An early morning call came from a client who reported one of their horses had a huge laceration around and possibly involving the horses eye. Thia was an emergency due to the clients description of the laceration and possible involvement with the eye..
Upon arrival at the farm, a severe laceration was found medial to the right eye. It was in a “L” formation and upon exam it was discovered to have torn down to bone and involved some of the musculature behind the eye. A floracein eye stain was placed in the eye to determine if any injury to the eye itself had occurred. The stain was negative, fortunately the eye was normal. The horse was sedated and the wound area clipped and scrubbed. The wound was lavaged and surgically debrided. It was necessary to remove a portion of the cartilage at the orbital rim. As a precautionary measure ointment was placed in the eye and the process of suturing the area was begun. The wound was closed with 2 layers of sutures. A drain was also put in place to allow any excess secretions to freely exit the area. Banamine was administered and SMZ antibiotics were started.
The owner was instructed to apply hot compress to the area 1 to 2 times a day. In addition the area was to be cleaned daily as well as keeping the drain open. Triple antibiotic ointment was to be applied daily under the wound site. The horse was to received SMZ twice a day and oral Banamine given for pain and to help with inflammation.
On recheck 5 days later the wound had begun to granulate. The wound was cleaned and lavaged. A gauze soaked with betadine was packed into the pocketed area where bone could be visualized. Several recheck exams for suture removal and further debriding of the area were necessary.
Thanks to the owners dedication and compliance with aftercare instructions after approximately 8 weeks only a slight scar remains.