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Topic:Ophthalmology

Ophthalmology in horses encompasses the study and treatment of eye disorders and diseases affecting equine species. Equine ophthalmic conditions can range from conjunctivitis and corneal ulcers to more complex issues such as uveitis and cataracts. These conditions can impact a horse's vision and overall well-being. Diagnostic techniques in equine ophthalmology include visual examinations, fluorescein staining, and advanced imaging methods like ultrasonography. Treatment approaches vary depending on the specific condition and may involve medication, surgical intervention, or supportive care. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, pathology, diagnostics, and treatment modalities related to equine ophthalmology.
Mortierella wolfii keratomycosis in a horse.
Veterinary ophthalmology    April 19, 2011   Volume 14, Issue 4 267-270 doi: 10.1111/j.1463-5224.2011.00891.x
Wada S, Ode H, Hobo S, Niwa H, Katayama Y, Takatori K.To describe a case of superficial keratomycosis caused by Mortierella wolfii (M. wolfii) in a horse. Methods: A thoroughbred filly was presented with painful right eye of 2 days' duration. A superficial corneal ulcer was observed ventrally together with multifocal punctuate opacities axially. Samples were collected by swabbing and scraping the ulcerated lesion and submitted for microbiologic and cytologic examination. Results: Microscopic evaluation of debrided corneal tissue revealed the presence of nonseptate fungal hyphae, and culture of a corneal swab yielded fungal growth. Medical treat...
Congenital stationary night blindness is associated with the leopard complex in the Miniature Horse.
Veterinary ophthalmology    April 19, 2011   Volume 15, Issue 1 18-22 doi: 10.1111/j.1463-5224.2011.00903.x
Sandmeyer LS, Bellone RR, Archer S, Bauer BS, Nelson J, Forsyth G, Grahn BH.  To determine if congenital stationary night blindness (CSNB) exists in the Miniature Horse in association with leopard complex spotting patterns (LP), and to investigate if CSNB in the Miniature Horse is associated with three single nucleotide polymorphisms (SNPs) in the region of TRPM1 that are highly associated with CSNB and LP in Appaloosas. Methods:   Three groups of Miniature Horses were studied based on coat patterns suggestive of LP/LP (n=3), LP/lp (n=4), and lp/lp genotype (n=4). Methods:   Horses were categorized based on phenotype as well as pedigree analysis as LP/LP, LP/lp,...
Neuromuscular blockade with rocuronium bromide for ophthalmic surgery in horses.
Veterinary ophthalmology    April 18, 2011   Volume 14, Issue 4 244-247 doi: 10.1111/j.1463-5224.2010.00870.x
Auer U, Moens Y.The production of a central eye to ease surgical access for intraocular surgery is generally dependent on the depth of anesthesia. The aim of this study was to evaluate the eyeball position under muscle relaxation with rocuronium during general anesthesia. Methods: Twenty horses, body weight 480 ± 62 kg; age 12.6 ± 6.2 years (mean ± SD) were anesthetised for various ophthalmic surgeries. Horses were premedicated with acepromazine, xylazine, and butorphanol intravenously and anesthesia induced with ketamine and diazepam. Anesthesia was maintained with isoflurane in 100% oxyge...
A survey of ocular abnormalities in miniature horses.
Veterinary ophthalmology    April 18, 2011   Volume 14, Issue 4 239-243 doi: 10.1111/j.1463-5224.2010.00868.x
Plummer CE, Ramsey DT.To determine the incidence of ocular abnormalities in miniature horses. Methods: Descriptive study. Methods: Fifty-three miniature horses. Methods: Ophthalmic examinations were performed using diffuse and focal illumination, slit-lamp biomicroscopy and indirect ophthalmoscopy. Coat color, mane and tail color, age and gender were recorded with results of ophthalmic examination. Results: Ocular abnormalities detected most frequently consisted of cysts arising from the posterior iris, ciliary body, and peripheral retina, curvilinear streaks of retinal pigmented epithelium extending from the perip...
Equine Multiple Congenital Ocular Anomalies (MCOA) syndrome in PMEL17 (Silver) mutant ponies: five cases.
