phenylephrine-hydrochloride and Corneal-Ulcer

This case report describes ocular and nasal leech infestation (hirudiniasis) in a dog. The patient presented for a suspected ocular foreign body. The patient was sedated to allow proper examination, which revealed a leech foreign body attached to the bulbar conjunctiva adjacent to the inferotemporal limbus of the left eye. A 3.5% hypertonic saline solution was applied topically to the eye in four sequential drops, until the leech detached itself and was removed with a cotton bud. The affected eye was found to have a small corneal ulcer, a small area of scleral haemorrhage, and prominent lymphoid follicles within the third eyelid. Approximately 5 min after the leech was removed, another leech emerged from the left nostril. The patient was sent home on chloramphenicol ointment for treatment of the corneal ulcer, was rechecked 4 days later by an American Board of Veterinary Ophthalmology resident (PM) and found to have a normal ocular exam. This case report highlights that topical hypertonic saline solution (3.5%) can be an effective and easily prepared treatment for ocular and nasal hirudiniasis in veterinary patients.

Topics: Animals; Corneal Ulcer; Dog Diseases; Dogs; Eye; Foreign Bodies; Nose; Saline Solution, Hypertonic

Topics: Corneal Ulcer; Corticosterone; Cryosurgery; Eyelids; Follow-Up Studies; Hot Temperature; Humans; Idoxuridine; Iritis; Keratitis, Dendritic; Lip; Nose; Postoperative Complications; Prednisone; Time Factors; Uveitis, Anterior; Wound Healing