Dermoid Removal/Cryosurgery for Removal of Ectopic Cilia

  • Assumption of Risks - Dermoid Removal

    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.
  • Assumption of Risks - Cryosurgery for Removal of Ectopic Cilia

    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: 1. anesthetic complications including death 2. infection 3. corneal ulceration 4. loss of eyelid pigment 5. the eyelids will be very swollen for 1-2 weeks 6. In young animals, new lashes or some regrowth of old lashes may occur necessitating repeat surgery
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