These data suggest that high-dose, intravenous ERT is effective at preventing and/or clearing corneal stromal GAG accumulation, particularly if initiated early after birth.
None of the four antiglaucoma medications evaluated statistically delayed medical failure when compared to each other. Although significance was not achieved, our data suggest that adjunctive use of topical anti-inflammatory medications may be beneficial in these cases.
Surgical management for feline aqueous humor misdirection syndrome may be a viable option to maintain a visual and normotensive status in cats that no longer have successful control of intraocular pressure with medical therapy.
HistoryA 5-year-old sexually intact male Shih Tzu was referred to the University of Tennessee College of Veterinary Medicine with a 2-week history of exophthalmia and edema around the left eye and the left side of the face. A large, soft, fluctuant swelling surrounded the left eye and extended to the upper lip. Chemosis and slight dorsotemporal deviation of the left globe were seen. The direct pupillary light response of the left eye was negative, and intraocular pressure was high (31 mm Hg). There was a fleshy, pink mass behind the leftmost caudal maxillary molar. Fineneedle aspiration of the mass yielded a yellow-tinged viscous liquid. Cytologic examination revealed moderate neutrophilic inflammation with the presence of mucus. Computed tomography (CT) of the head was performed; pre-and postcontrast images were obtained (Figure 1).Determine whether additional imaging studies are required, or make your diagnosis from Figure 1-then turn the page →
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