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Veterinary ophthalmology.

Periodical
Ophthalmology
Veterinary Medicine
Eye Diseases
Publisher:
Blackwell Science,
Frequency: Six no. a year, 2004-
Country: England
Language: English
Author(s):
American College of Veterinary Ophthalmologists.
Start Year:1998 -
ISSN:
1463-5216 (Print)
1463-5224 (Electronic)
1463-5216 (Linking)
Impact Factor
1.6
2022
NLM ID:100887377
(OCoLC):41092864
LCCN:sn 99003713
Classification:W1 VE933T
Bilateral intraocular glandular choristomas in a Thoroughbred foal.
Veterinary ophthalmology    March 6, 2009   Volume 12, Issue 2 106-114 doi: 10.1111/j.1463-5224.2008.00685.x
Baumgartner WA, Storey ES, Paulsen DB.Intraocular choristomas are rare anomalies in domestic animals and are often associated with multiple ocular malformations. A Thoroughbred foal presented for ocular abnormalities and was diagnosed with microphthalmia, corneal dermoids, severe anterior segment dysgenesis (including glandular choristomas), aphakia, retinal dysplasia, and optic nerve hypoplasia. Morphological, histochemical, and immunohistochemical comparisons were made between ocular choristomatous tissues from this foal and lacrimal gland, third eyelid gland, nasopharynx, trachea, and lacrimal sac/nasolacrimal duct from normal ...
Corneal stromal invasive squamous cell carcinoma: a retrospective morphological description in 10 horses.
Veterinary ophthalmology    January 21, 2009   Volume 12, Issue 1 6-12 doi: 10.1111/j.1463-5224.2009.00666.x
Kafarnik C, Rawlings M, Dubielzig RR.To describe the pathomorphological features of corneal stromal invasive squamous cell carcinoma (CSI-SCC) in horses. Methods: A total of 87 equine SCC in the Comparative Ocular Pathology Laboratory of Wisconsin database were retrieved. The signalment and anatomical distribution were summarized. Ten CSI-SCC out of 87 SCCs were further investigated focusing on pathomorphological description. All 10 cases were stained with H&E, periodic acid-Schiff stain and Verhoeff's elastic stain. Results: Four Appaloosas, two Quarter horses, two American Paint, one Pinto and one Thoroughbred horse were af...
Ocular distribution and toxicity of intravitreal injection of triamcinolone acetonide in normal equine eyes.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 15-19 doi: 10.1111/j.1463-5224.2008.00636.x
Yi NY, Davis JL, Salmon JH, Gilger BC.To determine ocular distribution and toxicity of a single injection of intravitreal triamcinolone acetonide (TA) in normal horses. Methods: Six adult horses, donated to North Carolina State University. Methods: Six horses were injected intravitreally with either 10, 20, or 40 mg (n = 2 each) of TA. The opposite eye of each horse was injected with balanced salt solution (BSS). Ocular toxicity was assessed by biomicroscopy, tonometry, indirect ophthalmoscopy, and electroretinogram. Aqueous humor (AH), vitreous humor (VH), and plasma samples were collected. Horses were euthanized 7 or 21 days aft...
Equine special edition of veterinary ophthalmology.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 1 doi: 10.1111/j.1463-5224.2008.00648.x
Gilger BC.No abstract available
Blindness, optic atrophy and sinusitis in the horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 20-26 doi: 10.1111/j.1463-5224.2008.00642.x
Barnett KC, Blunden AS, Dyson SJ, Whitwell KE, Carson D, Murray R.The case histories described each presented with a visual deficit, varying from permanent total blindness with ophthalmoscopic evidence of optic atrophy to variable and transient visual disturbances, including occasional blindness, but with absence of ophthalmoscopic or any other ocular abnormality. Methods: Three horses of widely different age and type, but all with an original history of upper respiratory tract infection. Methods: All three cases were examined by a specialist veterinary ophthalmologist. In addition, magnetic resonance imaging (MRI) and, where possible, postmortem and histopa...
