{"id":19077,"date":"2026-09-24T12:30:03","date_gmt":"2026-09-24T04:30:03","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=19077"},"modified":"2026-09-24T12:30:03","modified_gmt":"2026-09-24T04:30:03","slug":"managing-canine-glaucoma-transscleral-ciliary-barriers","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/ar\/managing-canine-glaucoma-transscleral-ciliary-barriers.html","title":{"rendered":"\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u062c\u0644\u0648\u0643\u0648\u0645\u0627 \u0627\u0644\u0643\u0644\u0628\u064a: \u0627\u0644\u062d\u0648\u0627\u062c\u0632 \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629"},"content":{"rendered":"<p class=\"wp-block-paragraph\">Selective microvascular coagulation and targeted fluid evacuation shutdown aqueous secretion while gated duty cycle pulsing prevents scleral collagen denaturation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A nine-year-old Basset Hound arrives at the veterinary ophthalmology suite with head pressing, unilateral blepharospasm, and violent trembling on the left side of its face. The left eye exhibits prominent buphthalmia, dark venous engorgement along the episcleral vessels, a completely diffuse steamy corneal haze, and a fixed, dilated pupil. TonoVet rebound tonometry confirms an intraocular pressure of 64 millimeters of mercury. Immediate medical stabilization fails: three consecutive rounds of topical latanoprost, dorzolamide-timolol combinations, and intravenous mannitol reduce intraocular pressure down to only 48 mmHg before pressure rebounds, exposing the retina to irreversible ischemic damage. The owner is paralyzed by the sudden recommendation of enucleation, yet alternative options like cyclocryotherapy carry notorious risks of chronic anterior uveitis, severe postoperative hypotony, and corneal necrosis. The surgical team faces a clear clinical obstacle: ablate the secretory ciliary body non-invasively through an intact ocular wall without burning the scleral collagen or causing globe perforation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halting aqueous humor hypersecretion requires overcoming the steep optical attenuation curve of the canine scleral coat. The fibrous sclera is an opaque matrix of dense, interweaving type-I collagen lamellae surrounded by hydrated glycosaminoglycans, creating massive forward and lateral Mie scattering. When high-intensity photons pass across the perilimbal margin, superficial light energy disperses rapidly across white scleral tissue, failing to achieve target fluence at the pigmented ciliary epithelium. Without direct energy absorption inside the vascular core of the ciliary processes, carbonic anhydrase-driven aqueous fluid production continues uninterrupted. Applying high-intensity Class 4 multi-wavelength protocols resolves this physical delivery bottleneck, turning dog glaucoma treatment into a predictable, sight-preserving procedure that lowers intraocular pressure while preserving the structural integrity of the globe.