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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.
Whole genome sequencing identified a 16 kilobase deletion on ECA13 associated with distichiasis in Friesian horses.
BMC genomics    November 30, 2020   Volume 21, Issue 1 848 doi: 10.1186/s12864-020-07265-8
Hisey EA, Hermans H, Lounsberry ZT, Avila F, Grahn RA, Knickelbein KE, Duward-Akhurst SA, McCue ME, Kalbfleisch TS, Lassaline ME, Back W, Bellone RR.Distichiasis, an ocular disorder in which aberrant cilia (eyelashes) grow from the opening of the Meibomian glands of the eyelid, has been reported in Friesian horses. These misplaced cilia can cause discomfort, chronic keratitis, and corneal ulceration, potentially impacting vision due to corneal fibrosis, or, if secondary infection occurs, may lead to loss of the eye. Friesian horses represent the vast majority of reported cases of equine distichiasis, and as the breed is known to be affected with inherited monogenic disorders, this condition was hypothesized to be a simply inherited Mendeli...
Histologic effects of MicroPulse™ transscleral cyclophotocoagulation in normal equine eyes.
Veterinary ophthalmology    November 29, 2020   Volume 24, Issue 1 59-70 doi: 10.1111/vop.12846
Foote BC, Smith JD, Allbaugh RA, Sebbag L.Determine the immediate post-operative effects of MicroPulse transscleral cyclophotocoagulation (MP-TSCPC) in healthy equine eyes. Methods: Ten adult horses. Methods: MP-TSCPC was performed on sedated horses in 12 eyes (4 groups) using the following parameters (power, duration, duty cycle): (1) 2000 mW, 180 seconds, 31.3%; (2) 3000 mW, 180 seconds, 31.3%; (3) 3000 mW, 270 seconds, 31.3%; and (4) 3000 mW, 270 seconds, 50%. Three additional eyes were left untreated (control). Eyes were monitored clinically until euthanasia (mean = 3 hours post-procedure). Histologic sections were asse...
Effect of Topical 1% Tetracaine Hydrochloride on Intraocular Pressure in Ophthalmologically Normal Horses; a Pilot Study.
Journal of equine veterinary science    October 10, 2020   Volume 95 103296 doi: 10.1016/j.jevs.2020.103296
Faghihi H, Rajaei SM, Mehrazin H, Golabdar S, Brooks DE.The aim of this study was to evaluate the effect of topical 1% tetracaine hydrochloride on the intraocular pressure (IOP) in ophthalmologically normal horses. Thirty eyes of 15 clinically normal horses were used for this study. The animals were randomly assigned to two groups (treatment and control). Prior to the instillation of 1% tetracaine or placebo, the baseline IOPs (T0) of each animal were recorded in both groups. Then one drop of tetracaine was instilled randomly into one eye of each horse in the treatment group (8 horses). In the control group (7 horses), one drop of artificial tear w...
Serum albumin and total protein concentration in the tear film of horses with healthy or diseased eyes.
Veterinary ophthalmology    September 12, 2020   Volume 24, Issue 1 20-27 doi: 10.1111/vop.12822
Terhaar HM, Allbaugh RA, Mochel JP, Sebbag L.To determine total protein content (TPC) and serum albumin levels in the tears of horses with healthy or diseased eyes. Methods: Forty-two horses with healthy eyes and 11 horses with unilateral (n = 10) or bilateral (n = 1) ocular disease. Methods: Each eye underwent an ophthalmic examination including detailed conjunctivitis scoring and tear collection with Schirmer strips. TPC and serum albumin levels were quantified in tear samples and compared among healthy eyes, affected eyes, and contralateral unaffected eyes. The impact of the following variables on lacrimal protein levels were asse...
Epidemiological and Molecular Investigation of Ocular Fungal Infection in Equine from Egypt.
