Globe Proptosis

Proptosis of the globe typically occurs in brachycephalic breeds as a result of severe trauma to the head/neck. A thorough physical exam is essential and stabilization of more critical injuries should be a priority. The globe and corneal tissues should be cleansed and kept moist. The eye should be carefully evaluated for additional injuries. Treatment typically comprises topical and systemic antimicrobials, systemic anti-inflammatories, and systemic analgesia. Surgical globe repositioning and careful placement of a temporary tarsorrhaphy should be performed as soon as possible. Tarsorrhaphy sutures should remain in place for a minimum of two weeks and an Elizabethan collar should be used to prevent self-trauma.