Lapis ISSN 2398-2969

Enucleation: transpalpebral

Contributor(s): David L Williams, David Gould, Joanna Hedley, Natasha Mitchell, Vetstream Ltd

Introduction

  • Enucleation (surgical removal of the globe) is required for a globe with a painful condition such as uncontrolled uveitis   Eye: uveitis  , panophthalmitis   Panophthalmitis: due to Pasteurella infection  or glaucoma   Eye: glaucoma  , corneal rupture due to injury or disease, or to gain access to a retrobulbar abscess   Eye: retrobulbar abscess  .
  • Occasionally enucleation is required to treat ocular or adnexal neoplasia.

Print off the Owner factsheetCaring for your rabbit before and after surgery    Caring for your rabbit before and after surgery  to give to your clients.

Uses

Advantages

  • Removes a painful eye, improving the welfare and health of the rabbit, and usually allowing for discontinuation of medication.
  • Allows access to and drainage of retrobulbar abscess.

Disadvantages

  • Loss of sight.
  • Orbital abscessation might recur despite better access to the area.
  • General anesthesia involves a risk.
  • More tissue is removed than with the transconjunctival method, and the post-operative appearance after the transconjunctival method is slightly better cosmetically.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Guarded if retrobulbar abscess.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Myrna K E, Bentley E & Smith L J (2010) Effectiveness of injection of local anesthetic into the retrobulbar space for postoperative analgesia following eye enucleation in dogs. JAVMA 237 (2), 174-177 PubMed.
  • Capello V (2008) Clinical technique: treatment of periapical infections in pet rabbits and rodents. J Exotic Pet Med 17 (2), 124-131 ResearchGate.
  • Holmberg B J (2007) Enucleation of exotic pets. J Exotic Pet Med 16 (2), 88-94 VetMedResource.
  • Williams D (2007) Rabbit and rodent ophthalmology. European Journal of Companion Animal Practice 17 (3), 242-252 MediRabbit.

Other sources of information

  • Fehr M (2013) Eye and Eyelid Surgery. In:BSAVA Manual of Rabbit Surgery, Dentistry and Imaging. Eds: Harcourt-Brown F & Chitty J. BSAVA, Gloucester.
  • Williams D (2012) Ophthalmology of Exotic Pets. Wiley-Blackwell, Chichester.


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