Veterinary sciences    September 8, 2020   Volume 7, Issue 3 130 doi: 10.3390/vetsci7030130
Tahoun A, Elnafarawy HK, Elmahallawy EK, Abdelhady A, Rizk AM, El-Sharkawy H, Youssef MA, El-Khodery S, Ibrahim HMM.Diagnosis and treatment of ocular fungal infection in equine seems very challenging for owners and clinicians. The present study aimed to identify and characterize fungal species isolated from the eyes of clinically healthy and diseased equines (N = 100) from Dakahlia Governorate, Egypt. The work also involved morphological and molecular characterization of the major fungal species. In addition, correlations between the occurrence of isolated fungi and some of the potential risk factors were also investigated. Interestingly, the prevalence rate of ocular mycosis in all examined equines in the ...
Evaluation of pigment epithelium-derived factor concentration in equine amniotic membrane homogenate and its in-vitro vascular endothelial growth factor inhibition effect in tears of dogs with vascularized ulcerative keratitis.
Open veterinary journal    September 3, 2020   Volume 10, Issue 3 289-296 doi: 10.4314/ovj.v10i3.7
Villar T, Pascoli AL, Chaulagain S, Fadl-Alla BA, Martins BC.Corneal neovascularization can result from many pathological processes affecting the ocular surface leading to disturbances and opacifications that reduce corneal clarity and may impact vision. In veterinary medicine, the use of topical corticosteroid is contraindicated in the presence of ulcerative keratitis, and there is sparse research regarding safe medical alternatives to inhibit corneal neovascularization in dogs to improve visual outcome. To investigate the pigment epithelium-derived factor (PEDF) concentration in equine amniotic membrane homogenate (EAMH) and its in-vitro vascular endo...
Bilateral third eyelid ectopic cilia in an adult horse.
Veterinary ophthalmology    August 17, 2020   Volume 23, Issue 5 913-917 doi: 10.1111/vop.12814
Chiwitt CLH, Scurrell EJ, Featherstone HJ, Heinrich CL.A 15-year-old Cob mare presented with a 4-month history of chronic epiphora and intermittent blepharospasm in the right eye. On ophthalmic examination, two translucent aberrant hairs were identified at the third eyelid margin corresponding to an area of corneal fibrosis and neovascularization. Partial excision of the third eyelid was performed, and histopathology confirmed ectopic hair follicles. Two weeks later, clinical signs recurred in the same eye. Examination revealed another pair of aberrant hairs on the bulbar surface of the third eyelid near its leading edge. This portion of the third...
Variability, repeatability and test-retest reliability of equine flash visual evoked potentials (FVEPs).
BMC veterinary research    July 29, 2020   Volume 16, Issue 1 261 doi: 10.1186/s12917-020-02463-8
Ström L, Bröjer J, Ekesten B.Visual evoked potentials (VEPs) are electrical potentials generated by neurons in the central nervous system in response to visual stimuli. A series of positive and negative wavelets in response to flash-stimuli (flash-VEP; FVEP) or reversing, iso-luminant patterns (pattern-VEP; PVEP) are recorded. Pathological conditions affecting the post-retinal pathways can alter overall waveform morphology, and also affect wavelet peak times and amplitudes. FVEPs have recently been described in horses, but more data on the variability within and between subjects is required, to adequately interpret result...
Genetics of Equine Ocular Disease.
The Veterinary clinics of North America. Equine practice    July 14, 2020   Volume 36, Issue 2 303-322 doi: 10.1016/j.cveq.2020.03.009
Bellone RR.Horses perform in a variety of disciplines that are visually demanding, and any disease impacting the eye has the potential to threaten vision and thus the utility of the horse. Advances in equine genetics have enabled the understanding of some inherited ocular disorders and ocular manifestations and are enabling cross-species comparisons. Genetic testing for multiple congenital ocular anomalies, congenital stationary night blindness, equine recurrent uveitis, and squamous cell carcinoma can identify horses with or at risk for disease and thus can assist in clinical management and breeding dec...
Effects of topical 1% cyclopentolate hydrochloride on quantitative pupillometry measurements, tear production and intraocular pressure in healthy horses.
