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Topic:Eyes

The study of equine eyes encompasses various anatomical, physiological, and pathological aspects of the horse's visual system. The equine eye is a complex organ adapted for a wide field of vision and low-light conditions, which is essential for the survival of prey animals. Key components include the cornea, lens, retina, and optic nerve, each playing a role in capturing and processing visual information. Common ocular conditions in horses include uveitis, cataracts, and corneal ulcers, which can affect vision and overall health. Diagnostic techniques such as ophthalmoscopy and ultrasonography are employed to assess eye health and detect abnormalities. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, function, and diseases of the equine eye, as well as advancements in diagnostic and therapeutic approaches.
Modified Medial Canthoplasty for Correction of Euryblepharon in Two Horses.
Veterinary ophthalmology    March 8, 2026   Volume 29, Issue 2 e70165 doi: 10.1111/vop.70165
Letourneau AR, Butler BA, Martinez PS, da Costa Martins B, Monk CS, Plummer CE.To describe a medial canthoplasty surgical procedure in two horses for correction of euryblepharon, secondary to microphthalmia, and following excision of retrobulbar fat prolapse. Methods: A 1 year old thoroughbred mare was presented for small globes and chronic ocular discharge bilaterally. Ophthalmic examination revealed microphthalmos, euryblepharon, medial canthal pocket syndrome, and dacryocystitis bilaterally with no visual impairments. A 2 year old Appaloosa gelding was presented for evaluation of a smooth, subconjunctival mass anterior to the right globe in the medial canthus. Oph...
Effects of rectal examination on intraocular pressure and behavioral responses in pregnant and non-pregnant mares.
Journal of equine veterinary science    February 24, 2026   Volume 160 105821 doi: 10.1016/j.jevs.2026.105821
Çortu A, Çınar H.Rectal examination is routine in equine reproduction but may trigger acute stress affecting welfare and safety. Intraocular pressure (IOP) responds rapidly to autonomic changes and may capture short-lived stress responses. Objective: To evaluate whether rectal examination acutely affects IOP and behavioral responses in mares, and whether reactions differ by reproductive status. Methods: Twenty Rahvan mares (10 pregnant, 30-40 days' gestation; 10 non-pregnant; 4-7 years) underwent transrectal examination without sedation. IOP was measured bilaterally at six time points: 2 min pre-exam (T1), dur...
Unilateral vision loss associated with corneal opacity and posterior lens luxation in the right eye of a Thoroughbred gelding: Case report.
Journal of equine veterinary science    February 21, 2026   Volume 159 105813 doi: 10.1016/j.jevs.2026.105813
Imai S, Sato R, Fujiwara R, Terui S, Kimura A, Ichijo T, Kasashima Y, Miyazaki T.A 15-year-old Thoroughbred gelding was presented for examination due to chronic corneal opacity in the right eye, which had been noted for several years. An ophthalmic evaluation revealed dense, irregular corneal opacity; an absence of the direct pupillary light reflex; and a positive dazzle reflex. Fluorescein staining was negative and cytology of a corneal conjunctival swab identified nucleated squamous epithelial cells, but no inflammatory cells. Slit-lamp examination failed to visualize intraocular structure, and the lesion was deemed to be chronic and irreversible. An obstacle-avoidance t...
Standing superficial keratectomy provides long-term control of epithelial and stromal equine immune-mediated keratitis.
Journal of the American Veterinary Medical Association    February 13, 2026   1-7 doi: 10.2460/javma.25.11.0754
Toddy T, Ledbetter EC, Knickelbein KE.To describe the demographics and treatment outcomes of horses definitively diagnosed with epithelial or stromal immune-mediated keratitis (IMMK) by use of in vivo confocal microscopy (IVCM) and/or histopathology. Unassigned: Medical records of horses presented to the Cornell University Equine Hospital definitively diagnosed with epithelial or stromal IMMK with IVCM and/or histopathology between 2020 and 2024 were reviewed. Patient signalment, affected eye(s), diagnostics, treatments, and outcomes were assessed. Unassigned: 22 horses met the inclusion criteria. The mean age was 16.9 years (SD, ...
Cell and Gene Therapy in Equine Ocular Disease.