Photodynamic therapy for the treatment of periocular squamous cell carcinoma in horses: a pilot study.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 27-34 doi: 10.1111/j.1463-5224.2008.00643.x
Giuliano EA, MacDonald I, McCaw DL, Dougherty TJ, Klauss G, Ota J, Pearce JW, Johnson PJ.Local photodynamic therapy (PDT) is a novel cancer therapy in veterinary ophthalmology. A prospective pilot study seeking to demonstrate proof of principle and safety for the treatment of equine periocular squamous cell carcinoma (PSCC) was therefore conducted. We hypothesized that surgical excision with adjunctive local PDT is an effective and safe treatment for equine PSCC. Methods: Nine horses (10 eyes) with PSCC were treated with surgical resection, local infiltration of resulting wound beds with 2-[1-hexyloxyethyl]-2-devinylpyropheophorbide-a (HPPH) and irradiation with 665-nm wavelength ...
Ocular and multicentric lymphoma in a young racehorse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 51-56 doi: 10.1111/j.1463-5224.2008.00638.x
Germann SE, Richter M, Schwarzwald CC, Wimmershoff J, Spiess BM.A 6-year-old thoroughbred gelding was presented with a history of blepharospasm and opacity in the OS of 1 weeks' duration. Ophthalmic examination findings were consistent with acute uveitis in the OS, and traditional treatment was initiated with systemic antibiotics and anti-inflammatory drugs, topical mydriatics, and corticosteroids. During the total treatment period of 4 weeks response to treatment was weak and the horse developed further problems such as cellulitis of the right hind limb with fever and eventually weight loss and dependent edema. Blood work was indicative of liver disease. ...
An overview of recent developments in corneal immunobiology: potential relevance in the etiogenesis of corneal disease in the horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 66-76 doi: 10.1111/j.1463-5224.2008.00635.x
Matthews AG.This paper overviews some recent developments in mammalian corneal immunobiology, and discusses how these may act as pointers towards understanding the immunology underlying some common corneal diseases in the horse, including infectious ulceration and presumptively immune-mediated non-ulcerative disease. Specifically, three aspects of corneal immunobiology are examined: the role of Toll-like receptors in surface immunity and in the etiogenesis of microbial ulceration, the relationship between conjunctiva associated lymphoid tissue (CALT) and immunoprotection of the corneal surface, and the me...
Epibulbar melanoma in a foal.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1, Issue Suppl 1 44-50 doi: 10.1111/j.1463-5224.2008.00637.x
McMullen RJ, Clode AB, Pandiri AK, Malarkey DE, Michau TM, Gilger BC.A case of epibulbar melanoma in a 6-month-old, gelded, chestnut Hanoverian foal is reported. The location and clinical appearance upon initial presentation led to the tentative diagnosis of staphyloma or a congenital mass of unknown origin. An attempt was made to surgically excise the mass under general anesthesia, but due to its infiltrative nature and intraoperative appearance, most, but not all was removed without compromising the integrity of the globe. Histopathological evaluation revealed a multinodular to packeted, poorly demarcated, unencapsulated, infiltrative exophytic melanocytic ne...
Daily rhythm of tear production in normal horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 57-60 doi: 10.1111/j.1463-5224.2008.00647.x
Piccione G, Giannetto C, Fazio F, Giudice E.This study was designed to assess the daily rhythm of tear production in clinically healthy horses, to compare left eye and right eye, and to evaluate the influence of time and gender. Methods: For our study 18 horses (nine female and nine male) were subjected to three different light/dark (L/D) schedules: 12/12 L/D cycles, constant light (24/0 L/D) and constant darkness (0/24 L/D). Methods: In all subjects Schirmer tear tests were performed at 4-h intervals over a 24-h period. Results: A circadian rhythm of tear production was found during the 12/12 L/D period and during constant darkness. Al...
