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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
Ocular parameters related to drug delivery in the canine and equine eye: aqueous and vitreous humor volume and scleral surface area and thickness.
Veterinary ophthalmology    July 13, 2005   Volume 8, Issue 4 265-269 doi: 10.1111/j.1463-5224.2005.00401.x
Gilger BC, Reeves KA, Salmon JH.To measure the ocular surface area, scleral thickness, and the aqueous and vitreous humor volumes in the canine and equine eye. Animals studied Fourteen canine and 16 equine cadaver eyes. Methods: Eyes were measured either fresh or following fixation in formalin. Ocular surface area was calculated using the fluid displacement method. Globes were hemisected and aqueous and vitreous humor were collected and quantitated. Scleral thickness was measured by digital caliper, by image projection, and by ultrasonic biomicroscopy (UBM). Results: Mean +/- standard deviation (SD) scleral surface areas in ...
Superficial keratectomy and cryosurgery as therapy for limbal neoplasms in 13 horses.
Veterinary ophthalmology    July 13, 2005   Volume 8, Issue 4 241-246 doi: 10.1111/j.1463-5224.2005.00395.x
Bosch G, Klein WR.To determine the usefulness and clinical outcome of a combined procedure of superficial keratectomy and cryosurgery as a treatment for limbal neoplasms in horses. Methods: Retrospective study. Methods: Thirteen horses with 14 limbal tumors. Methods: Medical records of all patients with limbal tumors, referred to the Department of Equine Sciences of Utrecht University between 1995 and 2002, were retrieved. Patient data were analyzed with respect to signalment, tumor surface area and histologic diagnosis. Surgery, performed under general anesthesia, included surgical debulking of the tumor follo...
Ectopic cilium in seven horses.
Veterinary ophthalmology    May 25, 2005   Volume 8, Issue 3 199-202 doi: 10.1111/j.1463-5224.2005.00369.x
Hurn S, Turner A, Mc Cowan C.Ectopic cilium was diagnosed by slit-lamp biomicroscopy and treated surgically by transconjunctival excision in seven adult horses. All cases presented with a common history of blepharospasm, ocular discharge and keratitis. Ophthalmic examination revealed a single translucent cilium in the upper eyelid palpebral conjunctiva, emerging approximately 5 mm from the eyelid margin. Corneal ulceration was not observed in any horse. Most horses responded well to transconjunctival surgical excision. There was recurrence of ectopic cilium 6 weeks postoperatively in one horse. Histopathologic examination...
Primary invasive ocular squamous cell carcinoma in a horse.
Veterinary ophthalmology    May 25, 2005   Volume 8, Issue 3 193-197 doi: 10.1111/j.1463-5224.2005.00358.x
Kaps S, Richter M, Philipp M, Bart M, Eule C, Spiess BM.A 12-year-old Haflinger gelding was presented to the veterinary medical teaching hospital of the University of Zurich with a light-pink raised mass on the temporal limbus and conjunctiva of the left eye. Squamous cell carcinoma was confirmed histologically after keratectomy and cryotherapy. Seven months later, a smooth pink, progressively enlarging mass was observed within the cornea of the left eye. Ultrasonographically, the mass was not only infiltrating the corneal stroma but seemed to protrude into the anterior chamber. The globe was surgically removed and submitted for pathology. A histol...
Tear urea nitrogen and creatinine levels in horse and their correlation with serum values.
Veterinary ophthalmology    May 25, 2005   Volume 8, Issue 3 207-209 doi: 10.1111/j.1463-5224.2005.00392.x
Zapata GL, Britos RM, Pintos ME, Dreizzen E, Lausada NB, Arauz S.The objective of this paper was to determine the physiological values of urea nitrogen and creatinine in tears, and to compare the results with those obtained from serum. Thirty healthy thoroughbred horses were included in the study. Tear fluid samples were obtained using a glass capillary tube placed in lower conjunctival cul-de-sac. Blood samples were taken from the jugular vein. Tear and serum urea nitrogen and creatinine levels were quantitatively analyzed by an enzymatic colorimetric method. Urea nitrogen values were 4.22+/-1.84 mmol/l in tears and 4.44+/-1.78 mmol/l in serum, whereas cre...
