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Topic:Ultrasound

Ultrasound in horses is a diagnostic imaging technique that utilizes high-frequency sound waves to produce images of the horse's internal structures. It is commonly used in veterinary medicine to evaluate soft tissues, tendons, ligaments, and organs. This non-invasive method allows for real-time visualization of physiological and pathological conditions, aiding in the diagnosis and management of various equine health issues. Ultrasound is particularly valuable for assessing musculoskeletal injuries, reproductive health, and abdominal conditions in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the application, methodology, and advancements in ultrasound technology within equine veterinary practice.
Investigation of the effect of pasture and stable management on large intestinal motility in the horse, measured using transcutaneous ultrasonography.
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 93-97 doi: 10.1111/j.2042-3306.2011.00399.x
Williams S, Tucker CA, Green MJ, Freeman SL.Management regimes have been identified as risk factors for equine intestinal motility disorders. However, it is not known how management factors affect gastrointestinal motility. Objective: Large intestinal motility was similar in horses on a stabled and a pastured management regime. Objective: To investigate the effect of 2 different management regimes on large intestinal motility assessed with ultrasonography. Methods: A within-subjects crossover design was used to compare large intestinal motility between a stabled and a pastured regime in 16 working horses. Group A was managed under a sta...
Ultrasonographic evidence of colonic mesenteric vessels as an indicator of right dorsal displacement of the large colon in 13 horses.
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 153-155 doi: 10.1111/j.2042-3306.2011.00418.x
Grenager NS, Durham MG.This report describes the use of ultrasound to diagnose right dorsal displacement of the large colon (RDDLC) in 13 horses prior to surgery. Horses had ultrasonographic examinations performed of the right lateroventral aspect of the abdomen upon admission to the hospital with a 2-5 MHz broadband curvilinear sector scanning transducer after alcohol was used to wet the hair. First, the caecal vessels were identified in the right flank and followed medially and cranially. Next, each intercostal space, from caudal to cranial, was scanned from dorsal to ventral evaluating for abnormally-located mese...
Is there a statistical correlation between ultrasonographic findings and definitive diagnosis in horses with acute abdominal pain?
Equine veterinary journal. Supplement    August 4, 2011   Issue 39 98-105 doi: 10.1111/j.2042-3306.2011.00428.x
Beccati F, Pepe M, Gialletti R, Cercone M, Bazzica C, Nannarone S.Abdominal ultrasonography has become a part of the diagnostic investigation for the acute abdomen in many equine clinics. There is limited information on the correlation between abnormalities detected on abdominal ultrasonography and the specific category of small intestine (SI) and large intestine (LI) diseases. Objective: To investigate the relationship between abdominal ultrasonographic findings and disease categories that cause abdominal pain requiring surgery. Methods: Medical records were reviewed for horses undergoing surgery or post mortem examination for colic. The ultrasound examinat...
Starry sky hepatic ultrasonographic pattern in horses. Carlson KL, Chaffin MK, Corapi WV, Snowden KF, Schmitz DG.The starry sky hepatic pattern is an unusual ultrasonographic appearance of equine liver characterized by numerous small, hyperechoic foci, some of which cast an acoustic shadow, distributed randomly throughout the hepatic parenchyma. Our objectives were to describe the signalment, clinical signs, clinicopathological findings, primary disease process, and ultrasonographic findings of horses with this ultrasonographic pattern, as well as determine the associated gross and histologic changes. The starry sky pattern was identified in 18 adult horses of mixed gender and breed. The horses had vario...
The use of computed tomographic three-dimensional reconstructions to develop instructional models for equine pelvic ultrasonography. Whitcomb MB, Doval J, Peters J.Ultrasonography has gained increased utility to diagnose pelvic fractures in horses; however, internal pelvic contours can be difficult to appreciate from external palpable landmarks. We developed three-dimensional (3D) simulations of the pelvic ultrasonographic examination to assist with translation of pelvic contours into two-dimensional (2D) images. Contiguous 1mm transverse computed tomography (CT) images were acquired through an equine femur and hemipelvis using a single slice helical scanner. 3D surface models were created using a DICOM reader and imported into a 3D modeling and animatio...
Peritonitis in horses: 55 cases (2004-2007).
