If you have a dog, surely you have seen the problem of appearance of ulcers in the eyes and even more so with the problem when placing the eye drops. But of the ulcers, the most tedious to treat is the indolent ulcerTo treat it, you will need a lot of time and patience.
What is an indolent ulcer?
This is an ulcer resistant to treatment and usually persists over time, to explain this pathology we will use the case of a small french bulldog He was diagnosed with this condition and to make the diagnosis it was necessary to do a major eye examination.
This is the case of a seven-year-old dog who has a problem in her right eye, in the examination it is possible to see a scar on top, apart from the fact that there is neovascularization in the central zone.
When the fluorescein test was done, it was possible to see an ulcer, it is from that when a treatment for it begins to be placed, performing a review every three days, after this happens, treatment with corticosteroids is started.
In that consultation he was placed Elizabethan eye drops to avoid pain.
Later and with a swab that debrided the epithelium to perform the examination, it was observed that he still had the corneal surface, then here we already realized that the dog had torpid ulcerLikewise, eye drops and a special medication were applied for a respiratory problem.
Three days later a check-up was performed again and the dog showed a serious reaction when applying the eye drops, after which daily consultations were started.
Two weeks later improvement was noticed, surface area with fluorescein decreasedAt the time of debridement, only the epithelium is seen on the rod, a vascularization is also noted in the center of the ulcer. The ulcerative keratitis It is one of the most common eye diseases in pets, this is usually seen in the rupture of the epithelium of the cornea, which causes the corneal stroma to be exposed.
Ulcers that only affect the epithelium are chronic when they last more than two weeksThese cannot be cured easily so they can take many months.
Common causes of indolent ulcers
These problems usually appear due to three common causes, the first of them is due to a dystrophy in the epithelial membrane, the second is due to a cornial edema that produces cystic blisters and the third is due to a decrease in the healing capacity.
This is a condition commonly seen in boxers and terriers.
In corneas in good condition, the cells of the cornial epithelium are usually attached to the nasal membrane by adhesion complexes, these are usually attached to the anchoring fibrils that are located in the basement membrane.
The most common symptoms they are frequent blinking, bledospasm, mucosal secretions, epiphora, hypermia, photobia, miosis, and edema. The diagnosis of this condition is based on clinical signs, it can also be seen in tests such as the fluorescein test.
The most common treatment is remove unattached epitheliumTo do this, a cotton swab will be used, although you should know that this not only serves as a treatment but also applies for diagnoses because this epithelium can be seen with the swab.
This is a process that can be repeated from five to ten days. The most current treatment is superficial debridement and likewise, for the treatment of this condition, they are usually wearing soft lenses which will remain in the eyes of our pet, they will protect it from the outside in order to avoid problems.
It is usually used eye drops for treatment It is also recommended to apply an inhibitor such as the autologous serum, which has properties similar to that of a tear.