Veterinary ophthalmology    June 10, 2020   Volume 23, Issue 4 730-739 doi: 10.1111/vop.12794
Ortillés Á, Sanmartí J, Ríos J, Armengou L, Peña MT, Leiva M.To evaluate the effect of topical cyclopentolate hydrochloride (CH) on quantitative pupillometric readings (PR), tear production (TP), and intraocular pressure (IOP) in healthy horses. Methods: Fourteen client-owned horses. Methods: In a two-phase design study, each animal received 1% CH ophthalmic solution in the left eye [treated] and 0.9% NaCl in the right eye [control] (0.2 mL each). In the first phase (n = 7), TP, IOP, and PR assessment was performed by Schirmer tear test I, rebound tonometry and static pupillometry, at 1, 8, 24, 48, 72, 96, 120, 148, 172, and 196-hours post-instillati...
Effect of attentional focus levels on spontaneous eyeblink rate in horses.
Veterinary ophthalmology    May 21, 2020   Volume 23, Issue 4 690-695 doi: 10.1111/vop.12778
Cherry RL, Adair HS, Chen T, Hendrix DVH, Ward DA.Spontaneous eyeblink rate (SEBR) is inversely proportional to the level of attentional focus in humans. The objective of this study was to evaluate the effects of attentional focus on SEBR in horses. Methods: Twenty client-owned horses (2.5-23 years of age, five mares, 15 geldings) were evaluated. A GoPro HERO5 Session™ video recorder was attached to the halter and directed toward the eyes. Horses were acclimated for two hours before study commencement. Horses were filmed in five scenarios requiring different levels of attention: alone in a stall ("stall"), stall with an observer ("person")...
In vitro susceptibility of Aspergillus and Fusarium associated with equine keratitis to new antifungal drugs.
Veterinary ophthalmology    May 16, 2020   Volume 23, Issue 5 918-922 doi: 10.1111/vop.12774
Roberts D, Cotter HVT, Cubeta M, Gilger BC.To determine minimum inhibitory concentrations (MICs) of four fungal species isolated from horses presented with equine fungal keratitis (EFK) in the southeastern United States to previously untested azole, echinocandin, and carboxamide antifungal drugs. Methods: In vitro assays were performed to determine the susceptibility of Aspergillus flavus, A. fumigatus, Fusarium falciforme, and F. keratoplasticum to five antifungal drugs representing three modes of action. Results: Luliconazole exhibited increased growth inhibition against both Aspergillus and Fusarium compared to commonly used, stan...
Use of autologous fascia lata graft to repair a complex corneal ulcer in a mare.
Irish veterinary journal    May 5, 2020   Volume 73 7 doi: 10.1186/s13620-020-00160-4
Lores M, Rakestraw P, De Rijck M, Yarbrough T.Application of an autogenous fascia lata graft in the treatment of keratomalacia in the horse has not been reported. The present case describes the use of an autologous fascia lata graft to surgically treat a complicated corneal ulcer in a horse. Methods: A 12-year-old Arabian mare was admitted to Sharjah Equine Hospital with a history of right eye ulcerative keratitis of unknown duration. Following a week of aggressive medical treatment, the condition deteriorated and a keratectomy and pedicle conjunctival graft were performed. A week later, the conjunctival graft partially dehisced and the u...
Leptospiral antibody prevalence and surgical treatment outcome in horses with Equine Recurrent Uveitis (ERU) in Switzerland.
Veterinary ophthalmology    April 30, 2020   Volume 23, Issue 4 648-658 doi: 10.1111/vop.12767
Voelter K, Vial Z, Pot SA, Spiess BM.To evaluate leptospiral antibody prevalence in 65 horses with ERU and compare outcome in 36 surgically treated eyes (2010-2015). Methods: Retrospective data analysis of horses with ERU (n = 65). C-value calculation with microagglutination assay titer (MAT) results for Leptospira spp. Evaluation of follow-up data after pars plana vitrectomy (PPV, n = 21 eyes) and suprachoroidal cyclosporine device implantation (SCDI, n = 15 eyes). Differences between groups were statistically analyzed using Fishers exact test, significance set at P < .05. Results: Positive leptospiral titers were found ...
Equine non-healing corneal ulcers: a retrospective evaluation of 57 cases (2001-2017).