Effect of vaccination against leptospirosis on the frequency, days to recurrence and progression of disease in horses with equine recurrent uveitis.
Veterinary ophthalmology    May 25, 2005   Volume 8, Issue 3 171-179 doi: 10.1111/j.1463-5224.2005.00367.x
Rohrbach BW, Ward DA, Hendrix DV, Cawrse-Foss M, Moyers TD.To evaluate the effect of vaccination against leptospirosis on frequency and days to recurrence of uveitis and progression of disease in horses with equine recurrent uveitis (ERU). Methods: Forty-one horses with ERU. Methods: Horses were randomly assigned to experimental (vaccinated) or control groups. Vaccine containing six serovars of Leptospira or placebo was administered, an ophthalmic examination performed and blood samples drawn on days 0, 28, 180 and 365. Antibody titers were measured against each serovar. Recurrence of uveitis was verified by ophthalmic examination. Results of the init...
Limbal pseudotumor in a Cob Pony.
Veterinary ophthalmology    March 15, 2005   Volume 8, Issue 2 135-138 doi: 10.1111/j.1463-5224.2005.00350.x
Saroglu M, Aktas M, Olgun D, Arun SS.A tumor-like tissue mass of lateral-limbal site in the right eye of a 12-year-old Cob Pony mare was presented for surgical removal. The mass, covering the lateral limbus, bulbar conjunctiva and part of the cornea, was surgically removed, and the corneal defect repaired with a pedicle bulbar conjunctival graft. The mass was inflammatory in nature containing mononuclear cells. No recurrence or complication occurred at 6- and 12-month follow-up examination.
Bilateral nodular lymphocytic conjunctivitis in a horse.
Veterinary ophthalmology    March 15, 2005   Volume 8, Issue 2 129-134 doi: 10.1111/j.1463-5224.2005.00349.x
Stoppini R, Gilger BC, Malarkey DE, Ratto A, Brigati G.A Russian jumper horse presented because of an ocular perilimbal conjunctival mass and, on clinical examination, two bilateral conjunctival masses were found, of different size and conformation. Attempts at complete excision of the left eye mass and excisional biopsy of the right eye mass were performed. The left eye mass recurred rapidly, but resolved completely after topical corticosteroid therapy. The two lesions had similar histopathologic features, characterized by focal, chronic, primarily lymphocytic conjunctivitis with follicular lymphoid hyperplasia. Special histopathologic staining t...
Pigmented squamous cell carcinoma of the conjunctiva of a horse.
Veterinary ophthalmology    October 30, 2004   Volume 7, Issue 6 421-423 doi: 10.1111/j.1463-5224.2004.04040.x
McCowan C, Stanley RG.Abstract A heavily pigmented tumor was removed from the lateral, perilimbal, bulbar conjunctiva of a bay Thoroughbred horse. Excision was incomplete and the base of the tumor was lasered on the assumption that the tumor was a melanoma. No other ophthalmic lesions were seen. Histology showed the mass to be a pigmented squamous cell carcinoma (SCC). The prognosis and recommended treatment protocols are different for SCC and melanoma. This is, to the best of our knowledge, the first report of an ocular, pigmented SCC in the veterinary literature.
Profiles of matrix metalloproteinase activity in equine tear fluid during corneal healing in 10 horses with ulcerative keratitis.
Veterinary ophthalmology    October 30, 2004   Volume 7, Issue 6 397-405 doi: 10.1111/j.1463-5224.2004.04052.x
Ollivier FJ, Brooks DE, Van Setten GB, Schultz GS, Gelatt KN, Stevens GR, Blalock TD, Andrew SE, Komaromy AM, Lassaline ME, Kallberg ME, Cutler TJ.Levels of tear film matrix metalloproteinases (MMPs) activity are significantly elevated in horses with ulcerative keratitis and contribute to the excessive breakdown of stromal collagen. Changes in the amount of proteolytic activity in horse tear film during corneal healing and stromal remodeling have not yet been reported, but we hypothesize they should decrease. In the present study we analyzed serial tear fluid from horses with ulcerative keratitis to identify any changes in MMP activity during corneal healing and stromal remodeling. Methods: Samples of tear fluid were obtained from both e...
