Use of autologous fascia lata graft to repair a complex corneal ulcer in a mare.
Abstract: 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. Methods: 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. Conclusions: 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.
© The Author(s) 2020.
Publication Date: 2020-05-05 PubMed ID: 32391144PubMed Central: PMC7201622DOI: 10.1186/s13620-020-00160-4Google Scholar: Lookup
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Summary
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This research details a case study in which autologous fascia lata graft was used to successfully treat a complicated corneal ulcer in a mare. Although the graft failed from the point of view of tissue integration, this approach appears to be a cost-effective mechanism to provide short term physical and structural support for severe malacic or other complex corneal ulcers.
Objective of the Study
- In this study, the effectiveness of an autologous fascia lata graft for the repair of a complex corneal ulcer in a horse is examined. This specific use of the graft has not been reported previously.
Case Background
- The subject of the case study was a 12-year-old Arabian mare, which was admitted to a hospital with a complicated corneal ulcer in its right eye.
- The cause of the ulcerative keratitis was not known and it did not respond positively to a weeklong aggressive medical treatment.
- Initial interventions, which included performing a keratectomy and pedicle conjunctival graft,both fell short as the condition of the ulcer didn’t improve.
Method and Outcome
- To maintain the integrity of the globe, a secondary grafting procedure was performed. The researchers grafted a segment of fascia lata, sourced from the same horse’s hind leg, onto the corneal lesion.
- A positive response was observed following surgery. The mare was discharged from the hospital on Day 31 post-diagnosis (17 days after the second surgery) with a comfortable eye.
- A follow-up after a year revealed an only partially visual eye due to corneal scarring, though the eye remained comfortable.
Conclusion
- In spite of the graft’s failure in terms of tissue integration, the study concludes that the use of autologous fascia lata presents an affordable and efficient method of providing short term physical and structural support to eyes with severe malacic or other types of complex corneal ulcers.
Cite This Article
APA
Lores M, Rakestraw P, De Rijck M, Yarbrough T.
(2020).
Use of autologous fascia lata graft to repair a complex corneal ulcer in a mare.
Ir Vet J, 73, 7.
https://doi.org/10.1186/s13620-020-00160-4 Publication
Researcher Affiliations
- Sharjah Equine Hospital, P.O. Box 29858, Sharjah, United Arab Emirates.
- Sharjah Equine Hospital, P.O. Box 29858, Sharjah, United Arab Emirates.
- Sharjah Equine Hospital, P.O. Box 29858, Sharjah, United Arab Emirates.
- Dubai Equine Hospital, 2 St N 22A, Dubai, United Arab Emirates.
Conflict of Interest Statement
Competing interestsNot applicable.
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Citations
This article has been cited 1 times.- Kosaruk W, Brown JL, Towiboon P, Punyapornwithaya V, Pringproa K, Thitaram C. Measures of Oxidative Status Markers in Relation to Age, Sex, and Season in Sick and Healthy Captive Asian Elephants in Thailand. Animals (Basel) 2023 May 5;13(9).
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