Veterinary ophthalmology    February 2, 2026   Volume 29, Issue 2 e70151 doi: 10.1111/vop.70151
Young KAS, Schnabel LV, Gilger BC.Equine ocular disease is common and often challenging to treat using traditional methods. This has led to the development of new therapies. Like human medicine, veterinary medicine is adopting cellular and gene therapy as innovative approaches. Equine ocular disease is a particularly promising area for these techniques. Notably, immune-mediated diseases (such as immune-mediated keratitis and equine recurrent uveitis), ulcerative keratitis, and infectious ocular diseases are of interest. Several ocular gene therapy products are approved for use in humans, and more are currently being researched...
Ocular Causes for Undesired Behaviors in the Horse.
The Veterinary clinics of North America. Equine practice    January 28, 2026   S0749-0739(25)00069-0 doi: 10.1016/j.cveq.2025.12.001
Knickelbein KE.Numerous ocular diseases cause visual impairment and induce ocular pain that may be associated with undesired behaviors in horses. Horses with ocular pain, indicated by the presence of blepharospasm, blepharoedema, ocular discharge or rubbing the eye, should be rested from work to avoid worsening the ocular disease and to avoid undesired behaviors associated with pain or vision impairment. Horses with ocular disease are frequently head shy. Some stoic horses may not have obvious outward clinical signs despite significant visual impairment, and as such, undesired behaviors such as spooking, bal...
Polyhexanide, Povidone-Iodine, and Hypochlorous Acid Show High In Vitro Antimicrobial Efficacy Against Pathogens Commonly Associated With Equine Infectious Keratitis.
Veterinary ophthalmology    January 19, 2026   Volume 29, Issue 1 e70141 doi: 10.1111/vop.70141
Stolle LM, Oltmanns H, Meißner J, Heun F, Schieder AK, Wolff HT, Ohnesorge B, Busse C.To determine the in vitro antimicrobial activity of specific antiseptics against common equine ocular surface pathogens. Methods: Staphylococcus aureus (S. aureus) (n = 12), Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) (n = 9), Enterobacter hormaechei (E. hormaechei) (n = 6), and Bacillus cereus (B. cereus) (n = 5) were collected from corneal samples of horses with ulcerative keratitis. Reference strains were included. Minimum bactericidal concentrations (MBC) of polyhexanide, povidone-iodine, and hypochlorous acid were tested using the microdilution method. ...
Evaluation of Laboratory Techniques for the Diagnosis of Leptospira-Associated Equine Recurrent Uveitis (ERU) With Focus on the Goldmann-Witmer Coefficient.
Veterinary ophthalmology    January 10, 2026   Volume 29, Issue 1 e70132 doi: 10.1111/vop.70132
Kirmse L, Thieme K, Doherr MG, Eule JC.To evaluate different laboratory procedures for determining the etiologic diagnosis of equine recurrent uveitis regarding intraocular infection with Leptospira spp. and to establish a diagnostic guideline. Methods: Eighty horses with a history of ERU were ophthalmologically examined. Serum and aqueous humor were collected. Total protein, albumin level, and MAT against Leptospira spp. were evaluated on serum and aqueous humor. PCR for Leptospira spp., EHV-1 and -4 was performed on aqueous humor. Goldmann-Witmer coefficient (GWC) and C-value (CC) were calculated based on MAT. In 42 cases, an add...
Green Light-Activated Rose Bengal Cross-Linking in 81 Horses With Complex Corneal Ulcers and Stromal Abscesses.
Veterinary ophthalmology    January 6, 2026   Volume 29, Issue 1 e70137 doi: 10.1111/vop.70137
Goetz M, Cremoux M, Lassalle L, Douet JY.To assess the efficacy and safety of Rose Bengal and green light corneal cross-linking (RGX) as an adjunctive treatment for complicated corneal ulcers and stromal abscesses in horses. Methods: A retrospective analysis included 81 horses (82 eyes) treated with RGX between 2018 and 2024. Cases involved complicated corneal diseases such as melting keratitis, fungal keratitis, deep stromal defects, and stromal abscesses. Treatment consisted of topical or iontophoretic administration of 1% Rose Bengal followed by green light irradiation (550 nm; 150 J/cm) for 10 min. Most procedures (76.8%) w...