Acta veterinaria Hungarica    June 15, 2011   Volume 59, Issue 2 181-193 doi: 10.1556/AVet.2011.011
Nógrádi N, Tóth B, Macgillivray KC.Factors associated with the outcome of peritonitis in horses are seldom described. The objectives of this study were to determine the common clinical signs and clinicopathologic findings and to reveal prognostic factors associated with the outcome of peritonitis in equine patients. Data were examined in a retrospective manner in 55 horses diagnosed with and treated for peritonitis. The most common clinical and clinicopathologic findings were tachycardia (94%), increased amount of peritoneal fluid on ultrasound (84%), altered mucous membranes (82%), bacteria noted on the direct smear (67%), hyp...
Characterization of immunoreactive IGF-I pattern during the peri-ovulatory period of the oestrous cycle of thoroughbred mares and its relation to other hormones.
Reproduction in domestic animals = Zuchthygiene    June 15, 2011   Volume 47, Issue 1 151-156 doi: 10.1111/j.1439-0531.2011.01819.x
Derar DR, Taya K, Watanabe G, Miyake YI.The aim of this study was to characterize ir-IGF-I pattern and its relation to other hormones during the oestrous cycle in mares. Nine non-pregnant non-lactating pluriparous thoroughbred mares were used. The studied mares were examined ultrasonically and bled daily to follow the ovarian changes and the hormonal milieu for a complete Interovulatory interval (IOI). Two (minor and major) follicular waves were characterized per IOI in thoroughbred mares. The largest follicle of the first follicular wave (DF1) was firstly detected at D - 1.75 ± 0.47 with a growth rate of 2.78 ± 0.14mm/day and max...
The arthroscopic and ultrasonographic boundaries of the equine femorotibial joints.
Equine veterinary journal    June 8, 2011   Volume 44, Issue 1 57-63 doi: 10.1111/j.2042-3306.2011.00369.x
Barrett MF, Frisbie DD, McIlwraith CW, Werpy NM.While descriptions of the visible soft tissues of the femorotibial joints exist for both arthroscopy and ultrasonography, there are few examples in the literature that discuss in detail the combined findings of these modalities. Objective: To further elucidate the ultrasonographic and arthroscopic boundaries of the normal equine femorotibial joints and improve the understanding of the benefits and limitations of each individual modality. Methods: Simultaneous arthroscopy and ultrasonography were performed in 10 equine cadaver stifles as well as bilateral stifles on a horse that underwent nonre...
Nonseptic tenosynovitis of the digital flexor tendon sheath caused by longitudinal tears in the digital flexor tendons: a retrospective study of 135 tenoscopic procedures.
Equine veterinary journal    June 8, 2011   Volume 43, Issue 6 660-668 doi: 10.1111/j.2042-3306.2010.00341.x
Arensburg L, Wilderjans H, Simon O, Dewulf J, Boussauw B.Longitudinal tears (LTs) of the digital flexor tendons are an important cause of chronic tenosynovitis of the digital flexor tendon sheath (DFTS). The origin of those marginal tears is not yet fully understood. The long-term outcome after medical and surgical treatment is guarded. Objective: To determine the prevalence of LTs of the digital flexor tendons in a large population of horses undergoing diagnostic tenoscopy of the DFTS and to assess the outcome of surgical treatment and the factors influencing the outcome. Methods: Medical records of 130 horses with chronic tenosynovitis of the DFTS...
Osseous spinal pathology and epaxial muscle ultrasonography in Thoroughbred racehorses.
Equine veterinary journal. Supplement    May 28, 2011   Issue 38 654-661 doi: 10.1111/j.2042-3306.2010.00258.x
Stubbs NC, Riggs CM, Hodges PW, Jeffcott LB, Hodgson DR, Clayton HM, McGowan CM.The multifidus muscle plays a key role in spinal stabilisation. Multifidus atrophy ipsilateral to the side of osseous pathology has been demonstrated in man and pigs but has not been investigated in horses. Objective: To measure cross-sectional area (CSA) left/ right symmetry of equine multifidus ultrasonographically and relate asymmetry of multifidus with osseous spinal pathology in Thoroughbred racehorses. We hypothesised that ipsilateral multifidus CSA would be reduced when osseous pathological changes are present leading to left/right asymmetry in CSA. Methods: Twenty-two racehorses presen...
