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Phacoemulsification for the treatment of diabetic cataracts in a Pug

dc.contributor.authorLoPinto, Alexander
dc.date.accessioned2013-05-20T16:30:27Z
dc.date.available2013-05-20T16:30:27Z
dc.date.issued2013-02-27
dc.description.abstractCataracts are a relatively common blinding complication of diabetes mellitus in dogs. The pathophysiology of diabetic cataracts involves a persistent hyperglycemia that overwhelms the lens’ glycolysis pathway, resulting in shunting of glucose into the sorbitol pathway via the enzyme aldose reductase. Sorbitol cannot diffuse out of the lens, thus creating a hyperosmotic effect that leads to swelling. This swelling is associated with alterations in lenticular electrolyte levels, increased membrane permeability, and the formation of water clefts and vacuoles. As this process continues, an irreversible cataract eventually forms. Since the cataracts are often rapid onset with increased lens volume, there is an increased risk of lens capsule leakage, which results in phacolytic uveitis (intraocular inflammation that is induced by lens proteins). Occasionally, the lens capsule can actually rupture, leading to another form of lens-induced uveitis called phacoclastic uveitis. Treatment of cataracts involves surgery, with the most commonly performed procedure being phacoemulsification followed by the implantation of artificial intraocular lenses. Prognosis for sight after treatment is overall very good with atraumatic surgery if there are no active pre-operative secondary complications (i.e. lens-induced uveitis) and if a strict post-operative treatment protocol is followed.en_US
dc.identifier.urihttps://hdl.handle.net/1813/33276
dc.language.isoen_USen_US
dc.relation.ispartofseriesSenior seminar paper
dc.relation.ispartofseriesSeminar SF601.1 2013
dc.subjectDogs -- Diseases -- Treatment -- Case studiesen_US
dc.subjectDogs -- Surgery -- Case studiesen_US
dc.titlePhacoemulsification for the treatment of diabetic cataracts in a Pugen_US
dc.typeterm paperen_US

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