Monday, April 11, 2011

Traditional Persian Cat Clinical Evolution

Entropion is defined as the inward rolling of the eyelid margin in which the eyelashes and eyelid hair (frequently the lower lateral lid) rub the cornea. Etiologies may be congenital, spastic, or cicatricial. This condition usually causes epiphora, blepharospasm, photophobia, conjunctivitis, purulent discharge, corneal vascularization, pigmentation and ulceration, if not surgically treated. Congenital entropion commonly affects dogs and is frequently hereditary in some breeds, whereas cats are uncommonly affected. A predilection for the Traditional Persian Cat breed to present primary entropion has been suggested. The authors report two cases of entropion in Traditional Persian Cat referred to the Ophthalmology Section of Veterinary College of São Paulo State University UNESP, Jaboticabal SP / Brazil. First case: a male Traditional Persian Cat, 2 years old, with a history of bilateral ocular irritation and purulent discharge for 8 months. Ophthalmic examination revealed epiphora, blepharospasm, photophobia, bilateral entropion affecting the whole length of the lower eyelids, conjunctivitis and purulent discharge.

Traditional Persian Cat

Male Traditional Persian Cat, one year old, with the history of bilateral ocular irritation and purulent discharge for 3 weeks. At the ophthalmic examination the animal presented epiphora, blepharospasm, photophobia, severe bilateral entropion affecting the whole length of the lower eyelids, conjunctivitis, purulent discharge, corneal vascularization, superficial ulceration, and edema. Clinical signs were more evident due to ocular pain caused by corneal ulceration. After topical anaesthesia the eyelid defect also persisted. Modified Holtz-Celsus and grid keratotomy  procedures were performed. The length and width of the lower eyelid skin-muscle resection were similar to the first case. Postoperative treatment consisted of topical application of 0,5 to 1cm of ophthalmic ointment placed over the surgical wounds and into the conjunctival sac of each eye at intervals of 8 hours during 10 days and use of an Elizabethan collar.

Traditional Persian Cat

Second case: a male Traditional Persian Cat, 1 year old, with a history of bilateral ocular irritation and purulent discharge for 3 weeks. At ophthalmic examination the animal was presenting epiphora, blepharospasm, photophobia, bilateral entropion affecting the whole length of the lower lids, conjunctivitis, purulent discharge, corneal vascularization, superficial ulceration and edema. The entropion persisted after topical anaestesia in both cats. Surgical treatment was similar in both cases, based on the modified Holtz-Celsus procedure. Grid keratotomy procedure was also performed in the
second case. Both cats had a satisfactory clinic evolution which was confirmed few days after surgery.

Traditional Persian Cat Clinical evolution of both cases were observed at 1, 15, 30, 45 and 60 days following surgery. Both cats had satisfactory clinical evolution confirmed 15 days after surgery. The eyelid margins restored normal relationship to the globe and normal palpebral fissure with no sign of ocular irritation There are information that suggest the predilection for Traditional Persian Cat breed to present primary entropion. Considering our casuistry, these two cases make this predilection evident. STADES et al observed in breeds frequently affected, such as the Bouvier des Flandres, Labrador and Golden Retriever, and Traditional Persian Cat, a longer mean of palpebral fissure lenght. This observation agreed with the great amount of inrolled eyelids showed at the ophthalmic
examination of the cases here presented.

Traditional Persian Cat

 The modified Holtz Celsus technique was easily performed and effective for correting feline entropion, which was verified 15 days after surgery. Both cases may be considered primary feline entropion, although this type of structural defect rarely occurs in Traditional Persian. The chronic blepharospasm and ocular irritation was induced by the entropion, considering that both Traditional Persian in this study had no history of trauma or overt abnormalities to account for the abnormal eyelids. In addiction, the entropion persisted after topical anaesthesia and relief of the blepharospastic component of entropion. The painful ocular disease increased spastic blepharospasm and ocular irritation. The resulting corneal ulceration in the second case accentuated severity of blepharospasm.