Effects of trimethoprim-sulfadiazine on tear production and the fluctuations of Schirmer tear test values in horses.
Veterinary ophthalmology    October 30, 2004   Volume 7, Issue 6 385-390 doi: 10.1111/j.1463-5224.2004.04037.x
Rothschild CM, Sellon DC, Bryan GM, Gay JM, Hines MT.The objectives of this study were to observe the effects of trimethoprim-sulfadiazine on equine tear production and to determine normal fluctuations in Schirmer tear test (STT) values in horses. A randomized, placebo-controlled, blinded clinical trial measuring STT values in 15 horses over an 8-week period was performed. The treatment group (eight horses) received 30 mg/kg trimethoprim-sulfadiazine orally once a day and the control group (seven horses) received placebo (flour) at the same time. All horses were housed outdoors throughout the study. Schirmer tear test values were measured at 0, ...
The use of porcine small intestinal submucosa for the repair of full-thickness corneal defects in dogs, cats and horses.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 352-359 doi: 10.1111/j.1463-5224.2004.04055.x
Bussieres M, Krohne SG, Stiles J, Townsend WM.To evaluate the efficacy of using a porcine small intestinal submucosa (SIS) graft covered by a conjunctival flap for the surgical repair of full-thickness corneal wounds in dogs, cats and horses. Methods: All records dating from August 1999 to February 2003 from Purdue University Veterinary Teaching Hospital of patients that had undergone ophthalmic surgical procedures and received a SIS corneal graft for a full-thickness lesion were reviewed. Fifteen cases were identified including six dogs, two cats and seven horses. Requirements for inclusion in this study were that SIS was used as a corne...
Use of topical mitomycin C in myoplasty of the medial rectus muscle of rabbits.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 335-342 doi: 10.1111/j.1463-5224.2004.04026.x
Mamede FV, Laus JL, Cabral VP, Vicenti FA, Barbieri-Neto J.To possibly reduce postoperative adhesions that occur after ocular myoplasties, we investigated the topical effects of 0.04% mitomycin C on the repaired areas of the medial rectus muscle using an equine renal capsule preserved in 98% glycerin for reinforcement of the sutures. Twenty-four rabbits, divided into two groups of 12 animals each [untreated (control) and treated group (MMC)], were submitted to surgical rupture of the medial rectus muscle of one eye and repair of the defect 24 h later with sutures and an equine renal capsule. Post-operative prophylactic treatment of the two groups cons...
The use of semiconductor diode laser for deflation and coagulation of anterior uveal cysts in dogs, cats and horses: a report of 20 cases.
Veterinary ophthalmology    August 18, 2004   Volume 7, Issue 5 360-368 doi: 10.1111/j.1463-5224.2004.04004.x
Gemensky-Metzler AJ, Wilkie DA, Cook CS.To describe semiconductor diode laser use for anterior uveal cyst deflation and coagulation in dogs, horses and cats. Methods: The presenting clinical signs, surgical technique and postoperative results for four dogs, nine horses and seven cats with anterior uveal cysts treated with diode laser are described. Treated cysts were of sufficient size and/or number to potentially impair vision, damage the corneal endothelium, or increase intraocular pressure (IOP). One dog with free-floating cysts exhibited 'fly biting' behavior. Cysts were suspected of causing shying on the affected side and/or he...
Periocular sarcoid in a horse.
Veterinary ophthalmology    April 20, 2004   Volume 7, Issue 3 141-146 doi: 10.1111/j.1463-5224.2004.04027.x
Komáromy AM, Andrew SE, Brooks DE, Detrisac CJ, Gelatt KN.A periocular nodular sarcoid of the right upper and lower eyelids was diagnosed in an 11-year-old Thoroughbred mare. Computed tomography scan revealed the extent of the tumor. The mass was surgically debulked under general anesthesia, and the affected periocular region was injected intralesionally with Bacillus of Calmette and Guerin (BCG). An emulsion of cell wall fractions was used, which has been modified to reduce the toxic and allergic effect, but retain the antitumor activity. In total, five injections were performed at 2-week intervals. At follow-up 7 months after the last BCG injection...