Use of a Fogarty balloon catheter for management of distal nasolacrimal duct atresia in a standing sedated horse.
The Canadian veterinary journal = La revue veterinaire canadienne    December 1, 2025   Volume 66, Issue 12 1273-1278 
Bourassi S, Jack H, Florczyk A.A 4-year-old Arabian cross paint mare was referred for evaluation of chronic mucopurulent discharge and epiphora of the left eye. Ophthalmic and radiographic evaluations confirmed distal nasolacrimal duct atresia with absence of the nasolacrimal orifice. Initial minimally invasive treatments, including guidewire-assisted catheterization and diode laser photoablation, were unsuccessful. Definitive treatment was achieved using a Fogarty arterial embolectomy catheter under standing sedation. Controlled balloon inflation and deflation enabled progressive dilation of the obstructed duct, and a surg...
Traumatic injuries in polo players.
Postgraduate medical journal    November 20, 2025   qgaf200 doi: 10.1093/postmj/qgaf200
Ken-Dror G, Chua V, Sharma P.To determine the frequency of traumatic injuries in polo players in England. Methods: The survey included data on body location and reason for injury derived from accident reports using a retrospective cohort design from 26 participating English polo clubs between the years 2018 and 2024. Results: The study population included injuries in 236 polo players. The most common injury site was the limb (arm, hand, leg, wrist, shoulder) 47.9% (95% CI: 41.4-54.5), and face or head 38.6% (95% CI: 32.3-45.1), of which 12.1% (95% CI: 6.2-20.6) affected the eyes. The most common reason to require hospital...
Tear Film Osmolarity in Horses With Bacterial Conjunctivitis.
Veterinary medicine and science    November 17, 2025   Volume 11, Issue 6 e70677 doi: 10.1002/vms3.70677
Saberinia A, Ozmaei S, Anoushepour A.Conjunctivitis is an inflammation of the conjunctiva caused by infectious or non-infectious factors. Infectious conjunctivitis comes in two forms: viral and bacterial. Bacterial conjunctivitis is commonly caused by organisms such as Staphylococcus and Streptococcus, with the severity of the disease influenced by the specific bacterial species involved. Because both viral and bacterial conjunctivitis are highly contagious, preventive measures are essential to reduce transmission-especially to the unaffected eye. Objective: To evaluate the tear film osmolality in horses with bacterial conjunctiv...
Computed Tomographic Assessment of Normal Ocular Dimensions and Densities in Cadaveric Horses (Equus ferus caballus).
Animals : an open access journal from MDPI    October 31, 2025   Volume 15, Issue 21 3165 doi: 10.3390/ani15213165
Díaz-Bertrana ML, Pitti L, Ramírez AS, Encinoso M, Fumero-Hernández M, Morales I, Arencibia A, Jaber JR.This study aimed to characterize the computed tomographic (CT) dimensions and contrast attenuation properties of the equine eye. CT scans from 21 horses without ocular abnormalities were analyzed to obtain detailed ocular measurements and attenuation values. In addition, cranial measurements, such as nasal-occipital length and zygomatic width, were incorporated to explore potential anatomical relationships between the skull and intraocular structures. Although most correlations between cranial and ocular parameters were weak, statistically significant associations-particularly those involving ...
A de novo FBN1 variant likely causes congenital bilateral ectopia lentis in a crossbred horse.
Scientific reports    October 24, 2025   Volume 15, Issue 1 37238 doi: 10.1038/s41598-025-21139-7
Esdaile E, Houston K, Till BJ, Sutton RB, Scurrell E, Ling M, Hartley C, Bellone RR.Although several inherited ocular disorders have been extensively studied in horses, few reports of equine ectopia lentis exist and no genetic investigations have been reported. Ectopia lentis in humans and other species is reported to be caused by trauma, genetic variants, and systemic diseases. The most commonly reported genetic causes are dominant alleles in FBN1. Here we examined a 3-day old Oldenburg x Thoroughbred colt due to concerns over bilateral ocular anomalies and hypothesized that either a recessively inherited allele or a dominant de novo allele was the genetic cause. Examination...
Retrospective Assessment of Carbonic Anhydrase Inhibitors in Topical or Episcleral Implant Form for the Treatment of Equine Glaucoma.
