Cryosurgery for Removal of Distichia and Dermoid Removal - Keratectomy

  • Assumption of Risks

    I am the owner or agent of the above animal and have the authority to execute this consent. I hereby consent and authorize the performance of the following procedure:
  • Risks of the above procedure(s) include (but are not limited to) the following: anesthetic complications including death, infection, rupture of the cornea, continued corneal ulceration, corneal scarring, corneal ulceration, loss of eyelid pigment, the eyelids will be very swollen for 1-2 weeks, in young animals, new distichia or some regrowth of old lashes may occur necessitating repeat surgery.
  • Reset signature Signature locked. Reset to sign again