Evaluation of neuromuscular electrical stimulation on fibre characteristics and oxidative capacity in equine skeletal muscles.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 671-675 doi: 10.1111/j.2042-3306.2010.00180.x
Bergh A, Nordlöf H, Essén-Gustavsson B.Neuromuscular electrical stimulation (NMES) is used to increase or maintain muscle strength during rehabilitation. Human studies investigating different protocols show that some treatments induce changes in muscle characteristics. Despite the frequent use of NMES in horses, no studies have been published describing its efficacy. Objective: To investigate the effects of a NMES protocol on equine fibre types and areas, glycogen concentrations and enzyme activities. Methods: NMES was administrated to m. gluteus medius and m. longissimus dorsi, on one side of 6 healthy Standardbred horses. The con...
The impact of ultrasound during emergency after-hour admissions of horses.
Journal of the South African Veterinary Association    April 30, 2011   Volume 81, Issue 4 216-218 doi: 10.4102/jsava.v81i4.150
Viljoen A, Saulez MN, Carstens A, Gummow B.Clinical use of diagnostic ultrasound at point-of-care or emergency situations, although common, has not been well documented in veterinary medicine. Medical records of after-hour emergency equine admissions during a 10-year period were reviewed and horses that received ultrasound scans were identified. Data sheets for each ultrasound scan performed during emergency clinical evaluation were collected and reviewed. Data extracted included anatomical region imaged, body system affected, documented ultrasonographic diagnosis and final diagnosis. Six hundred and nine records were available of whic...
Disruption of periovulatory FSH and LH surges during induced anovulation by an inhibitor of prostaglandin synthesis in mares.
Animal reproduction science    April 17, 2011   Volume 126, Issue 1-2 91-95 doi: 10.1016/j.anireprosci.2011.04.003
Ginther OJ, Cuervo-Arango J, Beg MA.The role of passage of follicular fluid into the peritoneal cavity during ovulation in the transient disruption in the periovulatory FSH and LH surges was studied in ovulatory mares (n=7) and in mares with blockage of ovulation by treatment with an inhibitor of prostaglandin synthesis (n=8). Mares were pretreated with hCG when the largest follicle was ≥32 mm (Hour 0). Ultrasonic scanning was done at Hours 24 and 30 and every 2h thereafter until ovulation or ultrasonic signs of anovulation. Blood samples were collected at Hours 24, 30, 32, 34, 36, 38, 48, and 60. Ovulation in the ovulatory gr...
Description and genetic analysis of three sets of monozygotic twins resulting from transfers of single embryos to recipient mares.
Journal of the American Veterinary Medical Association    April 16, 2011   Volume 238, Issue 8 1040-1043 doi: 10.2460/javma.238.8.1040
Mancill SS, Blodgett G, Arnott RJ, Alvarenga M, Love CC, Hinrichs K.3 sets of monozygotic twins resulting from transfers of single embryos to recipient mares were examined. Results: In all 3 recipient mares with twin pregnancies, only 1 embryonic vesicle was detected before day 25 of gestation. In 1 recipient mare, 2 apparent adjacent vesicles, each containing an embryo with a heartbeat, were visualized on ultrasonographic examination on day 37 of gestation. The other 2 recipient mares underwent ultrasonographic examination on day 30 of gestation, at which time only 1 vesicle and embryo was identified. In these latter 2 recipient mares, however, a thorough ult...
Exercise affects both ovarian follicular dynamics and hormone concentrations in mares.
Theriogenology    April 16, 2011   Volume 76, Issue 4 615-622 doi: 10.1016/j.theriogenology.2011.03.014
Kelley DE, Gibbons JR, Smith R, Vernon KL, Pratt-Phillip SE, Mortensen CJ.The objectives were to evaluate the effects of exercise on ovarian folliculogenesis and related hormones in mares. Mares (n = 11) were randomly assigned into a control (non-exercised) or treatment (exercised) group. Treatment mares (n = 5) were moderately exercised for 30 min, 6 d/wk. All mares underwent daily transrectal ultrasonographic examinations and ovarian follicles > 6 mm were measured. Blood samples were collected during the first (Cycle 1) and last (Cycle 4) cycle, and serum concentrations of cortisol, LH, and FSH were determined. Mean cortisol concentrations were elevated (P <...
Follicle and systemic hormone interrelationships during induction of luteinized unruptured follicles with a prostaglandin inhibitor in mares.