Diagnostic ultrasonography of equine lens and posterior segment abnormalities.
Veterinary ophthalmology    February 26, 2004   Volume 7, Issue 2 127-139 doi: 10.1111/j.1463-5224.2004.04009.x
Scotty NC, Cutler TJ, Brooks DE, Ferrell E.To define the indications for equine ocular ultrasonography and to provide representative ultrasonographic images of lens and posterior segment diseases. Methods: Retrospective study. Equine medical records dating from January 1983 to March 2001 were reviewed. All cases that: (1) had a lens and/or posterior segment abnormality; and (2) received a complete ophthalmic examination and ocular ultrasonography were included. Results: Forty-three cases (n = 64 eyes) out of 112 total cases of equine lens and/or posterior segment abnormalities qualified. The following conditions were identified ultraso...
Changes in antibiotic resistance in equine bacterial ulcerative keratitis (1991-2000): 65 horses.
Veterinary ophthalmology    December 3, 2003   Volume 6, Issue 4 309-313 doi: 10.1111/j.1463-5224.2003.00312.x
Sauer P, Andrew SE, Lassaline M, Gelatt KN, Denis HM.To document changes in antibiotic resistance of organisms in cases of equine bacterial ulcerative keratitis over a 10-year time period. Methods: A retrospective study. Methods: Medical records of equine patients with bacterial ulcerative keratitis seen at the University of Florida's VMTH for the years 1991-2000 were reviewed. Methods: All cases of equine bacterial ulcerative keratitis for the above mentioned years were examined. Bacterial isolates were identified and subjected to Kirby-Bauer disc diffusion method sensitivity tests. Antibiotics used in the sensitivity tests included bacitracin,...
The effect of topical administration of atropine sulfate on the normal equine pupil: influence of age, breed and gender.
Veterinary ophthalmology    December 3, 2003   Volume 6, Issue 4 329-332 doi: 10.1111/j.1463-5224.2003.00315.x
Davis JL, Stewart T, Brazik E, Gilger BC.The purpose of this study was to determine the influence of age, breed and gender on vertical pupil diameter (VPD) following a single dose of 1% atropine sulfate ophthalmic solution in the normal equine eye. Methods: Thirty-two horses of various ages, breeds and genders were included. The horses had no history or clinical signs of ophthalmic disease. All horses studied had darkly pigmented irides. Methods: Two milligrams of 1% atropine sulfate ophthalmic solution was topically administered as a single dose in the right eye of each horse on Day 0. The VPD (mm) was measured in both eyes using di...
Superficial, nonhealing corneal ulcers in horses: 23 cases (1989-2003).
Veterinary ophthalmology    December 3, 2003   Volume 6, Issue 4 291-297 doi: 10.1111/j.1463-5224.2003.00309.x
Michau TM, Schwabenton B, Davidson MG, Gilger BC.To characterize superficial, nonhealing corneal ulcers in the horse and to assess the affect of age, breed, sex, inciting cause of the ulcer, and treatment on healing time of these ulcers. Methods: Retrospective study. Methods: Twenty-three horses with superficial, nonhealing corneal ulcerations. Methods: Medical records from 1989 to 2003 of horses diagnosed with superficial, nonhealing corneal ulcers were reviewed. Signalment, duration of clinical signs, ophthalmic abnormalities, treatment and response to treatment were recorded. Horses were treated, in addition to medical therapy, using debr...
Intravascular papillary endothelial hyperplasia of the conjunctiva in a horse.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 269-272 doi: 10.1046/j.1463-5224.2003.00298.x
Herrera HD, Duchene AG, Croxatto JO, Burgués N, Amusquibar H.Vascular tumors of the conjunctiva in the horse are rare. We present a unique case of an intravascular papillary endothelial hyperplasia of the conjunctiva. Methods: Horse. Methods: Case report. A 6-year-old-mare presented with a red mass in the conjunctiva of the left eye. After complete ophthalmologic examination the lesion was excised. The tissue was processed for light microscopy and studied histopathologically. Results: Pathologic examination revealed a nonencapsulated vascular lesion composed of confluent vascular spaces filled by multiple papillary structures composed of a central colla...
