hyphema bullock

7/27/2019 Hyphema Bullock

http://slidepdf.com/reader/full/hyphema-bullock 1/3

Intas Polivet 2012) Vol. 13 I): 48-49

Short Communicati

Needle Aspiration technique for the m anagement of

Hyphema in a Bullock

R.B. Kushwaiia , J.S. Soodan and Sharad Kumar^

Division of Teaching Veterinary Ciinicai Compiex

Faculty of Veterinary Sciences and Animai Husbandry

Sher-e-Kashmir University of Agricuitural Sciences and Technology

R.S. Pura

Jammu - 181102 (Jammu and Kashmir)

Abstract

A buiiock was presented with the history of trauma to the right eye and accumuiation of blood in the lower 1/

portion of anterior chamber of the right eye. The case was diagnosed as Hyphema . The collected biood was aspira

successfuliy using 16 G hypodermic needie from 2° ciock position in left iaterai recumbency under xyiazine sedati

and Peterson's nerve and Auriculopalpebral nerve block. After complete aspiration of blood, eyeball was wash

with normal saline solution foilowed by subconjunctival injection of gentamicin and dexam ethasone in buibar regio

Post-operativeiy, animai was treated with antibiotic and anti-infiammatory ophthaimic applications. Bullock's e

became normal within three weeks.

Keywords: Buiiock; Hyphema; Needie aspiration technique

Introduction

Hyphema is an accumulat ion of blood in fhe

anterior chamber of eye (Sarma, 2009). The

condifion is mosfly seen following trauma fo eye

and reported in almosf all domestic and pef animals

(Ismail,

1990). This communication describes the

needle aspirafion fechnique for fhe management

of hyphema in a bullock.

History and Examination

An adulf bullock was reported wifh fhe hisfory of

unknown trauma fo fhe right eye for last fifteen

days.

An ocular anfibiofic drop has been insfilled

info fhe aftected eye without any improvement.

Accumulation of blood in dependenf part of the

anterior chamber up to 1/3' portion was observed

Fig 1 ).

O cular discharge and frequent blinking was

nof observed. Affer a formal discussion with

animal's owner, if was planned fo aspirafe fhe

blood under local anaesthesia.

Treatment and Discussion

The bullock was adminisfered wifh 1 ml xylazine

(20 mg) intramuscularly for sedafion and resfrained

in left lateral recumbency. The area jusf caudal fo

lateral canthus was shaved and swabbed w ifh spirit

1. Assistant Professor and Corresponding Author

e-maii: [email protected]

for Peterson's and Auriculopalpebral nerve bloc

Peterson 's eye b lock was ach ieved

administration of 15 ml 2% lignocaine solufi

using 18 G spinal needle af fhe junct ion

sup rao rb i ta l p rocess and zygomaf ic a r c

Auriculopa lpebral nerve was blocked by infilfrafi

of 5 ml of lignocaine solufion beneath the sk

caudal fo fhe sife of Peterson nerve block in a f

shaped.

After proper Auriculopa lpebral and Peterson ner

block, fhe buibar surtace was washed w ifh norm

saline solufion. A sfay sufure was applied in upp

buibar conjuncfiva fo bring fhe globe in cenfre usi

braided silk which was pulled and held by a

assistant throughou t the procedure. A sferile 16

hypodermic needle was penefrafed from 2° clo

posifion towards centre of anferior chamber. A

soon as needle enfered info anterior chambe

most of fhe blood was drained ouf passively; f

remaining blood was aspirated by an attachi

syringe (Fig. 2). The needle was taken out carefu

and eye ball was again washed with norm

saline solufion. No blood was seen in fhe anteri

chamber (Fig. 3). However, slighf shrinkage

cornea was noticed due fo reducfion in aqueo

humor amount. The anferior chamber was n

irrigated with any solufion. However, Chawla



Kushwaha et al.

(1977) and Slatter (1993) have also advocated

surgical drainage of clot if not absorbed within 48

hours. However, Sarma (2009) treated a case of

hyphema in an elephant calf by instil lation of

medicine only and concluded that small clot not

requires any surgical intervention.

Fig.

: Accumulation of blood in anterior chamber

Fig.

3: After aspiration of blood

0 .5ml Gentamic in and 0 .5ml

examethasone was mixed in 2ml syringe and

ed beneath the conjunctiva in bulbar region.

5 ml i.m. daily for three days and eye drops

rt'' five drops daily for seven days, Atro

3-4 drops daily for five days and Neosporin-

H'' ointment applied twice a day over eyelid

margin for seven days. Atropine sulphate ey

drops (Atro drops ) preclude adhesion of corne

with iris by dilation of pupil. Animal's owner to

Fig.

2: Penetration of needle in cornea at 2°clock

position close to limbus for aspiration of blood. Note

the stay suture at upper bulbar conjunctiva

on telephone that mild corneal opacity seen a

the site of puncture which disappeared graduall

in third week after operation. The present pape

reported a case of hyphema in a bullock and it

successful management by aspiration techniqu

using 16 G hypodermic needle.

References

Chaw la, S. K., Panch bhal, V. S. and G ahlot, T. K.

2001

The special sense organs: Eye. In : Ruminant Surger

Eds by R.P. S. Tyag i and Jit

Singh,

CBS Publisher, Ne

Delhi.

P. 407.

Ismail, S.F.

1990).

Hyphema (Hyphaemia) in domest

animals. Assiut Vet Med. J. 24: 233-39.

Magrene, W.G.

1977).

Hyphema drainage. Canin

Ophthalmology. 3' Edn. Lea and Febiger, Philadelphia

p.15O.

Sarma, B.

2009).

Hyphema of an Elephant Calf. Inta

Polivet ^0:42^-22.

Siatter, D.H.

1993).

Occular emergency and trauma

In: Text of Small Animai

Surgery

Vol. 2, W. B. S aunde

Co., Philadelphia, p. 1287.

- Brand of Intas Animal Health, Ahm edabad

- Brand of Sanofi Aventis Pharma, Mumbai



Copyright of Intas Polivet is the property of Intas Polivet and its content may not be copied or emailed to

multiple sites or posted to a listserv without the copyright holder's express written permission. However, users

may print, download, or email articles for individual use.

hyphema bullock

Documents