Theriogenology    April 14, 2011   Volume 76, Issue 2 361-373 doi: 10.1016/j.theriogenology.2011.02.015
Cuervo-Arango J, Beg MA, Ginther OJ.The objective was to determine differences in follicle and reproductive hormone characteristics in mares with ovulatory and flunixin meglumine (FM)-induced anovulatory cycles. Estrous mares were given 1500 IU hCG when the follicle was ≥ 32 mm (0 h). In Experiment 1, control mares (n = 7) were not treated further. The remaining mares (n = 11) were given 1.7 mg/kg FM i.v. twice daily, from 0 to 36 h after hCG treatment. Blood samples and ultrasonographic examinations were performed every 12 h. All control mares ovulated normally between 36 and 48 h. In contrast, eight of 11 FM mares did not ov...
Effect of Buscopan compositum on the motility of the duodenum, cecum and left ventral colon in healthy conscious horses.
Berliner und Munchener tierarztliche Wochenschrift    April 6, 2011   Volume 124, Issue 3-4 168-174 
Gomaa N, Uhlig A, Schusser GF.Seven adult, healthy, conscious warmblood horses were used in a crossover study. They were fed twice a day on 1 kg hay/100 kg BW and 0.5 kg concentrates with unlimited access to water. One hour after feeding, the contractive motility of the descending duodenum, cecal body and left ventral colon were measured using a 5 MHz transcutaneus ultrasonographic transducer. Each horse was treated with 0.9% NaCl (5 ml/100 kg BW; i.v.), and with Buscopan compositum (BC) at its therapeutic dosage (25 mg/kg BW; metamizol-sodium, 0.2 mg/kg BW; N-butylscopolammonium bromide, i.v.) in a control and an experime...
Ultrasonographic evaluation of the coxofemoral joint region in young foals.
Veterinary journal (London, England : 1997)    March 22, 2011   Volume 191, Issue 2 193-198 doi: 10.1016/j.tvjl.2011.02.012
Rottensteiner U, Palm F, Kofler J.The purpose of this study was to map the coxofemoral region in foals to obtain ultrasonographic reference values for the interpretation of potentially pathological findings in hip joints. Using a 7.5 MHz linear transducer, 38 examinations were carried out: 10 (20 joints) on cadavers and 28 (55 joints) on live healthy foals up to 8 weeks of age. The chosen plane of examination was caudolateral-craniomedial oblique on an imaginary line connecting the greater trochanter and the cranial edge of the tuber sacrale. The relatively thin muscular layer covering the coxofemoral joint allowed good image ...
Comparison of medial and lateral ultrasound-guided approaches for periarticular injection of the thoracolumbar intervertebral facet joints in horses.
Veterinary surgery : VS    March 21, 2011   Volume 40, Issue 4 494-499 doi: 10.1111/j.1532-950X.2011.00821.x
Cousty M, Firidolfi C, Geffroy O, David F.To compare ultrasound-guided lateral and medial approaches for periarticular injections of the thoracolumbar intervertebral facet joints (IFJ). Methods: Experimental cadaveric study. Methods: Adult equine cadavers (n=4). Methods: IFJ (T12-T13 to L5-L6) were identified by ultrasound (transducer perpendicular to the spine axis) and insertion of a 13 cm, 18 g spinal needle monitored until bone contact using medial (right side) and lateral (left side) approaches. Number of needle insertions at each site, needle repositioning, and insertion depth were recorded. On bone contact 2 mL latex was ...
Dynamic mobilisation exercises increase cross sectional area of musculus multifidus.
Equine veterinary journal    March 15, 2011   Volume 43, Issue 5 522-529 doi: 10.1111/j.2042-3306.2010.00322.x
Stubbs NC, Kaiser LJ, Hauptman J, Clayton HM.In human subjects with back pain, the deep spinal stabiliser m. multifidus is inhibited ipsilaterally leading to atrophy, asymmetry and intervertebral instability. Specific physiotherapeutic exercises are required to reactivate m. multifidus. This study assesses the effect of dynamic mobilisation exercises on size and symmetry of m. multifidus in the equine caudal thoracic and lumbar spine. Objective: Regular performance of dynamic mobilisation exercises over a period of 3 months increases cross sectional area (CSA) and left-right symmetry of m. multifidus muscles in the caudal thoracic and lu...