Effects of growth factors (EGF, PDGF-BB and TGF-beta 1) on cultured equine epithelial cells and keratocytes: implications for wound healing.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 211-217 doi: 10.1046/j.1463-5224.2003.00296.x
Haber M, Cao Z, Panjwani N, Bedenice D, Li WW, Provost PJ.The physiologic mechanisms involving growth factors, including PDGF-BB, EGF, and TGF-beta 1, as potent mediators of fibroblasts and epithelial cells in corneal wound healing remain unknown. The goal of this study was to determine culture methods for equine epithelial cells and keratocytes and to investigate how exogenous growth factors influence proliferation of both cell types. Methods: Cell cultures were established from healthy corneas harvested from horses immediately following euthanasia and maintained using standard tissue culture protocols. To determine the effects of PDGF-BB, EGF, TGF-...
Nonulcerative keratouveitis as a manifestation of Leptospiral infection in a horse.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 191-195 doi: 10.1046/j.1463-5224.2003.00288.x
Wada S, Yoshinari M, Katayama Y, Anzai T, Wada R, Akuzawa M.A 2-year-old Thoroughbred filly presented with ocular pain and epiphora of the left eye. The pupil was miotic and the cornea edematous near the ventro-temporal limbus, but did not retain any fluorescein. The topical antibiotics and atropine and diclofenac, and systemic flunixin meglumine and antibiotic therapy did not resolve the condition. A pink and fleshy infiltrate developed near the limbus indicating nonulcerative keratouveitis. The anterior uveitis deteriorated as manifested by the presence of dyscoria, hypopyon, and organized fibrin in the anterior chamber. Ocular signs were improved by...
Schirmer tear test results in normal horses and ponies: effect of age, season, environment, sex, time of day and placement of strips.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 251-254 doi: 10.1046/j.1463-5224.2003.00302.x
Beech J, Zappala RA, Smith G, Lindborg S.Tear production was evaluated in 39 horses and 29 ponies using Schirmer tear test strips to determine whether diurnal or weekly fluctuations occur, whether location of strip placement has an effect, if values are the same for both eyes in an animal and whether sex, age, stabling vs. pasture and winter vs. summer had an effect. There was no test in which the raw score was less than 10 mm, although there were many occasions where tear wetting exceeded 35 mm. Analysis of the raw (continuous) scores by linear regression provided no evidence that signalment, housing or season or location of strip p...
Keratitis due to Histoplasma spp. in a horse.
Veterinary ophthalmology    May 20, 2003   Volume 6, Issue 2 99-103 doi: 10.1046/j.1463-5224.2003.00286.x
Richter M, Hauser B, Kaps S, Spiess BM.A 5-year-old Holsteiner gelding from Germany was presented 2 months after a whitish discoloration of the left cornea was observed. Cytologic examination revealed intra- and extracellular globular structures, up to 4 micro m in size, consisting of a central spherical deeply basophilic body surrounded by an unstained halo. The structures were morphologically consistent with Histoplasma spp. Infection with Histoplasma organisms is not endemic in Europe. Topical use of fluconazole was successful in eliminating Histoplasma organisms within 10 days of initiation of treatment.
Corneal esthesiometry in the healthy horse.
Veterinary ophthalmology    May 20, 2003   Volume 6, Issue 2 151-155 doi: 10.1046/j.1463-5224.2003.00283.x
Kaps S, Richter M, Spiess BM.To determine corneal sensitivity in healthy adult horses in order to establish reference values. Methods: One hundred eyes of 50 healthy adult horses. Methods: Corneal sensitivity was determined by evaluating the corneal touch threshold (CTT) in five different corneal regions using a Cochet-Bonnet esthesiometer. Results: Comparing CTT values (in mm filament length) of the five prescribed corneal regions revealed regional variations in corneal sensitivity, with the central region (21.15 +/- 6.23 mm) being the most sensitive, followed by the nasal (20.75 +/- 5.14 mm), temporal (20.70 +/- 5.37 mm...
IgA and secretory component (SC) in the third eyelid of domestic animals: a comparative study.