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Optical Extinction Across Scleral And Ciliary Architecture<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Transscleral photon delivery into the canine ciliary body involves intense optical resistance. Unlike clear intraocular media such as the cornea and aqueous humor, the sclera acts as an opaque, light-reflecting barrier. Photons must traverse the bulbar conjunctiva, episclera, and the entire thickness of fibrous scleral lamellae before striking the pigmented ciliary stroma.<\/p>\n\n\n\n<pre class=\"wp-block-code\"><code>&#091;Incident High-Intensity Transscleral Probe]\n                       \u2502\n                       \u25bc (Specular Reflection &amp; Conjunctival Scatter)\n         &#091;Bulbar Conjunctival &amp; Tenon Capsule]\n                       \u2502\n                       \u25bc (Mie Scattering in Interwoven Scleral Collagen)\n         &#091;Fibrous Scleral Lamellar Matrix]\n                       \u2502\n                       \u25bc (Targeted Absorption in Melanin &amp; Hemoglobin)\n         &#091;Pigmented Ciliary Body Stroma]\n                       \u2502\n                       \u25bc (Photothermal Coagulation &gt; Secretory Arrest)\n         &#091;Non-Pigmented Ciliary Epithelium &amp; Capillary Tufts]\n<\/code><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\">Low-level modalities disperse within outer conjunctival margins, converting light into superficial warmth without altering the ciliary architecture. To shut down active aqueous humor secretion, photon density must reach therapeutic thresholds within the pars plicata and ciliary processes. Executing effective canine glaucoma treatment requires matching tissue-specific chromophores to deep ciliary vessels rather than relying on diffuse external heating.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0637\u0644\u0628 \u062a\u062c\u0627\u0648\u0632 \u0627\u0644\u062d\u0648\u0627\u062c\u0632 \u0627\u0644\u0644\u064a\u0641\u064a\u0629 \u0627\u0644\u0637\u0628\u0642\u064a\u0629 \u062a\u0648\u0635\u064a\u0644 \u0627\u0644\u0637\u0627\u0642\u0629 \u0641\u064a \u0648\u0642\u062a \u0648\u0627\u062d\u062f \u0639\u0628\u0631 \u0642\u0645\u0645 \u0637\u064a\u0641\u064a\u0629 \u0645\u062a\u0643\u0627\u0645\u0644\u0629. \u0648\u062a\u062a\u064a\u062d \u0645\u0632\u0627\u0645\u0646\u0629 \u0627\u0644\u0637\u0648\u0644\u064a\u0646 \u0627\u0644\u0645\u0648\u062c\u064a\u064a\u0646 \u0644\u0644\u0623\u0637\u0628\u0627\u0621 \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u062a\u062e\u062b\u064a\u0631 \u0627\u0644\u0636\u0648\u0626\u064a \u0644\u0644\u0623\u0648\u0639\u064a\u0629 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\u0627\u0644\u0623\u0633\u0627\u0633\u064a\u0629\n-----------------------------------------------------------------------------------------\n\u062e\u0635\u0644\u0627\u062a \u0627\u0644\u0634\u0639\u064a\u0631\u0627\u062a \u0627\u0644\u0647\u062f\u0628\u064a\u0629 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \u0627\u0633\u062a\u0647\u062f\u0627\u0641 \u0627\u0644\u0647\u064a\u0645\u0648\u062c\u0644\u0648\u0628\u064a\u0646\u060c \u062a\u062c\u0644\u0637 \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629 \u0627\u0644\u062f\u0642\u064a\u0642\u0629\n\u0627\u0644\u0644\u062d\u0645\u0629 \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0627\u0644\u062e\u0644\u0627\u0644\u064a\u0629   1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \u0627\u0644\u0631\u0646\u064a\u0646 \u0627\u0644\u0627\u0646\u062a\u0642\u0627\u0626\u064a \u0644\u0644\u0645\u0627\u0621\u060c \u0627\u0646\u0643\u0645\u0627\u0634 \u0627\u0644\u0644\u062d\u0645\u0629\n\u0637\u0628\u0642\u0629 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\u0627\u0644\u0635\u0644\u0628\u0629 \u0648\u0627\u0644\u062d\u0631\u0648\u0642)\n\n\u062f\u0648\u0631\u0629 \u062a\u0634\u063a\u064a\u0644 \u062f\u064a\u0646\u0627\u0645\u064a\u0643\u064a\u0629 \u0645\u062d\u062f\u062f\u0629 (\u062a\u0628\u0631\u064a\u062f \u0645\u0646\u0638\u0645 \u0644\u0644\u0635\u0644\u0628\u0629):\n\u0627\u0644\u0637\u0627\u0642\u0629 \u250c\u2500\u2500\u2500\u2510    \u250c\u2500\u2500\u2500\u2510    \u250c\u2500\u2500\u2500\u2510    \u250c\u2500\u2500\u2500\u2510    \u250c\u2500\u2500\u2500\u2510\n      \u2502   \u2502    \u2502   \u2502    \u2502   \u2502    \u2502   \u2502    \u2502   \u2502   (\u062a\u062c\u0644\u0637 \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0627\u0644\u0639\u0645\u064a\u0642 \/ \u0639\u062f\u0645 \u062d\u062f\u0648\u062b \u062d\u0631\u0648\u0642)\n\u0627\u0644\u0642\u0627\u0639\u062f\u0629  \u2518   \u2514\u2500\u2500\u2500\u2500\u2518   \u2514\u2500\u2500\u2500\u2500\u2518   \u2514\u2500\u2500\u2500\u2500\u2518   \u2514\u2500\u2500\u2500\u2500\u2518   \u2514\u2500\u2500\u2500\u2500\n |\u062a\u0648\u0646|    \u062a\u0648\u0648\u0641     |\n<\/code><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\">\u0648\u0646\u0638\u0631\u064b\u0627 \u0644\u0623\u0646 \u0627\u0644\u0643\u0648\u0644\u0627\u062c\u064a\u0646 \u0627\u0644\u0645\u0648\u062c\u0648\u062f \u0641\u064a \u0627\u0644\u0635\u0644\u0628\u0629 \u064a\u0641\u0642\u062f \u0627\u0644\u062d\u0631\u0627\u0631\u0629 \u0628\u0648\u062a\u064a\u0631\u0629 \u0623\u0633\u0631\u0639 \u0645\u0646 \u0627\u0644\u0646\u062a\u0648\u0621\u0627\u062a \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0627\u0644\u0645\u0648\u062c\u0648\u062f\u0629 \u062a\u062d\u062a\u0647 \u0648\u0627\u0644\u062a\u064a \u062a\u062a\u0645\u064a\u0632 \u0628\u0643\u062b\u0627\u0641\u0629 \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0627\u0644\u062f\u0645\u0648\u064a\u0629\u060c \u0641\u0625\u0646 \u062f\u0648\u0631\u0627\u062a \u0627\u0644\u062a\u0634\u063a\u064a\u0644 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\u0648\u0645\u062d\u0643\u0648\u0645\u064b\u0627 \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629 \u0645\u0628\u0627\u0634\u0631\u0629\u064b \u0641\u0648\u0642 \u0645\u062d\u064a\u0637 \u0627\u0644\u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0627\u0644\u062d\u0627\u0641\u0629 \u0627\u0644\u0642\u0631\u0646\u064a\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0624\u062f\u064a \u0636\u0628\u0637 \u062a\u0631\u062f\u062f\u0627\u062a \u0627\u0644\u0646\u0628\u0636\u0627\u062a \u0628\u064a\u0646 10 \u0647\u0631\u062a\u0632 \u0648200 \u0647\u0631\u062a\u0632 \u0625\u0644\u0649 \u062a\u0643\u064a\u064a\u0641 \u0627\u0644\u062a\u0623\u062b\u064a\u0631 \u0627\u0644\u0628\u064a\u0648\u0644\u0648\u062c\u064a: \u0641\u0627\u0644\u062a\u0631\u062a\u062f\u0627\u062a \u0627\u0644\u0645\u0646\u062e\u0641\u0636\u0629 \u062a\u062d\u062f \u0645\u0646 \u062a\u0633\u062e\u064a\u0646 \u0627\u0644\u0623\u0646\u0633\u062c\u0629 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645\u060c \u0645\u0645\u0627 \u064a\u0645\u0646\u0639 \u0627\u0646\u062a\u0634\u0627\u0631 \u0627\u0644\u062d\u0631\u0627\u0631\u0629 \u0625\u0644\u0649 \u0627\u0644\u0639\u062f\u0633\u0629 \u0627\u0644\u0628\u0644\u0648\u0631\u064a\u0629 \u0627\u0644\u0645\u062c\u0627\u0648\u0631\u0629\u060c \u0645\u0639 \u0627\u0644\u062d\u0641\u0627\u0638 \u0641\u064a \u0627\u0644\u0648\u0642\u062a \u0646\u0641\u0633\u0647 \u0639\u0644\u0649 \u0630\u0631\u0648\u0629 \u0627\u0644\u0625\u0634\u0639\u0627\u0639 \u0627\u0644\u0644\u0627\u0632\u0645\u0629 \u0644\u0644\u062a\u062e\u062b\u064a\u0631 \u0627\u0644\u0636\u0648\u0626\u064a \u0644\u0644\u0637\u0628\u0642\u0629 \u0627\u0644\u0644\u062d\u0645\u064a\u0629 \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0627\u0644\u0623\u0639\u0645\u0642.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u062a\u0642\u0631\u064a\u0631 \u062d\u0627\u0644\u0629 \u0633\u0631\u064a\u0631\u064a\u0629 \u0645\u064a\u062f\u0627\u0646\u064a\u0629<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The data below comes from Veterinary Ophthalmology and Microsurgical Service unit records, documenting cyclophotocoagulation recovery metrics in a canine patient with acute refractory glaucoma.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u0627\u0644\u0645\u0644\u0641 \u0627\u0644\u0634\u062e\u0635\u064a \u0644\u0644\u0645\u0631\u064a\u0636 \u0648\u062a\u0635\u0646\u064a\u0641 \u0627\u0644\u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u064a\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Case File Number: VOS-2026-2180<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Subject: Canine, Basset Hound<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u0639\u0645\u0631: 9 \u0633\u0646\u0648\u0627\u062a \u06481 \u0634\u0647\u0631<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u062c\u0646\u0633: \u0630\u0643\u0631 (\u0645\u062e\u0635\u064a)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Weight: 26.4 Kilograms<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Presenting Complaint: Acute left-sided ocular pain, head shyness, excessive lacrimation, severe corneal opacity, enlarged globe, complete refusal of oral intake.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ophthalmic Examination: Left eye intraocular pressure measuring 64 mmHg via rebound tonometry; non-responsive mydriatic pupil; diffuse epithelial and stromal corneal edema; marked episcleral engorgement; negative menace response; sluggish dazzle reflex.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnostic Staging: Acute closed-angle secondary glaucoma with severe ocular hypertensive crisis, secondary to severe bilateral pectinate ligament dysplasia (Goniodyscopy Grade 3). Right eye tonometry: 17 mmHg (Narrow iridocorneal drainage angles). Pre-treatment Pain Score via Glasgow Modified Ophthalmic Scale: 10 out of 12.