed dogs to prevent gastric dilatation and volvulus (GDV), also known as bloat – a life-threatening condition. This handout explains how the procedure works, how it is used preventatively and in emergency situations, risk factors, and post-operative care.

  • Glaucoma is a disease of the eye in which the pressure within the eye, called the intraocular pressure (IOP) is increased. Glaucoma is caused by inadequate drainage of aqueous fluid. It is classified as primary or secondary glaucoma. High intraocular pressure causes damage to occur in the retina and the optic nerve. Blindness can occur very quickly unless the increased IOP is reduced. Analgesics to control the pain and medications that decrease fluid production and promote drainage are often prescribed to treat glaucoma. The prognosis depends to a degree upon the underlying cause of the glaucoma.

  • An aural hematoma is a collection of blood between the cartilage and skin of the ear flap. It is most usually caused by trauma but can also be due to a bleeding disorder. Hematomas in dogs can be treated in different ways but should be treated early to minimize pain and disfigurement. If an underlying cause is determined such as otitis externa, this needs to be treated as well. Hematomas may eventually resolve on their own, but there is a risk of cauliflower ear and they are painful, so prompt treatment is recommended.

  • The most common cause of hip dislocation is blunt force trauma such as a fall or an automobile injury. Most dogs with a hip dislocation will have severe hind limb lameness and pain and may not be able to put any weight on the affected limb. A diagnostic radiograph will show the direction of dislocation and whether a fracture of any part of the hip joint has occurred. In many cases, it is possible to replace the femoral head in the acetabulum by manipulation under general anesthesia. If the femoral head has been successfully replaced and the correct post-operative treatment has been adhered to, it is unlikely that the hip will dislocate again.

  • The iliopsoas is an important core muscle. Injury can occur due to trauma, but it is usually caused by chronic stress. Signs that your dog has a painful iliopsoas can include reduced performance (if a sporting dog), very subtle weight-shifting away from the affected side when standing, or an obvious limp. The initial treatment for acute iliopsoas injuries is activity restriction and pain control for 10-14 days. Rehabilitation therapy can also help.

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