26 de set de 2014

Síndrome de Haw em Gatos

http://www.ufrgs.br/actavet/42-suple-1/CR_45.pdf
 Acta Scientiae Veterinariae, 2014. 42(Suppl 1): 45

Luis Felipe Dutra Corrêa,  Sérgio Santalucia,  Marília Teresa de Oliveira,  Fernando Wiecheteck de Souza, Virginea Heinze Pohl,  João Pedro Scusssel Feranti,  & Maurício Veloso Brun, 

 Haw’s syndrome is an uncommon but underdiagnosed disease that affects cats. It occurs due to changes in the innervation of the third eyelid causing protrusion. These changes may occur due to some change in sympathetic innervation efferent to the eye and its annexes The diagnosis is based on the instillation of sympathomimetic agents. The palliative treatment is based on the instillation of sympathomimetic agents only if the protrusion is preventing eyesight. The aim of this study is to report the clinical management of three cats with this syndrome, emphasizing its clinical, diagnostic and treatment demonstration. Three cats were referred to the Department of Ophthalmology Veterinary of the Catholic University of Rio Grande do Sul (PUCRS), two with undefi ned breeds (male and female) and a Siamese (male), aged between 2 and 4 years, with bilateral protrusion of the third eyelid. The owners reported that the animals ate well, were active and did not observe any other problems concomitantly, with the exception of diarrhea In one of the animals a week ago, but that had passed. The animals underwent a complete ophthalmologic examination where they were evaluated since the symmetry orbits until intraocular pressure, Schirmer tear test, fl uorescein test and lissamine green, without any obvious change, with values within the normal range for the species, except for the bilateral protrusion of the third eyelid was the only clinical sign present. In the fundoscopic exam no apparent changes were observed, with the optic nerve head and retinal vasculature normal for the species. All patients received instillation of 10% phenylephrine in the left eye, with total regression of the third  eyelid to its anatomical position. As it was an isolated problem, without visual or systemic  repercussions, no medication was prescribed, although the animals kept coming for revisions weekly for 60 days. After 47 days, on average, the third eyelid returned to its anatomical position.

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