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u0645\u0639\u0631\u0651\u0641 \u0627\u0644\u062c\u0644\u0633\u0629<\/strong><\/td><td><strong>\u0627\u0644\u064a\u0648\u0645<\/strong><\/td><td><strong>\u0645\u0646\u0637\u0642\u0629 \u0627\u0644\u062a\u0648\u0635\u064a\u0644<\/strong><\/td><td><strong>\u062a\u0648\u0632\u064a\u0639 \u0627\u0644\u0637\u0648\u0644 \u0627\u0644\u0645\u0648\u062c\u064a<\/strong><\/td><td><strong>\u0630\u0631\u0648\u0629 \u0627\u0644\u0637\u0627\u0642\u0629 (\u0648\u0627\u0637)<\/strong><\/td><td><strong>\u062f\u0648\u0631\u0629 \u0627\u0644\u062a\u0634\u063a\u064a\u0644 (%)<\/strong><\/td><td><strong>\u062a\u0631\u062f\u062f \u0627\u0644\u0646\u0628\u0636 (\u0647\u0631\u062a\u0632)<\/strong><\/td><td><strong>\u0625\u062c\u0645\u0627\u0644\u064a \u0627\u0644\u0637\u0627\u0642\u0629 (J)<\/strong><\/td><td><strong>\u0627\u0644\u0645\u0644\u0627\u062d\u0638\u0627\u062a \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629<\/strong><\/td><\/tr><\/thead><tbody><tr><td>S-01<\/td><td>D-01<\/td><td>\u0642\u0648\u0633 270 \u062f\u0631\u062c\u0629 \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629<\/td><td>75% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 25% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.5<\/td><td>25%<\/td><td>15<\/td><td>340<\/td><td>Contact probe applied 3.5mm posterior to limbus; 26 spots; IOP falls to 30 mmHg in 3 hours.<\/td><\/tr><tr><td>S-02<\/td><td>D-02<\/td><td>\u0627\u0644\u0642\u0648\u0633 \u0627\u0644\u0638\u0647\u0631\u064a \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629<\/td><td>70% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 30% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.5<\/td><td>25%<\/td><td>20<\/td><td>280<\/td><td>Episcleral congestion softens; corneal haze clearing; IOP stabilizes at 24 mmHg without mannitol.<\/td><\/tr><tr><td>S-03<\/td><td>D-05<\/td><td>\u0627\u0644\u0642\u0648\u0633 \u0627\u0644\u0628\u0637\u0646\u064a \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629<\/td><td>65% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 35% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.8<\/td><td>30%<\/td><td>30<\/td><td>360<\/td><td>Pupil diameter returns to 4mm; direct and consensual pupillary light reflexes present.<\/td><\/tr><tr><td>S-04<\/td><td>D-09<\/td><td>\u0627\u0644\u0635\u064a\u0627\u0646\u0629 \u0627\u0644\u0645\u062d\u064a\u0637\u064a\u0629<\/td><td>60% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 40% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.8<\/td><td>30%<\/td><td>50<\/td><td>380<\/td><td>\u062a\u0645\u062a \u0627\u0633\u062a\u0639\u0627\u062f\u0629 \u0634\u0641\u0627\u0641\u064a\u0629 \u0627\u0644\u0642\u0631\u0646\u064a\u0629 \u0628\u0627\u0644\u0643\u0627\u0645\u0644\u061b \u0648\u064a\u0628\u0644\u063a \u0636\u063a\u0637 \u0627\u0644\u0639\u064a\u0646 \u0627\u0644\u062f\u0627\u062e\u0644\u064a 17 \u0645\u0644\u0645 \u0632\u0626\u0628\u0642\u061b \u0648\u0627\u0633\u062a\u0624\u0646\u0641 \u0627\u0644\u0633\u0644\u0648\u0643 \u0627\u0644\u063a\u0630\u0627\u0626\u064a \u0627\u0644\u0637\u0628\u064a\u0639\u064a.