Veterinary ophthalmology    September 22, 2025   Volume 28, Issue 6 977-982 doi: 10.1111/vop.70086
Tucker-Retter EK, Yamagata M, Gilger B, Oh A.To assess whether topical carbonic anhydrase inhibitors (CAIs) with or without episcleral brinzolamide implants control intraocular pressure (IOP) in horses with glaucoma. Methods: 12 client-owned horses diagnosed with glaucoma. Methods: Medical records of horses treated with topical CAIs for ≥ 14 days, with a subset receiving episcleral brinzolamide implants, were reviewed. Diagnosis, signalment, concurrent ocular disease, medications, IOP, visual status, and additional procedures were recorded. Treatment failure was defined as horses with IOP > 30 mmHg resulting in phthisis bulbi o...
Horsing Around: A Retrospective Study of Equestrian Related Eye Injuries in the Emergency Department.
The Journal of emergency medicine    September 10, 2025   Volume 79 446-452 doi: 10.1016/j.jemermed.2025.09.009
Moran C, Harrington M, Barnett J, Wayman L, Bond J.Equestrian activities pose significant risks for ocular and ocular adnexal injuries, particularly from horse kicks and falls from horse riding. Objective: This study characterizes the spectrum of horse-related ocular trauma, analyzes outcomes, and provides recommendations for management of these injuries. Methods: A retrospective review was conducted at a large academic medical institution in the southeastern U.S. using ICD codes to identify horse-related ocular trauma cases. Demographics, injury mechanisms, clinical presentation, treatment, and long-term sequelae were analyzed. Results: Fifty...
Equine Sarcoid Arising From the Medial Caruncle With Invasion of the Third Eyelid in a Quarter Horse Gelding.
Veterinary ophthalmology    September 4, 2025   Volume 29, Issue 2 e70074 doi: 10.1111/vop.70074
Plotsker NM, Taylor R, Coffin HR, Beatty A, Newbold G, Knickelbein KE.To describe the clinical and histologic features of a sarcoid arising from the medial caruncle with spread to the third eyelid of a horse. Methods: A 20-year-old Quarter Horse gelding. Methods: An incisional biopsy of the medial caruncle mass was initially performed, with histopathology suggesting a sarcoid or other spindle cell neoplasm. The mass grew rapidly following the biopsy, expanding to affect the third eyelid and adjacent superior palpebral conjunctiva. A complete third eyelid and medial caruncle excision with resection of affected palpebral conjunctiva and adjunctive cryotherapy was ...
Validation of the EYEMATE-SC Suprachoroidal Pressure Transducer for Telemetric Measurement of Intraocular Pressure in Normal Ex Vivo Canine and Equine Globes-Preliminary Results.
Veterinary ophthalmology    August 29, 2025   Volume 28, Issue 5 866-870 doi: 10.1111/vop.70071
Buckman PN, Brinker BA, Kapeller LE, Komáromy AM.To determine the accuracy of the EYEMATE-SC suprachoroidal tracer for telemetric tonometry in canine and equine globes. Methods: The EYEMATE-SC sensor (7.8 mm × 3.8 mm × 1 mm) was implanted in the suprachoroidal space of four freshly enucleated normal canine and two normal equine eyes. The anterior chambers were cannulated and connected to a reservoir of Plasma-Lyte A and a manometer. Starting at a manometric IOP of 5 mmHg, the pressure was progressively increased to 80 mmHg by raising the reservoir. At each setpoint (5, 10, 15, 20, 25, 30, 35, 40, 50, 60, 70, and 80 mmHg), t...
Horse vision through two lenses: Tinbergen’s Four Questions and the Five Domains.
Frontiers in veterinary science    August 14, 2025   Volume 12 1647911 doi: 10.3389/fvets.2025.1647911
Roth LSV, McGreevy P.To improve human-horse interactions and reduce the risk of injury, it is essential to adopt an equi-centric perspective that prioritizes how horses perceive their environment. This review focuses on the equine visual system, both because it is the most studied of the horse's senses and because misunderstandings about how horses see can lead to unsafe or unsustainable handling. By applying two complementary frameworks, namely Tinbergen's Four Questions and the Five Domains model, we examine equine vision from both a biological and a welfare-oriented perspective. We explore the anatomical and fu...
