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It was soon apparent that she had developed traumatic uveitis.
The most striking symptom in association with the redness
and blepharospasm (blinking) is the constricted pupil. The
presence of this clinical sign alerts us to the possibility
of more serious consequences than a more straightforward
conjunctivitis.
The pupil appears very small compared to the other normal
eye because the iris muscle has become inflamed and swollen.
In the same manner that an athlete should have massage
and physiotherapy on a "muscle strain" certain
drugs are used in the eye to both minimise the swelling
and stretch the iris muscle to prevent any permanent scarring
or adhesions.
Fortunately, for Fudge there was no evidence of any bleeding
within the eye chamber which can significantly affect the
final outcome. Despite our initial concerns with this active
patient her longterm prognosis is excellent allowing her
to fully recover from this particular episode. However,
we will be keeping her admission's form handy......until
the next time!
Terry
Dunne BVMS, Cert SAO, MRCVS
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