Expression of cyclooxygenase-2 by equine ocular and adnexal squamous cell carcinomas.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 8-14 doi: 10.1111/j.1463-5224.2008.00623.x
Smith KM, Scase TJ, Miller JL, Donaldson D, Sansom J.To investigate whether cyclooxygenase-2 (COX-2) is expressed by equine ocular and adnexal squamous cell carcinomas (SCC). Methods: Forty-three samples of histologically confirmed cases of ocular SCC or carcinoma in situ (CIS) from 34 horses presented to the Animal Health Trust between 1992 and 2004 were subjected to a standard, two-layered, indirect immunohistochemical method using a rabbit polyclonal antihuman COX-2 antibody. Ten formalin-fixed, paraffin-embedded tissue samples taken from recognized predilection sites for SCC, from the grossly normal eyes of 10 horses euthanized for reasons u...
Ocular immunology in equine recurrent uveitis.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 61-65 doi: 10.1111/j.1463-5224.2008.00625.x
Deeg CA.Equine recurrent uveitis (ERU) is a disease with high prevalence and relevance for the equine population, since it results in blindness. Over the last decade, important advancements have been made in our understanding of the underlying immune responses in this disease. ERU is mediated by an autoaggressive Th1 response directed against several retinal proteins. Interphotoreceptor-retinoid binding protein (IRBP) and cellular retinaldehyde-binding protein (CRALBP) are capable to induce ERU-like disease in experimental horses, with the unique possibility to activate relapses in a well-defined mann...
Deep lamellar endothelial keratoplasty in 10 horses.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 35-43 doi: 10.1111/j.1463-5224.2008.00654.x
Plummer CE, Kallberg ME, Ollivier FJ, Barrie KP, Brooks DE.To describe and evaluate a surgical technique utilized for the therapy of deep corneal stromal abscesses (DSA) in horses. The DSA is excised and replaced with a partial thickness corneal lamellar allograft. Methods: A retrospective clinical study describing the indications for the surgical technique utilized and the outcomes of this procedure in 10 eyes of 10 horses. Results: Each affected eye had a discrete DSA within the posterior stroma. An initial partial thickness semicircular corneal incision was made at the limbus, followed by anterior stromal lamellar dissection over the lesion. After ...
Fluorangiographic study of the ocular fundus in normal horses.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 2-7 doi: 10.1111/j.1463-5224.2008.00621.x
Molleda JM, Cervantes I, Galán A, Tardón R, Gallardo JM, Martín-Suárez EM.To describe the protocol and appearance of fluorescein angiography (FA) in normal horses. Methods: A total of 25 healthy horses aged between 5 and 15 years. Methods: The horses were sedated with 15 microg/kg detomidine and 50 microg/kg butorphanol and dilated with topical tropicamide 1%. All angiograms were recorded after intravenous bolus injection of 10 mg/kg of fluorescein sodium solution. Results: Two successive angiographic phases could be discerned: the choriopapillary phase, starting at 46.95 +/- 9.48 s, and the retinal vascular phase, starting at 47.79 +/- 10.38 s. The retinal vascular...
Doxycycline levels in preocular tear film of horses following oral administration.
Veterinary ophthalmology    December 3, 2008   Volume 11, Issue 6 381-385 doi: 10.1111/j.1463-5224.2008.00662.x
Baker A, Plummer CE, Szabo NJ, Barrie KP, Brooks DE.To determine the concentration of doxycycline in preocular tear film following oral administration in horses as a possible therapeutic modality for infectious and keratomalacic equine keratitis. Methods: Eight broodmares without ocular disease from a Thoroughbred breeding facility were included in this study. Each mare received 20 mg/kg of doxycycline by mouth once daily in the morning for five consecutive days. Tears were collected 1 h after doxycycline administration starting on day one of administration and continuing for 10 consecutive days. Doxycycline levels in the tears were measured us...
Surgical management of a progressive iris melanocytoma in a Mustang.
Veterinary ophthalmology    February 28, 2008   Volume 11, Issue 2 75-80 doi: 10.1111/j.1463-5224.2008.00603.x
Scotty NC, Barrie KB, Brooks DE, Taylor D.A 7-year-old gray Mustang gelding weighing 454 kg was presented for evaluation of a brown mass within the left eye (OS) of 1 year's duration with recent enlargement. Results: A nonpainful, 8 mm diameter, brown, vascularized mass was identified in the anterior chamber of the OS. Ocular B-scan ultrasound confirmed iris involvement and corneal endothelial contact. Histopathology confirmed the presumptive diagnosis of a uveal melanocytic neoplasm, and revealed 1-3 mitotic figures per high power (400x) field. Results: The mass was removed via sector iridectomy without complications, but without com...