The effect of topical antibiotic or antibiotic-corticosteroid treatment on the ocular surface microbiota of healthy horses.
Frontiers in microbiology    August 4, 2025   Volume 16 1535095 doi: 10.3389/fmicb.2025.1535095
Martin de Bustamante MG, Plummer CE, Caddey B, Gomez DE.Information regarding the impact of topical antibiotics with or without corticosteroids on the microbiota of the horses' eyes is limited. This study aimed to describe the bacterial ocular surface microbiota in healthy horses and evaluate the effect of topical antibiotics or antibiotic-corticosteroid medication on the ocular surface microbiota. Unassigned: This was a prospective, randomized, longitudinal, blinded study in which one eye of 12 horses was treated 3 times daily for 7 days with neomycin, polymyxin B and bacitracin ophthalmic ointment ( = 6) or neomycin, polymyxin B and dexametha...
Complications associated with subpalpebral lavage systems in upper and lower equine eyelids: A prospective, randomised study in 73 cases (2015-2024).
Equine veterinary journal    June 26, 2025   doi: 10.1111/evj.14540
Graham AE, Carslake HB, Malalana F.Evidence for optimal location of subpalpebral lavage (SPL) systems is lacking. Objective: To compare the rate and types of complications with SPL systems located in central upper- compared with medial lower-eyelid in hospitalised patients. Methods: Prospective, randomised treatment trial. Methods: Horses admitted for ophthalmic treatment using an SPL system from February 2015 to January 2024 were included if ocular pathology did not necessitate SPL system placement in a specific location. Coin toss was used to determine location. SPL systems were monitored at least daily, and complications wer...
First Molecular Evidence of Equine Herpesvirus Type 1 (EHV-1) in Ocular Swabs of Clinically Affected Horses.
Viruses    June 18, 2025   Volume 17, Issue 6 862 doi: 10.3390/v17060862
Musoles-Cuenca B, Padilla-Blanco M, Vitale V, Lorenzo-Bermejo T, de la Cuesta-Torrado M, Ballester B, Maiques E, Rubio-Guerri C, Velloso Alvarez A.Equine Herpesvirus Type 1 (EHV-1) is a significant pathogen within the subfamily, causing respiratory disease, abortions, and, in severe cases, equine herpesvirus myeloencephalopathy (EHM). While nasal swabs and blood samples are commonly used for real-time polymerase chain reaction (RT-PCR) diagnosis, variability in viral shedding necessitates exploring additional sample types. This study reports the first molecular detection of EHV-1 in ocular swabs from naturally infected horses during an outbreak in the Valencian Community in 2023. Nasal and ocular swabs were collected from ten symptomati...
Effect of orally administered cannabidiol oil on daily tonometric curve in healthy Italian Saddle horses.
PloS one    May 28, 2025   Volume 20, Issue 5 e0325191 doi: 10.1371/journal.pone.0325191
Bazzano M, Laus F, Cerquetella M, Spaterna A, Marchegiani A.Phytocannabinoids have the potential to lower intraocular pressure in both normal and glaucomatous eyes and they have been tested in different animal species, but not in the horse. The present paper describes the tonometric curve of healthy adult Italian Saddle horses after oral administration of cannabidiol oil (CBD). Methods: CBD 20% was administered orally (oily solution) at the dose of 1 mg/kg to 8 adult horses and intraocular pressure (IOP) was evaluated by tonometric curve. Data were then compared to those of the same horses obtained the day before (blank) CBD administration. Results: ...
Use of 2D-Shear Wave Elastography for the Evaluation of Lens in Horses. Bandera L, Guerri G, Straticò P, Pincelli MC, Celani G, Varasano V, Vignoli M, Petrizzi L.Although lens diseases are uncommon in horses, they can be disabling in advanced stages. The B-mode ultrasound is useful for diagnosing and monitoring the progression of ocular diseases such as cataracts. Elastography is an ultrasonographic technique that allows the detection and measurement of tissue stiffness. This observational cohort prospective study aimed to determine the feasibility, reproducibility, and repeatability of 2D-shear wave elastography (2D-SWE) of lenses in horses. Forty-six eyes of 23 horses with no evidence of ocular disease were included in this study. The horses underwen...
Infracyanine Green-Based Photodynamic Therapy for Immune-Mediated Keratitis in Horses.