Veterinary ophthalmology    April 18, 2011   Volume 14, Issue 5 313-320 doi: 10.1111/j.1463-5224.2011.00878.x
Komáromy AM, Rowlan JS, La Croix NC, Mangan BG.To describe the clinical phenotype and genetics of equine Multiple Congenital Ocular Anomalies (MCOA) syndrome in PMEL17 (Silver) mutant ponies. Methods: Five presumably unrelated ponies. Methods: The ponies were examined under field conditions in their barn by slit lamp biomicroscopy, indirect ophthalmoscopy, and applanation tonometry. Blood was collected and genomic DNA extracted for MCOA genotyping using the PMEL17ex11 marker. Results: One pony solely presented with temporal ciliary body cysts, suggestive of the less severe Cyst phenotype of MCOA; the animal was heterozygous at the MCOA loc...
Targeted analysis of four breeds narrows equine Multiple Congenital Ocular Anomalies locus to 208 kilobases.
Mammalian genome : official journal of the International Mammalian Genome Society    April 5, 2011   Volume 22, Issue 5-6 353-360 doi: 10.1007/s00335-011-9325-7
Andersson LS, Lyberg K, Cothran G, Ramsey DT, Juras R, Mikko S, Ekesten B, Ewart S, Lindgren G.The syndrome Multiple Congenital Ocular Anomalies (MCOA) is the collective name ascribed to heritable congenital eye defects in horses. Individuals homozygous for the disease allele (MCOA phenotype) have a wide range of eye anomalies, while heterozygous horses (Cyst phenotype) predominantly have cysts that originate from the temporal ciliary body, iris, and/or peripheral retina. MCOA syndrome is highly prevalent in the Rocky Mountain Horse but the disease is not limited to this breed. Affected horses most often have a Silver coat color; however, a pleiotropic link between these phenotypes is y...
Expression of Toll-like receptors 2, 3, 4, 6, 9, and MD-2 in the normal equine cornea, limbus, and conjunctiva.
Veterinary ophthalmology    March 4, 2011   Volume 14, Issue 2 80-85 doi: 10.1111/j.1463-5224.2010.00844.x
Gornik K, Moore P, Figueiredo M, Vandenplas M.Human corneal cells have detectable levels of TLRs 1-10. TLRs 2 and 4 are the major corneal receptors, recognizing the PAMPs associated with fungal invasion in humans. The conjunctiva and limbus contain TLRs 2, 4, and 9. Our purpose was to determine the expression of TLRs 2, 3, 4, 6, 9, and MD-2 in the normal equine cornea, conjunctiva, and limbus. Methods: Corneal, limbal, and conjunctival tissues were collected from seven euthanized horses having no evidence of ocular disease. RNA extraction with DNase-1 digestion was performed followed by RT-PCR to determine expression of TLRs 2, 3, 4, 6, 9...
Ocular anomalies in a herd of Exmoor ponies in Canada.
Veterinary ophthalmology    March 4, 2011   Volume 14, Issue 2 100-108 doi: 10.1111/j.1463-5224.2010.00847.x
Pinard CL, Basrur PK.To characterize the ocular anomalies, determine their recurrence in families and assess the mode of inheritance of the most prevalent anomalies through pedigree analysis in a herd of Exmoor ponies. Methods: Thirty Exmoor ponies residing in south-western Ontario, Canada. Methods: Ophthalmic examination was performed using direct ophthalmoscopy, slit-lamp biomicroscopy and indirect ophthalmoscopy, pre- and post-pupillary dilation. Following compilation of ocular findings, pedigree analysis was conducted to assess the recurrence pattern of specific anomalies in families and the data were tested f...
Tear, cornea, and aqueous humor concentrations of ciprofloxacin and moxifloxacin after topical ocular application in ophthalmologically normal horses.
American journal of veterinary research    March 2, 2011   Volume 72, Issue 3 398-403 doi: 10.2460/ajvr.72.3.398
Westermeyer HD, Hendrix DV, Ward DA, Cox SK.To determine ocular tissue drug concentrations after topical ocular administration of 0.3% ciprofloxacin and 0.5% moxifloxacin in ophthalmologically normal horses. Methods: 24 ophthalmologically normal adult horses. Methods: 0.3% ciprofloxacin and 0.5% moxifloxacin solutions (0.1 mL) were applied to the ventral conjunctival fornix of 1 eye in each horse as follows: group 1 (n = 8) at 0, 2, 4, and 6 hours; group 2 (8) at 0, 2, 4, 6, and 10 hours; and group 3 (8) at 0, 2, 4, 6, 10, and 14 hours. Tears, cornea, and aqueous humor (AH) were collected at 8, 14, and 18 hours for groups 1, 2, and 3, r...