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 23, 2020   Volume 48, Issue 2 92-97 doi: 10.1055/a-1124-2953
Prucha VJS, Tichy A, Nell B.Non-healing corneal ulcers (NHCU) are a common problem in equine practice and several treatment options are available with different success and healing times. The aim of this retrospective study was to evaluate and to compare treatment protocols, clinical courses, corneal healing time and outcomes of NHCU. Methods: From December 2001 to December 2017, a total of 57 horses with NHCU were presented at the Vetmeduni Vienna. Recorded data included affected eye, signalment, clinical symptoms, season of diagnosis, treatment protocols, complications and corneal healing rate. Results: Sixty-three eye...
Sustained-release voriconazole-thermogel for subconjunctival injection in horses: ocular toxicity and in-vivo studies.
BMC veterinary research    April 16, 2020   Volume 16, Issue 1 115 doi: 10.1186/s12917-020-02331-5
Mora-Pereira M, Abarca EM, Duran S, Ravis W, McMullen RJ, Fischer BM, Lee YP, Wooldridge AA.Keratomycosis is a relatively common, sight threatening condition in horses, where treatment is often prolonged and costly. Subconjunctival (SCo) injections offer less resistance to drug diffusion than the topical route, resulting in better penetration to the ocular anterior segment. Voriconazole, a second generation triazole antifungal, is effective against common fungal organisms causing keratomycosis. If combined with a thermogel biomaterial, voriconazole can be easily injected in the SCo space to provide sustained drug release. The purpose of this study was to evaluate the drug concentrati...
The prevalence of uveitis in a population of donkeys in the UK.
Equine veterinary journal    April 13, 2020   Volume 52, Issue 6 863-867 doi: 10.1111/evj.13257
Bradley C, Grundon R, Sansom PG.Uveitis is reported to be a leading cause of blindness in horses. Little work has been undertaken to date to investigate whether donkeys are affected by a similar disease prevalence. Objective: To investigate the disease prevalence of uveitis in a population of donkeys in the UK. Methods: Descriptive observational study. Methods: An ophthalmic examination was performed on each donkey, in a darkened stable. Each donkey underwent slit lamp biomicroscopy, and direct and/or indirect ophthalmoscopy. Fluorescein staining, STT1 and IOPs were measured when deemed clinically necessary. Pharmacologica...
Use of smartphones to aid the teaching of equine ocular fundus examination.
The Veterinary record    March 13, 2020   Volume 186, Issue 16 532 doi: 10.1136/vr.105544
Shipman E, Burford JH, Bowen M, Duz M.Teaching and learning how to perform examination of the ocular fundus is challenging. Smartphones can support to enhance students' confidence and experience. Following an optional year-4 ophthalmoscopy practical using hand-held ophthalmoscopes, students completed a questionnaire using a visual analogue scale (VAS) investigating if students felt smartphone use aided learning and if student's self-assessed confidence in visualising the ocular fundus had improved. VAS scores were compared using the Wilcoxon signed rank test (significance: P<0.05). All 30 year-4 students attending the practic...
Inter-user and intra-user variation of two tonometers in horses.
Equine veterinary journal    February 8, 2020   Volume 52, Issue 4 572-576 doi: 10.1111/evj.13208
Lewin AC, Liu CC, Camacho-Luna P, Alling C, Carter RT.It is currently unknown which of the two devices most commonly used in equine ophthalmology for intraocular pressure (IOP) estimation demonstrates the lowest inter-user and intra-user variation. Objective: To assess the inter-user and intra-user variation of two tonometers in sedated and unsedated horses. Methods: Randomised masked cross-over trial. Methods: Four examiners used the rebound (ICare TonoVet) and applanation (TonoPen ) tonometers to measure the intraocular pressure (IOP) in triplicate in 10 normal horses before and after sedation with xylazine. For inter-user variation, coefficien...
Characterization of the normal equine conjunctival bacterial community using culture-independent methods.
Veterinary ophthalmology    February 3, 2020   Volume 23, Issue 3 480-488 doi: 10.1111/vop.12743
LaFrentz S, Abarca E, Mohammed HH, Cuming R, Arias CR.The equine conjunctival microbiota has often been reported to be dominated by Gram-positive species such as Staphylococcus sp., Bacillus sp., and Corynebacterium sp. However, traditional culture-based methods can only recover a fraction of the bacterial species present in the sample. Objective: This pilot study aimed at exploring the diversity of the equine conjunctival microbiota using culture-independent methods. Methods: Eight horses were included in this study, and only eyes with normal ophthalmic examination (n = 15 eyes) were sampled. Methods: Conjunctival biopsies (culture-independent...
