Clinical Exposures: Palpebral reconstruction after entropion surgery in a dog - Veterinary Medicine
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Clinical Exposures: Palpebral reconstruction after entropion surgery in a dog


VETERINARY MEDICINE


Client communication

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

CONCLUSION

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 communication.

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.

REFERENCES

1. Severin GA. Severin's veterinary ophthalmology notes. 3rd ed. Fort Collins, Colo: Severin Press, 1995;188-196.

2. Crispin SM. Notes on veterinary ophthalmology. Ames, Iowa: Wiley-Blackwell, 2005;81-86.

3. Moore CP, Constantinescu GM. Surgery of the adnexa. Vet Clin North Am Small Anim Pract 1997;27(5):1011-1066.

4. Bedford PG. Diseases and surgery of the canine eyelids. In: Gelatt KN, ed. Veterinary ophthalmology. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 1999;535-582.

5. Miller WW, Albert RA. Canine entropion. Compend Contin Educ Pract Vet 1988;10:431-436.

6. Van der Woerdt A. Adnexal surgery in dogs and cats. Vet Ophthalmol 2004;7(5):284-290.

7. Lackner PA. Techniques for surgical correction of adnexal disease. Clin Tech Small Anim Pract 2001;16(1):40-50.

8. Stades FC. A new method for surgical correction of upper eyelid trichiasis-entropion: operation method. J Am Anim Hosp Assoc 1987;23:603-606.

9. Stades FC, Boeve MH. Surgical correction for upper eyelid trichiasis-entropion: results and follow-up in 55 eyes. J Am Anim Hosp Assoc 1987;23:607-610.

10. Silverman J, Kurtz SM, Draper J. Skills for communicating with patients. 2nd ed. Oxford, England: Radcliffe Medical Press, 2005;117-140.

11. Shaw JR, Adams CL, Bonnett BN. What can veterinarians learn from studies of physician-patient communication about veterinarian-client-patient communication? J Am Vet Med Assoc 2004;224(5):676-684.

12. Mazor KM, Reed GW, Yood RA. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med 2006;21(7):704-710.


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Source: VETERINARY MEDICINE,
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