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Evaluation of one‐ vs. two‐layered closure after wedge excision of 43 eyelid tumors in dogs
Author(s) -
Romkes Gwendolyna,
Klopfleisch Robert,
Eule Johanna Corinna
Publication year - 2014
Publication title -
veterinary ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.594
H-Index - 50
eISSN - 1463-5224
pISSN - 1463-5216
DOI - 10.1111/vop.12033
Subject(s) - eyelid , meibomian gland , medicine , ophthalmology , surgery , wound closure , schirmer test , wound healing , dry eyes
Objective The aim was to evaluate how two closure techniques after full‐thickness V‐shaped excision relate to wound recovery and how these techniques affect eyelid function and stability of the preocular tear film. Animals studied Thirty‐eight dogs with 43 eyelid tumors involving <25% of eyelid margin length were included in a prospective randomized trial. Procedures The method for wound closure was chosen randomly before the operation. In group A ( n = 20), the wound was closed in one layer and in group B ( n = 23) in two layers. The wound and eyelid structure were directly evaluated by slit‐lamp biomicroscopy several times postoperatively. Eyelid function was indirectly evaluated by interferometry, noninvasive tear film breakup time (n TFBUT ), and S chirmer's tear test at the last examination, 5 weeks to 19 months postoperatively. Results No significant differences were found in group A vs. B although slightly more cases with perfect alignment of the eyelid were seen in group B. In both groups, neither slit‐lamp biomicroscopy, interferometry, n TFBUT , nor S chirmer's tear test revealed negative influence on the eyelid function by the previous surgery. Histologically, 29 of 32 tumors were diagnosed as meibomian gland adenomas. Conclusions These results do not demonstrate a significant difference in wound recovery, eyelid structure, and function after wound closure in 1 vs. 2 layers.