Corneal transplantation for inflammatory keratopathies in the horse: visual outcome in 206 cases (1993-2007).
Veterinary ophthalmology    February 28, 2008   Volume 11, Issue 2 123-133 doi: 10.1111/j.1463-5224.2008.00611.x
Brooks DE, Plummer CE, Kallberg ME, Barrie KP, Ollivier FJ, Hendrix DV, Baker A, Scotty NC, Utter ME, Blackwood SE, Nunnery CM, Ben-Shlomo G....To evaluate the visual outcome of three techniques of corneal transplantation surgery in treating severe inflammatory keratopathies in the horse. Methods: Retrospective medical records study. Methods: Medical records of 206 horses that received corneal transplantation surgery at the University of Florida Veterinary Medical Center from 1993 to 2007 were reviewed. Methods: Data collected from the medical records included signalment, types of ocular lesions, type of transplant surgery performed, length of follow-up, complications, and visual outcomes. Results: Full thickness penetrating keratopla...
Isolation of obligate anaerobic bacteria from ulcerative keratitis in domestic animals.
Veterinary ophthalmology    February 28, 2008   Volume 11, Issue 2 114-122 doi: 10.1111/j.1463-5224.2008.00610.x
Ledbetter EC, Scarlett JM.To determine the frequency of obligate anaerobic bacterial isolation from corneal samples of domestic animals with ulcerative keratitis and to characterize the historical, clinical, cytological, and microbiological features of culture-positive cases. Methods: Three hundred and thirty domestic animals with ulcerative keratitis. Methods: Anaerobic bacteriologic culture and Gram stain were performed on corneal samples from consecutive animals examined with suspect septic ulcerative keratitis. Additional corneal diagnostics included: aerobic bacteriologic culture for all species; fungal culture fo...
Pharmacokinetics of topically applied ciprofloxacin in equine tears.
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 344-347 doi: 10.1111/j.1463-5224.2007.00566.x
Hendrix DV, Stuffle JL, Cox SK.To evaluate the pharmacokinetics of topically applied ciprofloxacin 0.3% ophthalmic solution in tears of healthy horses. Methods: Twenty healthy, adult, mixed-breed horses. Methods: Twenty study horses were confirmed free of ophthalmic disease by complete ophthalmic examination. Seventy microliters of 0.3% ciprofloxacin (Ciloxan) was placed in the ventral cul-de-sac of each eye using a microliter syringe and 19-g cannula. Population kinetics were carried out by sampling the tear film from the lower cul-de-sac of each eye with tear test strips at 5, 10, 15 and 30 min and 1, 2, 4 and 6 h post ad...
Clinical and electroretinographic characteristics of congenital stationary night blindness in the Appaloosa and the association with the leopard complex.
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 368-375 doi: 10.1111/j.1463-5224.2007.00572.x
Sandmeyer LS, Breaux CB, Archer S, Grahn BH.To determine the prevalence of congenital stationary night blindness (CSNB) in Appaloosa horses in western Canada, investigate the association with the leopard complex of white spotting patterns, and further characterize the clinical and electroretinographic aspects of CSNB in the Appaloosa. Methods: Three groups of 10 Appaloosas were studied based on coat patterns suggestive of LpLp, Lplp, and lplp genotype. Methods: Neurophthalmic examination, slit-lamp biomicroscopy, indirect ophthalmoscopy, measurement of corneal diameter, streak retinoscopy, scotopic and photopic full-field and flicker ER...
Retrobulbar dermoid cyst in a horse: a case report.
