Surgery: Evisceration OD

The patient was positioned in dorsal recumbency. The periocular
feathers around the right eye were plucked, and the right eye
and surrounding skin were then prepped in standard fashion with
dilute Betadine and eye wash solution. Proparacaine was not available.
A hemostat was placed to crush the tissue at the lateral canthus,
and then Stevens tenotomy scissors were used to create a lateral
canthotomy. A stab incision was made in the perilimbal cornea
with a 65-Beaver blade, and the entire cornea was then removed
by sharply dissecting it from the limbus using curved Wescott
tenotomy scissors. The uveal and retinal tissue was then bluntly
dissected from the sclera using a cyclodialysis spatula, and
the lens and vitreous were removed with cotton-tipped applicators.
The scleral shell was then copiously flushed twice with dilute
Betadine. No remaining intraocular structures were observed,
and the scleral wall was found to be unremarkable. Some of the
ventral palpebral conjunctiva was removed with Wescott tenotomy
scissors, but no attempt was made to ensure complete removal
of the conjunctival tissues. The eyelid margins were excised
with Stevens tenotomy scissors. Closure was performed in two
layers using 5-0 Vicryl in a simple continuous pattern in the
SQ and an intradermal pattern in the skin. No complications occurred
intraoperatively. 

Surgeon: Czepiel

The site of the open metacarpal fracture along the ventral R
wing was aseptically prepared with dilute betadine.  The sharp
bone edge was pale grey and of questionable viability. There
was also concern for being able to close the site over this protruding
piece of bone. Therefore, the sharp protruding portion of bone
was debrided with rongeurs and briefly filed with a rasp to smooth
the edges. The surrounding skin was freed/elevated. The wound
was apposed with 5-0 PDS, using catheter tubing to alleviate
skin tension on one of the sutures. Omnicide wound gel was applied
and the area was covered with a tegaderm+pad, SAM splint, and
wing-to-body wrap. AMS