A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)

Brachycephalic breeds have increased in popularity despite growing awareness of their predisposition to a wide range of conformation-related diseases. The extreme facial conformation of many popular brachycephalic breeds compromises their ocular surface health, increasing the risk of painful corneal...

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Main Authors: Amy L. M. M. Andrews, Katie L. Youngman, Rowena M. A. Packer, Dan G. O’Neill, Christiane Kafarnik
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/13/12/2032
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author Amy L. M. M. Andrews
Katie L. Youngman
Rowena M. A. Packer
Dan G. O’Neill
Christiane Kafarnik
author_facet Amy L. M. M. Andrews
Katie L. Youngman
Rowena M. A. Packer
Dan G. O’Neill
Christiane Kafarnik
author_sort Amy L. M. M. Andrews
collection DOAJ
description Brachycephalic breeds have increased in popularity despite growing awareness of their predisposition to a wide range of conformation-related diseases. The extreme facial conformation of many popular brachycephalic breeds compromises their ocular surface health, increasing the risk of painful corneal ulceration. Medial canthoplasty (MC) is a surgical procedure to address ocular abnormalities in brachycephalic dogs, which are collectively referred to as brachycephalic ocular syndrome (BOS). This study retrospectively reviewed the records of dogs recommended MC at a referral hospital between 2016 and 2021. A questionnaire was designed to identify owners’ perceptions pre- and post-operatively. From 271 brachycephalic dogs recommended MC, 43.5% (118/271) underwent surgery and 72.0% (85/118) were Pugs. The majority of dogs (73.7%, 87/118) that underwent surgery had current or historical corneal ulceration. Follow-up was available in 104 dogs, of which 5.7% (6/104) had corneal ulceration post-operatively. Sixty-four owners completed the questionnaire and reported post-operative corneal ulceration in 12.5% of dogs (8/64), reduced ocular discharge (70.8%, 34/48), reduced ocular irritation (67.7%, 21/31) and less periocular cleaning (52.5%, 32/61). Owners were satisfied with the clinical (85.9%, 55/64) and cosmetic (87.5%, 56/64) outcome. In conclusion, MC has high clinical relevance for the surgical management of BOS, restoring functional conformation and improving the quality of life of affected dogs.
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spelling doaj.art-d6bcd7524ae44cb8bb2baa77631812692023-11-18T08:59:38ZengMDPI AGAnimals2076-26152023-06-011312203210.3390/ani13122032A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)Amy L. M. M. Andrews0Katie L. Youngman1Rowena M. A. Packer2Dan G. O’Neill3Christiane Kafarnik4Queen Mother Hospital for Animals, The Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, Hertfordshire, UKQueen Mother Hospital for Animals, The Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, Hertfordshire, UKDepartment of Clinical Science and Services, The Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, Hertfordshire, UKDepartment of Pathobiology and Population Sciences, The Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, Hertfordshire, UKQueen Mother Hospital for Animals, The Royal Veterinary College, Hawkshead Lane, Hatfield AL9 7TA, Hertfordshire, UKBrachycephalic breeds have increased in popularity despite growing awareness of their predisposition to a wide range of conformation-related diseases. The extreme facial conformation of many popular brachycephalic breeds compromises their ocular surface health, increasing the risk of painful corneal ulceration. Medial canthoplasty (MC) is a surgical procedure to address ocular abnormalities in brachycephalic dogs, which are collectively referred to as brachycephalic ocular syndrome (BOS). This study retrospectively reviewed the records of dogs recommended MC at a referral hospital between 2016 and 2021. A questionnaire was designed to identify owners’ perceptions pre- and post-operatively. From 271 brachycephalic dogs recommended MC, 43.5% (118/271) underwent surgery and 72.0% (85/118) were Pugs. The majority of dogs (73.7%, 87/118) that underwent surgery had current or historical corneal ulceration. Follow-up was available in 104 dogs, of which 5.7% (6/104) had corneal ulceration post-operatively. Sixty-four owners completed the questionnaire and reported post-operative corneal ulceration in 12.5% of dogs (8/64), reduced ocular discharge (70.8%, 34/48), reduced ocular irritation (67.7%, 21/31) and less periocular cleaning (52.5%, 32/61). Owners were satisfied with the clinical (85.9%, 55/64) and cosmetic (87.5%, 56/64) outcome. In conclusion, MC has high clinical relevance for the surgical management of BOS, restoring functional conformation and improving the quality of life of affected dogs.https://www.mdpi.com/2076-2615/13/12/2032brachycephalic breedsbrachycephalic ocular syndromecorneal ulcerationmedial canthoplastyPug
spellingShingle Amy L. M. M. Andrews
Katie L. Youngman
Rowena M. A. Packer
Dan G. O’Neill
Christiane Kafarnik
A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
Animals
brachycephalic breeds
brachycephalic ocular syndrome
corneal ulceration
medial canthoplasty
Pug
title A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
title_full A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
title_fullStr A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
title_full_unstemmed A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
title_short A Review of Clinical Outcomes, Owner Understanding and Satisfaction following Medial Canthoplasty in Brachycephalic Dogs in a UK Referral Setting (2016–2021)
title_sort review of clinical outcomes owner understanding and satisfaction following medial canthoplasty in brachycephalic dogs in a uk referral setting 2016 2021
topic brachycephalic breeds
brachycephalic ocular syndrome
corneal ulceration
medial canthoplasty
Pug
url https://www.mdpi.com/2076-2615/13/12/2032
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