A 5-year-old female Domestic Shorthair cat was presented to the clinic with a chronically swollen and painful right eye.
The owner reported a history of ocular trauma from a cat fight approximately one month prior. Initial treatment with topical antibiotics from a local clinic provided only temporary relief.

• Severe buphthalmos
• Corneal opacity and ulceration
• Purulent discharge with chemosis and conjunctival hyperemia
• Absent menace and pupillary reflex
• Signs of endophthalmitis (intraocular infection)

Clinical findings and ocular ultrasound, the cat was diagnosed with:

End-stage right eye (blind and painful) secondary to chronic trauma and endophthalmitis.

Transpalpebral Enucleation: it is used in

infected or neoplastic eyes, or when there is ocular surface contamination (ulcer, perforation, purulent discharge)

Steps :

• Suture upper and lower eyelids together with simple continuous 3-0 nylon before dissection.
• Eyelid Closure:
  • This seals the ocular surface to prevent orbital contamination.
• Incision:
  • Make a full-thickness skin incision around the eyelid margins.
• Dissection:
  • Proceed bluntly through subcutaneous tissue and orbicularis muscle to reach the orbital septum.
  • Dissect posteriorly around the closed globe.
• Transection:
  • Identify and sever the extraocular muscles.
  • Transect the optic nerve as posteriorly as possible.
• Hemostasis:
  • Achieved by pressure packing and ligation if needed.
• Closure:
  • Close subcutaneous tissue with 3-0 absorbable sutures.
  • Skin closed routinely with 4-0 non-absorbable sutures.