Subconjunctival mycetoma caused by Scedosporium apiospermum infection in a horse.
Veterinary clinical pathology    February 3, 2011   Volume 40, Issue 1 84-88 doi: 10.1111/j.1939-165X.2011.00285.x
Berzina I, Trumble NS, Novicki T, Sharkey LC.An 11-year-old American Saddlebred gelding was presented for evaluation of a nonpainful subconjunctival mass involving the lateral canthus of the left eye. Other findings included a central corneal scar and a small central cataract of the lens in the left eye. Fine-needle aspiration of the mass was performed and cytologic examination revealed marked pyogranulomatous inflammation with intralesional fungal hyphae, consistent with mycetoma. The fungal structures were elongated and characterized by nonstaining walls; several bulbous yeast-like structures were also observed. The mycetoma was surgic...
Effects of ophthalmic disease on concentrations of plasma fibrinogen and serum amyloid A in the horse.
Equine veterinary journal    January 19, 2011   Volume 43, Issue 4 460-465 doi: 10.1111/j.2042-3306.2010.00305.x
Labelle AL, Hamor RE, Macneill AL, Lascola KM, Breaux CB, Tolar EL.There is little scientific information available about the ability of ocular disease to cause a systemic inflammatory response. Horses are frequently affected with ocular disease and ensuring their systemic health prior to performing vision saving surgery under anaesthesia is essential for the successful treatment of ophthalmic disease. Objective: Ocular disease will cause elevations in the concentration of the acute phase proteins fibrinogen and serum amyloid A in peripheral blood. Methods: Whole blood and serum samples were obtained from 38 mature horses with ulcerative keratitis or uveitis ...
Epithelioid haemangiosarcoma in the ocular tissue of horses.
Journal of comparative pathology    January 19, 2011   Volume 144, Issue 4 328-333 doi: 10.1016/j.jcpa.2010.10.011
Arenas-Gamboa AM, Mansell J.Haemangiosarcomas (HSAs) are malignant tumours of endothelial cell origin. Epithelioid HSA is a variant of the histologically conventional HSA that has little or no morphological evidence of a vascular origin and has been reported rarely in domestic animals. The following report documents six cases of equine epithelioid HSA occurring in the ocular tissues of horses with a mean age of 19.8 years at the time of diagnosis. Microscopically, all of the lesions consisted of solid sheets or cords of epithelioid cells with rare narrow clefts or small spaces containing erythrocytes that were often the ...
Aqueous humor and plasma concentrations of a compounded 0.2% solution of terbinafine following topical ocular administration to normal equine eyes.
Veterinary ophthalmology    January 5, 2011   Volume 14, Issue 1 41-47 doi: 10.1111/j.1463-5224.2010.00841.x
Clode A, Davis J, Davidson G, Salmon J, Lafevers H, Gilger B.To determine the transcorneal penetration and systemic absorption of a compounded 0.2% terbinafine solution following repeated topical administration to normal equine eyes. Sample population  Six healthy adult horses with normal ocular examinations. Methods: One eye of each horse received 0.2 mL of a compounded 0.2% terbinafine solution every 4 h for seven doses. During the 1 h following administration of the final dose, multiple peripheral blood samples were obtained, and a single aqueous humor (AH) sample was collected at the end of the hour. AH and plasma concentrations of terbinafine wer...
Primary lacrimal gland adenocarcinoma of the third eyelid in a horse.
Veterinary ophthalmology    January 5, 2011   Volume 14, Issue 1 48-54 doi: 10.1111/j.1463-5224.2010.00840.x
Mathes RL, Paige Carmichael K, Peroni J, Anthony Moore P.A 5-year-old Draft Horse gelding presented for evaluation of a large, fleshy, ulcerated third eyelid mass OD of 3 weeks duration. Complete ophthalmic examination, ocular ultrasound and skull radiographs revealed a large soft-tissue mass involving the entire third eyelid OD and extending into the ventral right orbit to the level of the globe equator. No other abnormalities were noted on physical or ophthalmic examination. Surgical removal via exenteration was performed 3 months after initial presentation. A lacrimal adenocarcinoma of the third eyelid was diagnosed based on histopathology. Concu...
Determination of tear break-up time reference values and ocular tolerance of tetracaine hydrochloride eyedops in healthy horses.