Effect of auriculopalpebral nerve block on equine intraocular pressure measured by rebound tonometry (TonoVet® ).
Veterinary ophthalmology    January 7, 2020   Volume 23, Issue 2 368-373 doi: 10.1111/vop.12735
Diehl K, Bowden AC.To assess rebound tonometry intraocular pressure (IOP) in unsedated horses without and with auriculopalpebral (AP) nerve blocks. Methods: Twenty-two client- and twenty university-owned horses (84 total eyes) with unremarkable ophthalmic examinations were evaluated. Methods: One eye of each horse was chosen randomly, an AP block performed for that eye, and IOP measured in both eyes with a TonoVet . The process was repeated for the contralateral eye 72 hours later under the same conditions as the initial measurements. Horses were unsedated for nerve blocks and tonometry. Linear mixed-effects mo...
Clinical utility, dose determination, and safety of ocular contrast-enhanced ultrasonography in horses: A pilot study.
Veterinary ophthalmology    December 4, 2019   Volume 23, Issue 2 331-340 doi: 10.1111/vop.12730
Blohm KO, Tichy A, Nell B.To determine efficacy of contrast-enhanced ultrasonography (CEUS) using different sulfur hexafluoride (SF6) doses to assess blood flow and perfusion in equine eyes and to evaluate safety of SF6 in horses. Methods: Ocular B-mode and contrast-enhanced ultrasonography were performed bilaterally in nine sedated university-owned horses. Intravenous SonoVue® bolus injections of 5, 10, 15, 20, 25, and 30 mL were administered for 2/18, 5/18, 6/18, 3/18, 1/18, and 1/18 eyes, respectively. Doses were increased based on ascending bodyweight. Each eye within one horse was examined utilizing a different ...
Assessment of the application for renewal of authorisation of Biosprint® (Saccharomyces cerevisiae MUCL 39885) for dairy cows and horses.
EFSA journal. European Food Safety Authority    November 28, 2019   Volume 17, Issue 11 e05915 doi: 10.2903/j.efsa.2019.5915
Bampidis V, Azimonti G, Bastos ML, Christensen H, Dusemund B, Kouba M, Kos Durjava M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the assessment of the application for renewal of authorisation of the product Biosprint ( MUCL 39885) as a feed additive for dairy cows and horses. is considered by EFSA to have qualified presumption of safety (QPS) status. The applicant has provided data demonstrating that the additive currently in the market complies with the conditions of authorisation. The Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) Panel confirms that the use of Biosprint under the current ...
Equine uveitis in the UK: a retrospective study (2008-2018).
The Veterinary record    October 9, 2019   Volume 186, Issue 3 92 doi: 10.1136/vr.105423
Malalana F, Ireland JL, Pinchbeck G, McGowan CM.Uveitis appears to be less prevalent in the UK compared with other parts of the world and studies characterising the disease in the UK are lacking. The objectives of this retrospective study were to describe acute and recurrent cases presenting for management of uveitis in a referral hospital on the North West of England and compare the signalment of horses presenting with uveitis with the equine hospital population during the same period. Methods: Medical records of horses presented to the referral Equine Hospital, University of Liverpool with signs of uveitis between 2008 and 2018 were revie...
Clinical, ultrasonographic, and histopathologic findings in seven horses with Descemet’s membrane detachment: A case series.
Veterinary ophthalmology    September 22, 2019   Volume 23, Issue 1 181-189 doi: 10.1111/vop.12710
Slenter IJM, Hermans H, Ensink JM, Willems DS, Veraa S, Grinwis GCM, Boevé MH.To describe ultrasonography as a diagnostic method of in vivo Descemet's membrane detachment (DMD) in horses. Methods: Seven horses (three Icelandic horses, two Dutch Warmblood horses, one Appaloosa, and one Welsh Pony), presenting with moderate-to-severe focal or diffuse corneal edema, in whom DMD was suspected on ultrasonographic examination and confirmed with histopathology, were studied. Methods: A retrospective analysis of case records of horses with suspected DMD was performed. Results: Median age at presentation was 14 years (range 11-24). Clinical signs in eyes with DMD were unilatera...
