One interesting aspect of this case was the client communication issues that occurred. The client was concerned from the first
presentation to her regular veterinarian that her dog was in severe pain and that the incisions were not healing properly.
She did not feel that her concerns were being properly addressed.
Perhaps when the surgery did not yield optimal results, the client should have been better informed and the dog referred to
a veterinary ophthalmologist to evaluate the situation and make recommendations. Not only is full disclosure of medical errors
the ethically correct course of action, it has been shown to result in the most favorable outcomes.10-12
This case serves as a reminder that even the most common procedures can have complications. The likelihood of complications
can be minimized with careful patient evaluation, selection of the correct surgical technique, meticulous surgery, and proper
postoperative management. When mistakes do occur, the client-veterinarian relationship may be salvaged with honesty and open
This case report was provided by Juliet R. Gionfriddo, DVM, MS, DACVO, and Julie Yeager, DVM, Department of Clinical Sciences,
College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO 80523.
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