This 6 year old female ‘sight hound’ presented with an acutely painful R eye. Her symptoms included: exophthalmos; swollen eyelid; lid spasm and profuse ocular discharge.
Following the induction of general anaesthesia the eye and adnexa were examined. Damage to the conjunctiva was noted and a hole explored. This revealed the shown wooden foreign body. Swabs were used to pack the oropharynx and prevent fluid from entering the airway or GIT. After this a drainage tract was established from the oral cavity to the ventral orbital floor and flushed with 200mls of 0.05% povidone / iodine solution. Finally, partial temporary tarhsorrhaphy was performed to help counter-act problems associated with exophthalmos.
Post op care involved topical ocular lubricants (to lessen the risk of exposure keratitis) with oral antibotics and NSAID’s. Recovery was uneventful and the picture shows her 10d post surgery prior to having the temporary tarhsorrhapy suture removed. A satisfying case with excellent recovery from the R eye pain.