Eye Blink Rates and Eyelid Twitches as a Non-Invasive Measure of Stress in the Domestic Horse.
Animals : an open access journal from MDPI    August 15, 2019   Volume 9, Issue 8 562 doi: 10.3390/ani9080562
Merkies K, Ready C, Farkas L, Hodder A.Physiological changes provide indices of stress responses, however, behavioural measures may be easier to determine. Spontaneous eye blink rate has potential as a non-invasive indicator of stress. Eyelid movements, along with heart rate (HR) and behaviour, from 33 horses were evaluated over four treatments: (1) control-horse in its normal paddock environment; (2) feed restriction-feed was withheld at regular feeding time; (3) separation-horse was removed from visual contact with their paddock mates; and (4) startle test-a ball was suddenly thrown on the ground in front of the horse. HR data wa...
Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles.
Veterinary ophthalmology    July 31, 2019   Volume 23, Issue 1 148-159 doi: 10.1111/vop.12701
Mustikka MP, Grönthal TSC, Pietilä EM.To retrospectively describe laboratory findings, treatment, and outcome associated with equine infectious keratitis in Finland. Unassigned: Medical records of horses diagnosed with infectious keratitis in University of Helsinki Equine Hospital from January 2007 to June 2018 were reviewed. Results: Forty-seven cases were included. Keratomycosis was diagnosed in 27 eyes and bacterial keratitis in 20 eyes. Aspergillus flavus was the most frequent fungal isolate (9/17, 53%), followed by Cylindrocarpon sp. (3/17, 18%) and Aspergillus fumigatus (2/17, 12%). Susceptibility was tested for 10/11 Asperg...
Normograde nasolacrimal placement of an ocular-lavage system for treatment of equine eye diseases.
The Canadian veterinary journal = La revue veterinaire canadienne    July 10, 2019   Volume 60, Issue 7 744-748 
Dennis DA, Pinard CL, Kenney DG, Salcedo RJ, Trout DR.The standard placement of a subpalpebral lavage system may not be feasible in some horses with eyelid disease. We describe placement of a commercially available, indwelling nasolacrimal lavage system that circumvents eyelid perforation. This novel approach provided for effective delivery of drugs to 1 horse with periocular and corneal disease. . Le placement standard d’un système de lavage subpalpébral peut ne pas être réalisable chez certains chevaux atteints de maladies oculaires. Nous décrivons le placement d’un système de lavage nasolacrymal à demeure qui évite la perforation d...
Sex and Age Don’t Matter, but Breed Type Does-Factors Influencing Eye Wrinkle Expression in Horses.
Frontiers in veterinary science    May 29, 2019   Volume 6 154 doi: 10.3389/fvets.2019.00154
Schanz L, Krueger K, Hintze S.Identifying valid indicators to assess animals' emotional states is a critical objective of animal welfare science. In horses, eye wrinkles above the eyeball have been shown to be affected by pain and other emotional states. From other species we know that individual characteristics, e.g., age in humans, affect facial wrinkles, but it has not yet been investigated whether eye wrinkle expression in horses is systematically affected by such characteristics. Therefore, the aim of this study was to assess how age, sex, breed type, body condition, and coat colour affect the expression and/or the as...
Subconjunctival nodule due to Setaria equina erratic migration in a horse: First case report.
Veterinary ophthalmology    May 2, 2019   Volume 22, Issue 6 921-927 doi: 10.1111/vop.12675
Regnier A, Martin C, Semin MO, Lienard E, Geffre A, Douet JY, Raymond-Letron I.An 18-month-old Arabian-English filly resident in southwest France was referred for evaluation of a conjunctival mass in the right eye (OD). A pink, solid, and mobile nodular formation, measuring approximately 1.2 × 0.8 cm was found under the superior nasal bulbar conjunctiva during an ophthalmic examination that was otherwise normal. The mass was surgically removed using a standing procedure. Cytological examination of fine-needle aspirates from the mass revealed a mixed eosinophilic-lymphocytic inflammation. Histological examination confirmed the dense and diffuse eosinophilic-lymphocyti...