Effects of extracorporeal shock wave therapy on desmitis of the accessory ligament of the deep digital flexor tendon in the horse.
Veterinary surgery : VS    March 11, 2011   Volume 40, Issue 4 450-456 doi: 10.1111/j.1532-950X.2011.00800.x
Waguespack RW, Burba DJ, Hubert JD, Vidal MA, Lomax LG, Chirgwin SR, Lopez MJ.To evaluate the effects of extracorporeal shock wave therapy (ESWT) on collagenase-induced lesions in the accessory ligament of the deep digital flexor tendon (ALDDFT) of horses. Methods: Paired, blinded controlled study. Methods: Eight Thoroughbred horses (3 mares, 5 geldings; mean ± SD weight, 464 ± 26 kg, mean age, 8 ± 1.7 years). Methods: Lesions were created in both ALDDFTs of all horses by injection of 2 × 10(3) IU of collagenase type I. Percent lesion and structure (fiber alignment and echogenicity) were quantified with ultrasonographic imaging 3, 6, and 9 weeks after collagenase ...
Sonographic characteristics of intraabdominal abscessation and lymphadenopathy attributable to Rhodococcus equi infections in foals. Reuss SM, Chaffin MK, Schmitz DG, Norman TE.The sonographic characteristics of intraabdominal abscesses in 11 foals and intraabdominal lymphadenitis in five foals with Rhodococcus equi infections are presented. Intraabdominal abscesses were usually present in the ventral abdomen adjacent to the ventral body wall, well-marginated, and contained a mixed or complex echo pattern. Lymphadenitis appeared as singular or multiple clusters of lymph nodes of mixed echogenicity adjacent to any portion of the gastrointestinal tract or body wall. Sonographic findings were supported by necropsy examinations, but sonographic measurements consistently ...
Ultrasound findings in horses with severe eyelid swelling, and recognition of acute dacryoadenitis: 10 cases (2004-2010).
Veterinary ophthalmology    March 4, 2011   Volume 14, Issue 2 86-92 doi: 10.1111/j.1463-5224.2010.00845.x
Reimer JM, Latimer CS.To report the sonographic findings, treatment, and outcome of horses with severe eyelid swelling, to describe the sonographic appearance of enlarged lacrimal glands, and to describe the clinical features of acute dacryoadenitis. Methods: Medical records of all horses with severe eyelid swelling that underwent an ultrasound evaluation of the globe and periorbital structures from 2004-2010 were examined. Cases were limited to those in which the eyelid swelling was so severe that the globe could not be visualized. Results: Ten horses met the criteria for inclusion in the study. All cases were uni...
Evaluation of a tenoscopic approach for desmotomy of the accessory ligament of the deep digital flexor tendon in horses.
Veterinary surgery : VS    March 1, 2011   Volume 40, Issue 3 266-271 doi: 10.1111/j.1532-950X.2011.00801.x
Caldwell FJ, Waguespack RW.To develop a tenoscopic approach for desmotomy of the accessory ligament of the deep digital flexor tendon (AL-DDFT) in horses. Methods: Experimental. Methods: Cadaveric forelimbs (n=10) and 4 forelimbs from 2 horses anesthetized for terminal teaching procedures, and 12 forelimbs of 6 experimental horses. Methods: Saline distention of the carpal flexor sheath facilitated insertion of an arthroscope into the distal medial aspect of the sheath between the AL-DDFT and deep digital flexor tendon (DDFT). Location of an instrument portal on the lateral aspect of the metacarpus was identified with a ...
Ultrasonographic findings in horses with foot pain but without radiographically detectable osseous abnormalities. Rabba S, Bolen G, Verwilghen D, Salciccia A, Busoni V.Foot pain is an important cause of lameness in horses. When horses with foot pain have no detectable radiographic abnormalities, soft-tissue assessment remains a diagnostic challenge without magnetic resonance (MR) imaging. Ultrasonography can provide an alternative to MR imaging when that modality is not available but the extent of changes that might be seen has not been characterized. We reviewed the ultrasonographic findings in 39 horses with lameness responding positively to anesthesia of the palmar digital nerves and without radiographically detectable osseous abnormalities. Thirty of the...
Fetal derived embryonic-like stem cells improve healing in a large animal flexor tendonitis model.
