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題名 | Case Report: Exophthalmos and Third Eyelid Protrusion Caused by Zygomatic Mucocele in a Shih Tzu=病例報告:於西施犬之顴骨腺唾液囊腫導致第三眼瞼脫出與凸眼 |
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作者 | 謝佳紜; 劉振軒; 葉力森; 林中天; | 書刊名 | 臺灣獸醫學雜誌 |
卷期 | 33:1 2007.03[民96.03] |
頁次 | 頁30-34 |
分類號 | 437.24 |
關鍵詞 | 凸眼; 第三眼瞼脫出; 顴骨腺唾液囊腫; Exophthalmos; Third eyelid protrusion; Zygomatic mucocele; |
語文 | 英文(English) |
中文摘要 | 凸眼在小動物臨床上是個常見的眼科症状,但是診断致病的病因却是一項挑戰。本病例爲一隻四歲未去势的西施公犬,由於在地方醫院做完第三眼瞼手術後,又腹癸第三眼瞼脱出而前来就診。眼科檢查發現右眼第三眼瞼脱出、眼球凸出與右侧頭部腫大。第三眼瞼探查發現内有黏液樣物鬓由第三眼瞼基部穿出。第三眼瞼生檢結果爲慢性炎症反應。之後再進行右侧頭部眼後探查手術,發現大量黏液樣分泌物堆積在内,细胞學檢查發现上皮细胞、白血球以及嗜酸性黏液物夏質。右侧眼後組織之組織病理學結果爲慢性炎症反應,並無腫瘤組織,故確診爲由右侧颧骨腺唾液囊腫造成之第三眼瞼脱出以及凸眼。探查手術後三年亦無發之現象。 |
英文摘要 | Exophthalmos is a common ocular symptom seen in small animal practices. However, the identification of the etiology of exophthalmos is usually a challenge task. A 4 years old, intact, male Shih Tzu was presented with a history of recurred third eyelid protrusion of right eye (OD) following third eyelid surgery at a local veterinary clinic. Ophthalmological examination revealed an exophthalmos, protruded third eyelid, and a gradually enlarged swelling in the right temporal area of the head. Third eyelid biopsy revealed mucus-like materials from the base of the third eyelid. Pathological diagnosis of the third eyelid was chronic inflammation. Exploratory surgery for retrobulbar region of OD eye and right temporal head was performed. A large amount of sticky mucoid secretion was observed extensively in the OD retrobulbar and peribulbar areas. Cytologic evaluation of the aspirated materials showed salivary secretion with epithelial cells, white blood cells and eosinophilic mucinous materials. Histologic examination revealed chronic inflammation of OD retrobulbar tissues without neoplastic tissue noted, suggesting a mucocele. OD third eyelid protrusion and exophthalmos caused by zygomatic mucocele were diagnosed. There has been no swelling recurrence in the head following the exploratory surgery and drainage in a period of 3-year follow-up. |
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