Entropion of the lower eyelid. Here Dr. Osinchuk is rolling out the lower lid to see how much extra length is present to plan for a surgical correction. You can see how when the lid is at rest the hair is rubbing right on the cornea. This is painful and can lead to ulcerations.
Anesthetic safety- we take it very seriously. This is a glimpse at several of the parameters we are continually monitoring in our patients... heart rate, ECG, diastolic, systolic and mean blood pressure, oxygen saturation, respiration rate, capnography, inspired oxygen, end tidal CO2 and isoflurane... and more!
Due to the nature of ocular disease, the majority of our patients are geriatric. It is common for them to have one or multiple co-morbidities. We have advanced training in anesthesia that allows us to create custom anesthetic and medication plans to optimize everyone's safety.
What to expect when you join us for an ophthalmic assessment Island Veterinary Eye Specialist
🤓 Dr. Osinchuk pulled another spear grass from the nasolacrimal duct this week. Our poor patient had chronic discharge from the eye that was unresponsive to a steroid antibiotic drop.
Dr. O blindly explored the puncta and came out with this!!🤯
We are all so relieved for this sweet boy ❤️
We removed this foreign material from this sweethearts eye. It is a common plant material that gets lodged in pets eyes through the spring and summer.
There are a few techniques, all them them first require the application of a topical anesthetic and most pets are cooperative without any sedation:
1) hydropulsion-a steam of eye solution pulsed at the site (unsuccessful for this love bug)
2) the technique in this video- which involves a dry sterile cotton tip applied to the material with a roll and upward flick simultaneously. Replace the cotton tip to maintain friction
3) lifting with a special instrument called an Ogowa forcep.
If these are not successful the pet may be anesthetized for surgical removal but that is extremely rare in Dr Osinchuk's experience.
Are you having a hard time determining how much you have left in your eye dropper? Try this technique!
What is a Parotid Duct Transposition?!! Salivating on the eye??!
Imagine: SEVERE UNRELENTING DRY EYE. UGGGGH. Not responsive to medications. Constant squinting, discharge, and discomfort. Nobody wants this for their pet.
Pets with dry eye that is not responsive to medications are candidates for a Parotid Duct Transposition. The parotid duct extends from the parotid salivary gland into the mouth. Saliva is similar to tears in composition and in cases that fail to respond this can be a game changer.
This is a video of one of our love bug patients a few weeks after surgery. You can see we are feeding treats (one of our favorite things to do) and if you watch her eye you will see a few alligator tears spilling over. What a joy to finally see moisture on the surface of this eye!
The chronic dry eye resulted in dense pigment covering the surface of the eye like a callous. In the comments is her pre-surgery eye photo and then 5 months after surgery where we can see the pigment decreasing giving her vision back.
We are thrilled for her! 😍
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What was Carolyn getting so hyped about yesterday?!!
Glaucoma laser treatment. This is a video from the actual endoscopic laser cyclophotocoagulation surgery. On the left is the back of the iris. On the right is the ciliary processes. The laser treatment shrinks and blanches the ciliary processes. This leads to less aqueous humor production and lower pressure in the eye.
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Glaucoma treatment options!
We offer a few!
Glaucoma can be a severe and unrelenting disease. Endoscopic cyclophotocoagulation is one treatment option. For this procedure a laser with a camera attached is inserted into the eye. The ciliary body, the structure that produces the fluid that keeps the eye inflated is treated with the laser.
Our amazing technician Carolyn loves helping prolong vision with this technique.
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This pup had been struggling with eye discharge since the summer. Dr. Osinchuk sedated him, and look what she found in his nasolacrimal duct!!!!!
This video is during a keratectomy for a corneal sequestrum. The cornea in the cat is 0.55mm thick which means tiny instruments and an operating microscope are required to repair feline eyes with corneal sequestrums.
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How do you give a horse eye drops? This video was submitted to us from one of our brilliant clients who has mastered it!! She picked up the treat belt online and with a little persistence and positive reinforcement they have become experts with the technique!
Please share for all the horse owners, and caregivers!
And thank you to Chris for the video!
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