Most doctors do not value those treatments. None of these treatments stops or cures the condition permanently. A 1949 study of vitamin E therapy found that "In twelve of the thirteen patients there was no evidence whatever of any alteration. ... The treatment has been abandoned. "Laser treatment (using red and infrared at low power) was informally discussed in 2013 at an International Dupuytren Society forum, as of which time little or no formal evaluation of the techniques had been completed. Postoperative care
Postoperative care involves hand therapy and splinting. Hand therapy is prescribed to optimize post-surgical function and to prevent joint stiffness. The extent of hand therapy is depending on the patient and the corrective procedure.Besides hand therapy, many surgeons advise the use of static or dynamic splints after surgery to maintain finger mobility. The splint is used to provide prolonged stretch to the healing tissues and prevent flexion contractures. Although splinting is a widely used post-operative intervention, evidence of its effectiveness is limited, leading to variation in splinting approaches. Most surgeons use clinical experience to decide whether to splint. Cited advantages include maintenance of finger extension and prevention of new flexion contractures. Cited disadvantages include joint stiffness, prolonged pain, discomfort, subsequently reduced function and edema. A third approach emphasizes early self-exercise and stretching. Prognosis
Dupuytrens disease has a high recurrence rate, especially when a person has so-called Dupuytrens diathesis.
A distichia is an eyelash that arises from an abnormal part of the eyelid. This abnormality, attributed to a genetic mutation, is known to affect dogs and humans. Distichiae usually exit from the duct of the meibomian gland at the eyelid margin. They are usually multiple, and sometimes more than one arises from a duct. They can affect either the upper or lower eyelid and are usually bilateral. The lower eyelids of dogs usually have no eyelashes.Distichiae usually cause no symptoms, because the lashes are soft, but they can irritate the eye and cause tearing, squinting, inflammation, corneal ulcers and scarring. Treatment options include manual removal, electrolysis, electrocautery, CO2 laser ablation, cryotherapy, and surgery. Commonly affected breeds
In veterinary medicine, some canine breeds are affected by distichiasis more frequently than others:

Cocker Spaniel
Dachshund (especially the miniature longhaired Dachshund)
Bulldog
Pekingese
Yorkshire Terrier
Flat-Coated Retriever
Shetland Sheepdog
Boxer
Poodle

Ectopic cilia
An ectopic cilia is a special type of distichia usually found in younger dogs. Commonly affected breeds include Poodles, Golden Retrievers, and Shih Tzus. The eyelash exits through the conjunctiva of the eyelid facing toward the eye, usually at the middle of the upper eyelid. It can cause intense pain and corneal ulcers. Treatment is surgery or cryotherapy. See also
Trichiasis
Lymphedema distichiasis

References


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