Veterinary ophthalmology    May 5, 2025   doi: 10.1111/vop.70027
Lam KP, Keys DA, McMullen RJ.To describe infracyanine green-based photodynamic therapy (InfraCG-PDT) and evaluate outcomes in horses with immune-mediated keratitis (IMMK). Methods: Medical records from 2014 to 2020 from the Equine Clinic Munich-Riem, Germany, and Auburn University Equine Ophthalmology Service identified horses diagnosed with IMMK following ophthalmic examination that had undergone InfraCG-PDT. Methods: Multiple intrastromal injections of EmunDo (InfraCG, A.R.C. Laser, Nuernberg, Germany) within an affected quadrant or the entire cornea were treated with diffuse diode laser energy (FOX A.R.C., Laser, Nuern...
Corneal rupture in a 19-year-old Quarter Horse mare.
Journal of the American Veterinary Medical Association    April 11, 2025   1-3 doi: 10.2460/javma.25.02.0078
Stilz CR, Wright RI, Myrna KE, Carmichael KP.No abstract available
Treatment of Iris Hypoplasia Using Semiconductor Diode Laser in the Horse Under Standing Sedation.
Case reports in veterinary medicine    March 24, 2025   Volume 2025 4021047 doi: 10.1155/crve/4021047
Hefner EM, Stoppini R, McMullen RJ. This study is aimed at describing two unique case presentations of iris hypoplasia and the use of semiconductor diode laser for treatment in the horse. One 20-year-old American Quarter Horse gelding and one 11-year-old pony mare were studied. The presenting clinical signs, surgical technique, and postoperative results for two cases of iris hypoplasia treated with diode laser are described. Immediate postoperative complications-postoperative ocular hypertension (POH), corneal edema, and epithelial bullae-were possible anticipated effects but were controlled with topical medications in the fi...
A retrospective survey of equine ocular diseases evaluated at a referral hospital in Ontario (2011 to 2021).
The Canadian veterinary journal = La revue veterinaire canadienne    March 12, 2025   Volume 66, Issue 3 308-317 
Ing ST, Pinard CL, James-Jenks EM, Leis ML.Our objective was to investigate the demographics and prevalence of ocular disease in a large referral population of horses in Ontario over a 10-year period. Unassigned: A retrospective analysis of medical records for 283 horses evaluated by Board-certified veterinary ophthalmologists at the Ontario Veterinary College (Guelph, Ontario) was conducted. Signalment and ocular disease were recorded. Unassigned: The 3 most common ocular abnormalities identified were uveitis (43.7%, 123 horses), ulcerative keratitis (42.0%, 119 horses), and cataract (25.1%, 71 horses). Uveitis was most often secondar...
Bilateral intraocular choristoma in a 2-day-old foal. Morgan J, Curtis Shaw G, Weisman J, Cecere T, Carvallo-Chaigneau FR.A 2-d-old Warmblood colt was submitted for autopsy with a spectrum of bilateral ocular abnormalities. At postmortem examination, a constellation of lesions within the anterior segment included retention of ectodermal elements, compatible with choristoma. Ocular choristomas can be localized to different intraocular structures and are rare in equids. The morphologic features in our case were suggestive of abnormal corneal differentiation.
Evaluation of the Effect of Intravenous Mannitol and Hypertonic Saline on Intraocular Pressure and Biometry Parameters in Anesthetized Horses With Experimentally Increased Intracranial Pressure.
Veterinary ophthalmology    February 11, 2025   doi: 10.1111/vop.70000
Bercovitz GR, Sullivan SN, Reed RA, Ryan CA, Diehl KA.To evaluate the effect of intravenous mannitol and hypertonic saline (HS) on intraocular pressure (IOP) and biometry parameters of horses with elevated intracranial pressure (ICP). Methods: Seven horses with normal ophthalmic exams were anesthetized and placed in lateral recumbency. A subarachnoid transducer was placed, and the head was lowered until ICP measured 40 mmHg +/- 2 mmHg. Five intravenous boluses of mannitol 20% (0.4 g/kg) or HS 7.2% (1 mL/kg) were administered, each 15 min apart. A 2-day washout period ensued, and the procedure was repeated with the other hyperosmotic age...
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