<\/td><\/tr><tr><td>S-05<\/td><td>D-14<\/td><td>\u0627\u0644\u0642\u0637\u0627\u0639\u0627\u062a \u0627\u0644\u0647\u062f\u0628\u064a\u0629 \u0627\u0644\u0645\u0633\u062a\u0647\u062f\u0641\u0629<\/td><td>50% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 50% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>3.0<\/td><td>30%<\/td><td>100<\/td><td>400<\/td><td>\u0627\u0644\u0631\u0624\u064a\u0629 \u0627\u0644\u0642\u0627\u0639\u064a\u0629 \u0648\u0627\u0636\u062d\u0629\u061b \u0627\u0646\u0639\u0643\u0627\u0633 \u0627\u0644\u062a\u0627\u0628\u064a\u062a\u0627\u0644 \u062d\u0627\u062f\u061b \u0648\u0627\u0644\u062a\u062c\u0648\u064a\u0641 \u0627\u0644\u0641\u0633\u064a\u0648\u0644\u0648\u062c\u064a \u0644\u0644\u0639\u0635\u0628 \u0627\u0644\u0628\u0635\u0631\u064a \u0633\u0644\u064a\u0645.<\/td><\/tr><tr><td>S-06<\/td><td>D-21<\/td><td>\u0627\u0644\u062a\u0642\u0648\u064a\u0629 \u0639\u0628\u0631 \u0627\u0644\u0635\u0644\u0628\u0629<\/td><td>50% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 50% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>3.0<\/td><td>30%<\/td><td>150<\/td><td>400<\/td><td>\u0645\u0633\u0627\u0631 \u0627\u0644\u062a\u062f\u0641\u0642 \u0627\u0644\u062e\u0627\u0631\u062c\u064a \u0645\u0633\u062a\u0642\u0631\u061b \u0648\u0639\u0627\u062f \u0642\u0637\u0631 \u0627\u0644\u0623\u0648\u0639\u064a\u0629 \u0641\u0648\u0642 \u0627\u0644\u0635\u0644\u0628\u0629 \u0625\u0644\u0649 \u0645\u0633\u062a\u0648\u0627\u0647 \u0627\u0644\u0623\u0633\u0627\u0633\u064a.<\/td><\/tr><tr><td>S-07<\/td><td>D-30<\/td><td>\u062a\u062e\u0641\u064a\u0641 \u0627\u0644\u0636\u063a\u0637 \u062d\u0648\u0644 \u0627\u0644\u0639\u064a\u0646<\/td><td>50% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 50% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.5<\/td><td>25%<\/td><td>\u062f\u064a\u0646\u0627\u0645\u064a\u0643\u064a<\/td><td>320<\/td><td>\u0627\u0644\u0627\u0633\u062a\u062c\u0627\u0628\u0629 \u0644\u0644\u062a\u0647\u062f\u064a\u062f \u0633\u0644\u064a\u0645\u0629\u061b \u062a\u0628\u0644\u063a \u0642\u0631\u0627\u0621\u0629 \u0636\u063a\u0637 \u0627\u0644\u0639\u064a\u0646 \u0627\u0644\u062f\u0627\u062e\u0644\u064a (IOP) 16 \u0645\u0644\u0645 \u0632\u0626\u0628\u0642 \u0641\u064a \u0643\u0644\u062a\u0627 \u0627\u0644\u0639\u064a\u0646\u064a\u0646 \u0639\u0646\u062f \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0642\u0637\u0631\u0627\u062a \u0645\u0648\u0636\u0639\u064a\u0629 \u0628\u062c\u0631\u0639\u0629 \u0645\u0646\u062e\u0641\u0636\u0629.<\/td><\/tr><tr><td>S-08<\/td><td>D-45<\/td><td>\u062a\u062f\u0642\u064a\u0642 \u0627\u0644\u0631\u0642\u0627\u0628\u0629 \u0637\u0648\u064a\u0644\u0629 \u0627\u0644\u0623\u062c\u0644<\/td><td>50% 980 \u0646\u0627\u0646\u0648\u0645\u062a\u0631 \/ 50% 1470 \u0646\u0627\u0646\u0648\u0645\u062a\u0631<\/td><td>2.2<\/td><td>20%<\/td><td>\u062f\u064a\u0646\u0627\u0645\u064a\u0643\u064a<\/td><td>260<\/td><td>\u062a\u0645 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062a\u0645\u0627\u062b\u0644 \u0627\u0644\u0643\u0631\u0648\u064a \u0628\u0634\u0643\u0644 \u0643\u0627\u0645\u0644\u061b \u0648\u0628\u0644\u063a\u062a \u062f\u0631\u062c\u0629 \u063a\u0644\u0627\u0633\u0643\u0648 \u0635\u0641\u0631\u064b\u0627\u061b \u0648\u0627\u0633\u062a\u0645\u0631\u062a \u0627\u0644\u0631\u0624\u064a\u0629 \u0627\u0644\u0648\u0638\u064a\u0641\u064a\u0629.