Case of the Month
Unfortunately, Nellie's improvement was not as significant as we hoped it would be. In cases like these, when the ulcer doesn't clear up with medication, the next step is a surgical procedure called a Conjunctival Flap surgery, or graft procedure. Conjunctival flap grafting is one option for the treatment of deep corneal ulcers. The conjunctiva is the pale pink tissue that covers the “white” of your pet’s eye. It is a thin and strong tissue which contains many blood vessels. These qualities make it an ideal tissue for grafting purposes.
Conjunctival flap or grafting surgery is performed under general anesthesia. We utilize the latest in surgical equipment and techniques to relocate a portion of your pet’s conjunctival tissue to cover the corneal ulcer. It is stitched in place using specialized dissolvable suture material. To add support to the graft during healing, a stich is placed to hold the eyelid partially closed. Dr. Coughlin performed Nellie's Conjunctival Flap surgery on October 15th, since then, she is much more comfortable and her eye is healing!
The picture below is an image of Nellie’s eye after it was stained. The green “spot” on her eye is showing where the ulcer is.