Use of subdermal hyaluronic acid injections and a free labial mucocutaneous graft for the repair of feline eyelid agenesis

Objective To describe a technique to repair feline eyelid agenesis using a hyaluronic acid (HA) subdermal filler injection to allow for acute soft tissue expansion, followed by a free labial mucocutaneous graft. Materials and methods Thirty‐nine colobomatous eyelids in 24 feline patients with second...

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Bibliographic Details
Published in:Veterinary ophthalmology 2022-05, Vol.25 (3), p.209-218
Main Authors: Caruso, Kelly A, Reynolds, Benjamin D, Whittaker, Cameron J, Smith, Jeffrey S, Irving, William M, McCarthy, Paul G, Hamzianpour, Negar, Boo, Gladys
Format: Article
Language:English
Subjects:
Animals
Cat Diseases - drug therapy
Cat Diseases - surgery
Cats
Coloboma - veterinary
Eyelids - abnormalities
Eyelids - surgery
feline eyelid agenesis
free graft
hyaluronic acid
Hyaluronic Acid - therapeutic use
Keratitis - veterinary
ophthalmology
Restylane
surgery
Trichiasis - veterinary
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Summary:Objective To describe a technique to repair feline eyelid agenesis using a hyaluronic acid (HA) subdermal filler injection to allow for acute soft tissue expansion, followed by a free labial mucocutaneous graft. Materials and methods Thirty‐nine colobomatous eyelids in 24 feline patients with secondary keratitis were recruited to the study group. Results Keratitis and trichiasis were markedly resolved in 27/39 (69.2%) eyelids after a single procedure. Post‐operative HA subdermal filler injections were required to resolve 5/39 (12.8%) eyelids that had mild post‐operative trichiasis, and 1/39 (2.5%) eyelids that had post‐operative lateral canthal collapse. Complications occurred in 6/39 (15.4%) cases, consisting of distal graft necrosis (n = 2 eyes), suture rubbing the cornea (n = 2 eyes), moderate trichiasis (n = 1 eye) and graft adherence to the episclera (n = 1 eye). Conclusion The technique was successful in enhancing corneal protection, cosmesis and eyelid function and should be considered as a surgical option for any degree of eyelid agenesis in feline patients.
ISSN:1463-5216
1463-5224
DOI:10.1111/vop.12963