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u0645\u0642\u0627\u064a\u064a\u0633 \u0645\u0648\u0636\u0648\u0639\u064a\u0629 \u0644\u0642\u064a\u0627\u0633 \u0627\u0644\u062a\u0639\u0627\u0641\u064a \u0627\u0644\u0648\u0638\u064a\u0641\u064a<\/h3>\n\n\n\n<pre class=\"wp-block-code\"><code>Day 1 (Emergency Admission)\n&#091;IOP Level: 64 mmHg]         \u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\n&#091;Pain Score: 10\/12]          \u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2588\u2591\u2591\u2591\u2591\n\nDay 9 (Midway Status)\n&#091;IOP Level: 17 mmHg]         \u2588\u2588\u2588\u2588\u2588\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\n&#091;Pain Score: 2\/12]           \u2588\u2588\u2588\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\n\nDay 45 (Protocol Discharge)\n&#091;IOP Level: 16 mmHg]         \u2588\u2588\u2588\u2588\u2588\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\n&#091;Pain Score: 0\/12]           \u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\u2591\n<\/code><\/pre>\n\n\n\n<p class=\"wp-block-paragraph\">By Day 45, the patient achieved complete ocular stabilization. Intraocular pressure in the left eye stabilized at 16 mmHg, maintaining balance with the unaffected right eye without requiring systemic dehydrating agents. The Glasgow Modified Ophthalmic Pain Scale score dropped from 10 to 0, confirming the elimination of severe cephalic pain and photophobia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0623\u062f\u0649 \u0627\u0644\u062a\u062e\u0644\u0635 \u0627\u0644\u062a\u0627\u0645 \u0645\u0646 \u0648\u0630\u0645\u0629 \u0644\u0648\u062d\u064a\u0629 \u0627\u0644\u0642\u0631\u0646\u064a\u0629 \u0625\u0644\u0649 \u0627\u0633\u062a\u0639\u0627\u062f\u0629 \u0627\u0644\u0631\u0624\u064a\u0629 \u0627\u0644\u0643\u0627\u0645\u0644\u0629 \u0644\u0644\u063a\u0631\u0641\u0629 \u0627\u0644\u0623\u0645\u0627\u0645\u064a\u0629\u060c \u0645\u0645\u0627 \u0633\u0645\u062d \u0628\u0625\u062c\u0631\u0627\u0621 \u0641\u062d\u0635 \u0645\u0628\u0627\u0634\u0631 \u0644\u0642\u0627\u0639 \u0627\u0644\u0639\u064a\u0646 \u0623\u0643\u062f \u0633\u0644\u0627\u0645\u0629 \u0628\u0646\u064a\u0629 \u0627\u0644\u0642\u0631\u0635 \u0627\u0644\u0628\u0635\u0631\u064a. \u0648\u0623\u0643\u062f\u062a \u0627\u0644\u0627\u0633\u062a\u062c\u0627\u0628\u0627\u062a \u0627\u0644\u0625\u064a\u062c\u0627\u0628\u064a\u0629 \u0644\u0627\u062e\u062a\u0628\u0627\u0631\u064a \u00ab\u0627\u0644\u062a\u0647\u062f\u064a\u062f\u00bb \u0648\u00ab\u0627\u0644\u062a\u0648\u0647\u062c\u00bb \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u0631\u0624\u064a\u0629 \u0627\u0644\u0648\u0638\u064a\u0641\u064a\u0629\u060c \u0645\u0645\u0627 \u0623\u062f\u0649 \u0625\u0644\u0649 \u062a\u062c\u0646\u0628 \u0625\u062c\u0631\u0627\u0621 \u062c\u0631\u0627\u062d\u0629 \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0639\u064a\u0646 \u0628\u0646\u062c\u0627\u062d.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0627\u0644\u0645\u0632\u0627\u064a\u0627 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0645\u0642\u0627\u0631\u0646\u0629 \u0628\u0627\u0644\u0623\u0633\u0627\u0644\u064a\u0628 \u0627\u0644\u062a\u0642\u0644\u064a\u062f\u064a\u0629<\/h2>\n\n\n\n<p 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A nine-year-old Basset Hound arrives at the veterinary ophthalmology suite with head pressing, unilateral blepharospasm, and violent trembling on the left side of its face. 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