Page 532 - Cote clinical veterinary advisor dogs and cats 4th

237.e2 Dacryocystitis

steroid combination medication and systemic and has many potential complications. New SUGGESTED READING
antibiotics. lacrimoscopic removal techniques offer a Grahn BH, et al: Diseases and surgery of the canine
VetBooks.ir Possible Complications • False-negative results can occur when Veterinary ophthalmology, ed 5, Ames, IA, 2013,
better prognosis than traditional surgical
nasolacrimal system. In Gelatt KN, et al, editors:
removal.
Wiley-Blackwell, pp 894-911.
If foreign bodies are left in the nasolacrimal
drainage system, scarring, permanent occlusion,
and chronic epiphora may result. attempting nasolacrimal fluorescein dye ADDITIONAL SUGGESTED
passage in brachycephalic dogs and cats
because fluorescein may drain caudally into READING
PROGNOSIS & OUTCOME the pharynx due to the characteristic shape Nykamp SG, et al: Computed tomography dacryocys-
of the brachycephalic maxilla. tography evaluation of the nasolacrimal apparatus.
• Depends on underlying cause Vet Radiol Ultrasound 45:23-28, 2004.
• Good prognosis with successful removal of Prevention
foreign body Keep pets away from areas with tall grass, RELATED CLIENT EDUCATION
especially in the late summer. SHEETS
PEARLS & CONSIDERATIONS
Technician Tips
Comments • A Schirmer tear test and fluorescein stain Consent to Perform Computed Tomography
(CT Scan)
• Prompt retrieval of foreign bodies from should be done for any patient with ocular How to Administer Eye Medications
the proximal portions of the nasolacrimal discharge.
system is essential; surgical removal from • Excellent restraint is imperative for safe and AUTHOR: Steven R. Hollingsworth, DVM, DACVO
the nasolacrimal duct is technically difficult effective nasolacrimal flushing. EDITOR: Diane V. H. Hendrix, DVM, DACVO

www.ExpertConsult.com