Veterinary ophthalmology    May 20, 2003   Volume 6, Issue 2 157-161 doi: 10.1046/j.1463-5224.2003.00284.x
Schlegel T, Brehm H, Amselgruber WM.The third eyelid of domestic animals is important for the production and distribution of tears, in removing ocular debris and in protection of the globe, and has significant immunologic functions. Although it is known that tears contain antibodies of the immunoglobulin A (IgA) isotype which are produced mainly by plasma cells of the lacrimal gland, very little is known about the antibody repertoires in the third eyelid of domestic animals. To assess whether IgA is derived from local synthesis, we analyzed the location of IgA-producing cells and the cellular distribution of secretory component ...
Presence of opioid growth factor and its receptor in the normal dog, cat and horse cornea.
Veterinary ophthalmology    May 20, 2003   Volume 6, Issue 2 131-134 doi: 10.1046/j.1463-5224.2003.00279.x
Robertson SA, Andrew SE.To determine if opioid growth factor (OGF, [Met5]enkephalin) and its specific receptor (OGFr) are present in normal cat, dog and horse cornea. Methods: Normal dog, cat and horse. Methods: Corneas were obtained from animals euthanized for reasons unrelated to this project. One cornea from each of three normal cats, dogs and horses was evaluated. The right or left cornea from each animal was chosen randomly. Corneas were harvested and placed in corneal storage media for transport to The M.S. Hershey Medical Center of The Pennsylvania State University where immunocytochemistry techniques were use...
Seasonal effects on the aerobic bacterial and fungal conjunctival flora of normal thoroughbred brood mares in Florida.
Veterinary ophthalmology    March 19, 2003   Volume 6, Issue 1 45-50 doi: 10.1046/j.1463-5224.2003.00265.x
Andrew SE, Nguyen A, Jones GL, Brooks DE.To evaluate seasonal effects on the presence or absence of fungal and aerobic bacterial flora of the conjunctival fornix of normal Florida Thoroughbred horses. Methods: Both eyes of 100 horses. Methods: Horses with normal anterior segment ophthalmic examinations from three farms in north central Florida were included. Each animal had the ventral conjunctival fornix of each eye swabbed with sterile culturettes. Samples were taken in October, January, April, and July (1999-2000). Aerobic and fungal cultures were plated. Bacterial cultures were reviewed at 24 and 48 h. Fungal cultures were review...
Fungal flora of normal eyes of healthy horses from the State of Rio de Janeiro, Brazil.
Veterinary ophthalmology    March 19, 2003   Volume 6, Issue 1 51-55 doi: 10.1046/j.1463-5224.2003.00267.x
Rosa M, Cardozo LM, da Silva Pereira J, Brooks DE, Martins AL, Florido PS, Stussi JS.The conjunctival fungal flora of 32 adult horses with normal eyes (n = 64) from the State of Rio de Janeiro in Brazil was identified in the fall of 2000 using horses of different breeds, both genders and aged 5-19 years old. The culture samples were taken from the conjunctival sac of both eyes with a sterile cotton swab wetted with saline solution, seeded in Sabouraud's dextrose agar with chloramphenicol, and incubated for 5 days at an average temperature of 25 degrees C. The number of fungal colonies per eye varied between 0 and 250 colony forming units (CFUs). There were often differences in...
Inhibition of collagenase breakdown of equine corneas by tetanus antitoxin, equine serum and acetylcysteine.
Veterinary ophthalmology    March 19, 2003   Volume 6, Issue 1 67-72 doi: 10.1046/j.1463-5224.2003.00271.x
Haffner JC, Fecteau KA, Eiler H.To determine whether tetanus antitoxin, equine serum, and acetylcysteine, which are currently used in the treatment of equine corneal ulcer, inhibit the digestion of equine corneal collagen when exposed to collagenase in vitro. Methods: Corneas from 40 adult horses. Methods: Sections of equine corneas were incubated with saline, a solution of bacterial collagenase in saline, bacterial collagenase in saline plus equine tetanus antitoxin, bacterial collagenase in saline plus equine serum, or bacterial collagenase in saline plus acetylcysteine. Each one of the collagenase inhibitors was tested at...