RESUMO
OBJECTIVE: To describe the use of an endoscope to assist in performing minimally invasive dacryocystorhinostomy in a dog to successfully manage a nasolacrimal duct cyst (dacryocyst). ANIMAL STUDIED: A 4-year-old female spayed American Staffordshire Terrier with chronic epiphora and swelling ventromedial to the nasal canthus of the right eye and reverse sneezing. PROCEDURES: Computed tomography revealed a fluid-filled cystic lesion of the right nasolacrimal duct with extensive nasal extension and secondary obstructive frontal sinusitis. Aspiration of serosanguinous fluid with no growth of microbial organisms and histopathology confirmed the cystic nature of the structure. A 2.7 mm, 30 deg, 11 cm foreward-oblique endoscope with arthroscopic cannula was passed through a mucosal stab incision in the dorsal buccal recess into the cyst to allow for exploration. A separate instrument portal was placed in the center of the cyst through the skin which allowed for transcutaneous dacryocystorhinostomy with a meniscal probe to be performed. No clear communication was evident caudodorsally into the frontal sinus on endoscope examination. A small frontal sinus trephination was performed and lavage flowed easily into the cystic cavity and out of the nostril. RESULTS: Follow-up at 10 days and 17 months postoperatively showed complete resolution of clinical signs with an excellent cosmetic outcome. CONCLUSION: Endoscopy-assisted dacryocystorhinostomy demonstrated an effective minimally invasive technique to treat a functionally obstructive dacryocyst of the right nasolacrimal duct in a dog.
RESUMO
OBJECTIVE: To perform electroretinography on normal anesthetized koalas (Phascolarctos cinereus). ANIMALS STUDIED: Six hospitalized koalas. PROCEDURE: The koalas were anesthetized using alfaxalone intramuscularly and isoflurane via face mask, then maintained on isoflurane after endotracheal intubation. After 20 min of dark adaptation, electroretinograms were obtained using a handheld electroretinography (ERG) machine using a single flash protocol at three light intensities: 10 mcd s/m(2) , 3000 mcd s/m(2) , and 10,000 mcd s/m(2) . RESULTS: At 10 mcd s/m(2) , the mean b-wave amplitude and implicit time were 49.5 µV (SD ± 33.1 and 95% CI 29.9-69.0) and 87.4 ms (SD ± 6.5 and 95% CI 83.6-91.2). At 3000 mcd s/m(2) , the mean a-wave amplitude and implicit time were 70.5 µV (SD ± 30.7 and 95% CI 52.3-88.7) and 20.6 ms (SD ± 3.1 and 95% CI 18.7-22.4), and the mean b-wave amplitude and implicit time were 122.8 µV (SD ± 49.3 and 95% CI 93.7-151.9) and 63.1 ms (SD ± 13.2 and 95% CI 55.3-71.0). At 10,000 mcd sm(2) , the mean a-wave amplitude and implicit time were 90.8 µV (SD ± 37.2 and 95% CI 68.8-112.8) and 16.1 ms (SD ± 3.1 and 95% CI 14.3-18.0), and the mean b-wave amplitude and implicit time were 148.3 µV (SD ± 54.9 and 95% CI 115.9-180.8) and 67.4 ms (SD ± 8.4 and 95% CI 62.5-72.3). CONCLUSION: Electroretinography in koalas is practical using a portable ERG system and a DTL thread electrode and allows for rapid assessment of retinal function.
