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What does pannus look like?

Pannus appears as a grayish-pink film on the eye, and as the disease progresses, the cornea becomes opaque. It most often affects both eyes. While the exact causes that lead to pannus are not fully understood, there are some factors that can contribute to disease: Exposure to airborne irritants.

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Overview

Pannus, also known as chronic superficial keratitis, is a condition affecting the cornea and third eyelid of a dog’s eye(s). Pannus appears as a grayish-pink film on the eye, and as the disease progresses, the cornea becomes opaque. It most often affects both eyes. While the exact causes that lead to pannus are not fully understood, there are some factors that can contribute to disease:

Exposure to airborne irritants

Eyelashes that turn inward (entropion)

High altitudes

Being exposed to large amounts of direct sunlight

Immune-mediated inflammation

Underlying eye conditions

German shepherds and Belgian Tervurens have the highest rate of prevalence for pannus, but it may occur in any breed or mix of breeds.

Symptoms

If your pooch develops pannus, you may see the following symptoms:

A grayish-pink film on the eye(s)

Redness and tearing

Cornea pigmentation (dark brown)

Opacity of cornea

Diagnosis

A separate visit to a veterinary ophthalmologist, who specializes in eye diseases

A Schirmer Tear Test to measure tear production

Fluorescent staining of the eye to rule out an ulceration of the eye Cytology (microscopic evaluation of cells) on samples obtained by “scraping” the cornea and/or lining of the eye (coniunctiva). Blood tests may be recommended to determine the underlying cause. These may include: Chemistry tests to evaluate kidney, liver, and pancreatic disease and function, as well as sugar levels A complete blood count to rule out infection, inflammation, anemia, and other conditions

Sceening tests to rule out infectious disease, such as Lyme disease

Specialty tests: cultures and PCR testing

Treatment

Pannus typically requires lifelong treatment, but most cases respond reasonably well with good owner compliance and regular monitoring by a veterinarian. Treatment often includes the use of topical corticosteroids and other eye medications. In extreme cases, surgery or radiation therapy may be used. Dogs with pannus require ongoing medication to prevent the eye lesions from returning. They also need to receive regular eye exams to identify if any flare-ups occur, once the pannus is under control.

Prevention

While the cause of pannus can vary, two environmental factors are known to contribute to its taking root:

Altitude

Exposure to bright sunlight

While you may not be able to move to a lower altitude, you can manage the amount of sunlight your best friend is exposed to, if your veterinarian thinks your pet is at risk. If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.

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What is the recovery like from a Panniculectomy?

You should avoid strenuous activity and anything that makes you strain for 4 to 6 weeks. You will probably be able to return to work in about 4 weeks. It takes about 3 months for swelling to go down and wounds to heal. But it can take up to 2 years to see the final results of the surgery and for scars to fade.

You will need to stay at hospital for about two days after the surgery. You may need to stay longer if your surgery is more complex. After you recover from the anesthesia, you will be asked to get up to walk a few steps. You will have pain and swelling for days after surgery. Your doctor will give you pain killers to help relieve the pain. You may also experience numbness, bruising, and tiredness during that time. It may help to rest with your legs and hips bent during recovery to reduce pressure on your abdomen. After a day or so, your doctor may have you wear an elastic support, like a girdle, to provide extra support while you heal. You should avoid strenuous activity and anything that makes you strain for 4 to 6 weeks. You will probably be able to return to work in about 4 weeks. It takes about 3 months for swelling to go down and wounds to heal. But it can take up to 2 years to see the final results of the surgery and for scars to fade.

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