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 394-397 doi: 10.1111/j.1463-5224.2007.00571.x
Muñoz E, Leiva M, Naranjo C, Peña T.A 4-year-old Andalusian horse was presented for examination following a 3-month history of exophthalmos of the right eye and a soft swelling of the right supraorbital fossa noted after blunt head trauma. Ultrasonographic examination of the swelling showed an anecogenic mass of 5 cm in diameter involving the retrobulbar space. Centesis of the mass through the supraorbital fossa was performed and yielded a serous fluid with 7.2 g/dL of total protein and density of 1040. No cells were seen in the sample. A tentative diagnosis of cyst was made. The cyst was surgically removed and the definitive hi...
Retinal detachment in horses: 40 cases (1998-2005).
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 380-385 doi: 10.1111/j.1463-5224.2007.00574.x
Strobel BW, Wilkie DA, Gilger BC.To determine clinical features, ophthalmic examination findings, etiology, treatment, and outcome of horses diagnosed with retinal detachment (RD). Methods: Forty horses, presented to the North Carolina State University and The Ohio State University Veterinary Teaching Hospitals from 1998 to 2005 that were diagnosed with RD. PROCEDURE(S): Horses with documented RD, confirmed either on ophthalmic examination or by ultrasonography, and with a complete medical record were included. Information retrieved from the medical records included signalment, presenting complaint, duration of clinical signs...
Primary intraocular primitive neuroectodermal tumor (retinoblastoma) causing unilateral blindness in a gelding.
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 348-356 doi: 10.1111/j.1463-5224.2007.00567.x
Knottenbelt DC, Hetzel U, Roberts V.A 14-year-old gray gelding was presented for investigation of a visible, pale-colored ocular mass in the right eye. An intraocular mass was identified clinically and ultrasonographically as originating from the superior nasal quadrant of the ciliary body and retina. The mass occupied the majority of the vitreous chamber and some of the superior anterior chamber of the eye. The affected eye was blind. Following exenteration, a primary intraocular primitive neuroectodermal tumor (i.e. a retinoblastoma/medulloepithelioma), a rarely described intraocular mass in adult horses, was identified by pat...
Conjunctival fungal flora in healthy donkeys.
Veterinary ophthalmology    June 15, 2007   Volume 10, Issue 4 207-210 doi: 10.1111/j.1463-5224.2007.00537.x
Nardoni S, Sgorbini M, Barsotti G, Corazza M, Mancianti F.To identify and quantify ocular fungi from healthy donkeys living in the center of Italy. Methods: One hundred and two Amiata donkeys were examined. Methods: Conjunctival swabs from both eyes were seeded onto Sabouraud dextrose agar (SDA) and malt extract agar (MEA), and incubated at 25 degrees C over a 10-day period. Filamentous fungi identification was achieved to the genus level; yeast colonies were identified for macro-micromorphologic and physiological characteristics. Results: Eighty-one donkeys out of 102 (79.4%) were positive for fungi; 47/102 (46.1%) had positive cultures from both ey...
Grid keratotomy as a treatment for superficial nonhealing corneal ulcers in 10 horses.
Veterinary ophthalmology    April 21, 2007   Volume 10, Issue 3 162-167 doi: 10.1111/j.1463-5224.2007.00526.x
Brünott A, Boevé MH, Velden MA.To describe the clinical symptoms of 10 cases of superficial nonhealing corneal ulcers in horses and to evaluate the results of grid keratotomy in these patients. Methods: Retrospective study. Methods: Ten horses with superficial nonhealing corneal ulceration in one eye. Methods: The signalment, history and clinical symptoms are reported of 10 patients with superficial nonhealing corneal ulcers during the period from August 2003 to February 2005. Grid keratotomy was performed in all cases. In addition, the surgical procedure of grid keratotomy and response to therapy are described. Results: Ho...
Histologic effect of semiconductor diode laser transscleral cyclophotocoagulation on the normal equine eye.
Veterinary ophthalmology    February 28, 2007   Volume 10, Issue 2 84-92 doi: 10.1111/j.1463-5224.2007.00514.x
Morreale RJ, Wilkie DA, Gemensky-Metzler AJ, Weisbrode SE, Willis MA.To determine the acute histologic effects of semiconductor diode laser transscleral cyclophotocoagulation (TSCP) on the normal equine eye. Methods: Part 1: eight eyes of four horses. Part 2: 10 eyes of five horses. Methods: Part 1: TSCP was performed on four eyes at 4 mm and four eyes at 6 mm posterior to the limbus with 15 sites treated in four quadrants at 1800 mW for 1500 ms. The globes were sectioned transversely or sagitally to examine all quadrants and histologic sections were taken every 1 mm for the entire globe. Part 2: Based on the results from Part 1, TSCP was performed at 20 sites ...