Stem cell research & therapy    January 27, 2011   Volume 2, Issue 1 4 doi: 10.1186/scrt45
Watts AE, Yeager AE, Kopyov OV, Nixon AJ.Tendon injury is a common problem in athletes, with poor tissue regeneration and a high rate of re-injury. Stem cell therapy is an attractive treatment modality as it may induce tissue regeneration rather than tissue repair. Currently, there are no reports on the use of pluripotent cells in a large animal tendon model in vivo. We report the use of intra-lesional injection of male, fetal derived embryonic-like stem cells (fdESC) that express Oct-4, Nanog, SSEA4, Tra 1-60, Tra 1-81 and telomerase. Methods: Tendon injury was induced using a collagenase gel-physical defect model in the mid-metacar...
Haemoperitoneum in horses: a retrospective review of 54 cases.
The Veterinary record    January 25, 2011   Volume 167, Issue 14 514-518 doi: 10.1136/vr.c4569
Conwell RC, Hillyer MH, Mair TS, Pirie RS, Clegg PD.This retrospective study was conducted in the UK and identifies the most frequent causes, diagnoses, treatment and prognoses for short- and long-term survival in 54 cases of horses with haemoperitoneum. Clinical signs of haemorrhagic shock and colic were common, and abdominal ultrasound was very useful for the identification of haemoperitoneum. Causes of haemoperitoneum included uterine injury (22 per cent), involvement of specific blood vessels (20 per cent), splenic injury (19 per cent), neoplasia (13 per cent) and other (4 per cent). No source was identified in 22 per cent of cases. Fifty-s...
Serum levels of acute phase proteins: SAA, Hp and progesterone (P4) in mares with early embryonic death.
Reproduction in domestic animals = Zuchthygiene    January 17, 2011   Volume 46, Issue 4 624-629 doi: 10.1111/j.1439-0531.2010.01715.x
Krakowski L, Krawczyk CH, Kostro K, Stefaniak T, Novotny F, Obara J.The study involved 46 healthy purebred Arabian mares exhibiting regular oestrous cycles that underwent artificial insemination (AI). Pregnancy was detected ultrasonographically (US) in 40 mares. In 15 mares in foal, early embryonic death (EED) was observed during the pregnancy days 14-21. Blood for determinations of serum acute phase proteins (SAA and Hp) and progesterone (P4) was sampled 12-24 h before ovulation and the first insemination, at 12, 24, 72, 96 h and on day 7, 10, 14, 21, 35 and 55 after ovulation. The results revealed that in 25 mares without EED, the serum levels of P4, SAA and...
Unilateral orbital lacrimal gland abscess in a horse.
Veterinary ophthalmology    January 5, 2011   Volume 14, Issue 1 55-60 doi: 10.1111/j.1463-5224.2010.00842.x
Greenberg SM, Plummer CE, Brooks DE, Porter M, Farina LL, Winter MD.A 20-year-old Thoroughbred gelding presented for evaluation of a periorbital dorsal swelling of the left eye that had been intermittently present for 3 months. Upon ocular examination, a firm, non-painful swelling was identified under the upper eyelid in the region of the orbital lacrimal gland, and was noted to extend anteriorly from underneath the dorsal orbital rim. Ultrasonographic examination revealed a mixed echogenic mass along the dorsal orbital rim that followed the contour of the globe. CT scan showed a moderately contrast enhancing mass that was contiguous with the eyelid. Different...
Primary lacrimal gland adenocarcinoma of the third eyelid in a horse.
Veterinary ophthalmology    January 5, 2011   Volume 14, Issue 1 48-54 doi: 10.1111/j.1463-5224.2010.00840.x
Mathes RL, Paige Carmichael K, Peroni J, Anthony Moore P.A 5-year-old Draft Horse gelding presented for evaluation of a large, fleshy, ulcerated third eyelid mass OD of 3 weeks duration. Complete ophthalmic examination, ocular ultrasound and skull radiographs revealed a large soft-tissue mass involving the entire third eyelid OD and extending into the ventral right orbit to the level of the globe equator. No other abnormalities were noted on physical or ophthalmic examination. Surgical removal via exenteration was performed 3 months after initial presentation. A lacrimal adenocarcinoma of the third eyelid was diagnosed based on histopathology. Concu...
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