Hemangiosarcoma and squamous cell carcinoma in the third eyelid of a horse.
Veterinary ophthalmology    February 28, 2007   Volume 10, Issue 2 121-126 doi: 10.1111/j.1463-5224.2007.00510.x
Gearhart PM, Steficek BA, Peteresen-Jones SM.A 12-year-old Belgian draft horse presented for a right eye third eyelid mass and red-tinged ocular discharge of 3 months' duration. The third eyelid was excised and submitted for histopathology. On histopathologic examination, the mass was composed of both hemangiosarcoma and squamous cell carcinoma. The horse developed thickened eyelids and hemorrhagic ocular discharge from the right eye approximately 16 months following surgery, and was euthanized. Necropsy and histopathology confirmed local recurrence and regional metastasis of the hemangiosarcoma. This was an unusual case because there we...
Comparison of cytologic and histologic evaluations of the conjunctiva in the normal equine eye.
Veterinary ophthalmology    January 6, 2007   Volume 10, Issue 1 12-18 doi: 10.1111/j.1463-5224.2007.00484.x
Bourges-Abella N, Raymond-Letron I, Diquelou A, Guillot E, Regnier A, Trumel C.To describe the cells observed in conjunctival brush cytology (CBC) from normal horses and compare these findings with conjunctival structural histology so as to understand which cells are recovered from CBC. Methods: This study was divided into three parts. (1) Conjunctival brush smears were collected from 20 healthy horses on both eyes and a differential count on 300 cells was carried out on May Grünwald-Giemsa (MGG) smears. (2) A similar protocol was used for whole eyes from five horses obtained rapidly after death from a slaughterhouse. The eyes were then assessed for conjunctival histolo...
Combined keratectomy, strontium-90 irradiation and permanent bulbar conjunctival grafts for corneolimbal squamous cell carcinomas in horses (1990-2002): 38 horses.
Veterinary ophthalmology    January 6, 2007   Volume 10, Issue 1 37-42 doi: 10.1111/j.1463-5224.2007.00489.x
Plummer CE, Smith S, Andrew SE, Lassaline ME, Gelatt KN, Brooks DE, Kallberg ME, Ollivier FJ.The purpose of this study was to evaluate the effectiveness of postoperative beta-irradiation with strontium-90 as an adjunctive treatment to superficial keratectomy and permanent bulbar conjunctival graft for removal of equine corneolimbal squamous cell carcinoma (SCC), in decreasing recurrence rate. Methods: The retrospective case study included 38 horses diagnosed and treated for SCC of the eye that involved the limbus and/or cornea. The patients were treated between 1990 and 2002, with strontium-90 irradiation immediately after corneal and conjunctival graft surgery. Recurrence was defined...
Amniotic membrane transplantation for corneal surface reconstruction after excision of corneolimbal squamous cell carcinomas in nine horses.
Veterinary ophthalmology    November 2, 2006   Volume 9, Issue 6 404-413 doi: 10.1111/j.1463-5224.2006.00480.x
Ollivier FJ, Kallberg ME, Plummer CE, Barrie KP, O'Reilly S, Taylor DP, Gelatt KN, Brooks DE.The purpose of this study was to evaluate the usefulness and effectiveness of permanent amniotic membrane transplantation as an adjunctive treatment to superficial keratectomy alone or combined with strontium-90 irradiation for treatment of equine corneolimbal squamous cell carcinoma (SCC) to decrease corneal scarring and recurrence rate. Methods: The retrospective case study included 11 horses (n = 12 eyes) diagnosed and treated for ocular SCC that involved the limbus and cornea. Nine of those horses (n = 9 eyes) were treated between 2002 and 2006, with superficial lamellar keratectomy alone ...