Equine veterinary journal    December 15, 2010   Volume 43, Issue 1 74-77 doi: 10.1111/j.2042-3306.2010.00119.x
Monclin SJ, Farnir F, Grauwels M.Tetracaine hydrochloride (THCl) has been reported to cause irritation in dogs. In man, some topical anaesthetics have been shown to disrupt the tear film. Tear break-up time (TBUT) is a useful test allowing an assessment of the quality of the precorneal tear film. Only one TBUT value has been reported in horses with no information on the technique used. Objective: To provide a method for performing the TBUT in horses and to report any side effects of a single application of THCl in clinically normal horses, particularly on the stability of the tear film. Methods: In Study 1, one drop of 0.5 or...
Equine recurrent uveitis: the European viewpoint.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 50-56 doi: 10.1111/j.2042-3306.2010.tb05635.x
Spiess BM.Equine recurrent uveitis (ERU) has always been and still is an important disease with a significant impact on the horse industry in Europe, with a prevalence of 8-10%. The need to understand and manage the disease has spurred the development of veterinary ophthalmology in general, although the aetiology of the disease remains the subject of intense discussion. It is most probably an autoimmune disease triggered, at least in Europe, in the majority of cases by Leptospira spp. The therapy of ERU has evolved over the centuries from various methods of bloodletting to rational medical therapy using...
Ocular manifestations of systemic disease in horses.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 89-96 doi: 10.1111/j.2042-3306.2010.tb05640.x
Hughes KJ.Ocular manifestations may develop in many systemic diseases of horses; however, signs may not be observed unless ophthalmological examination is specifically undertaken. Recognition and assessment of ocular lesions in horses with systemic disease is desirable to facilitate diagnosis and determination of treatment options and diagnosis for both the underlying systemic disease and ocular manifestations. The purpose of this article is to review systemic diseases of horses that may have ocular signs as part of the disease process. Systemic diseases are discussed in categories of pathways for devel...
Equine recurrent uveitis: the viewpoint from the USA.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 57-61 doi: 10.1111/j.2042-3306.2010.tb05636.x
Gilger BC.Equine recurrent uveitis (ERU) is a common disease in horses in the USA. There have been many advances in the treatment of ERU; however, frequent misdiagnosis of ERU occurs in cases of primary corneal or uveal disease. It is critical to remember that primary uveitis (i.e. one bout of inflammation) is a different disease to ERU, which is an immune mediated recurrent uveitis. Standard symptomatic anti-inflammatory therapy is effective to control most cases of ERU; however, some horses require advanced therapy, such as placement of drug delivery devices or removal of the vitreous, when they fail ...
Neuro-ophthalmology: a review.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 80-88 doi: 10.1111/j.2042-3306.2010.tb05639.x
Mayhew IG.Evaluation of horses for eye problems and for suspected impairment of visual acuity often requires a thorough neuroophthalmic examination to be conducted. Along with a full ophthalmic evaluation, the results of such an examination should indicate the likely site of any lesion(s) accounting for blindness, miosis, mydriasis, anisocoria, Horner's syndrome, strabismus, facial paralysis and facial spasm, nystagmus and other signs of vestibular disease, and cerebellar disorders, that may be present. Such a thorough examination with guidance for correct interpretation of findings is given here.
Current developments in equine cataract surgery.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 38-45 doi: 10.1111/j.2042-3306.2010.tb05633.x
McMullen RJ, Utter ME.The purpose of this review is to discuss the evolution of equine cataract surgery over the past 50 years to its current stage. Equine cataract surgery is performed similarly compared with the techniques used in human ophthalmology and in other veterinary species. However, enough differences exist to make surgical lens removal and intraocular lens implantation in the horse an intrinsically unique endeavour. Due to the size of the adult equine globe, the introduction of species-specific instrumentation has provided the cornerstone to many of the changes made regarding surgical technique over the...
Posterior segment diseases.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 69-79 doi: 10.1111/j.2042-3306.2010.tb05638.x
Nell B, Walde I.Diseases of the vitreous, fundus and optic nerve are described and illustrated according to their ophthalmological appearance. Vitreal alterations are commonly of developmental, degenerative, age related, traumatic or inflammatory origin and of minor clinical relevance. In contrast, those affecting the fundus, may be accompanied by visual deficits or blindness. Fundic lesions of inflammatory (multifocal or peripapillary chorioretinitis, haemorrhage, retinal detachment) and traumatic origin have to be differentiated from congenital (congenital stationary night blindness, colobomatous defects, r...
Equine periocular neoplasia: current concepts in aetiopathogenesis and emerging treatment modalities.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 9-18 doi: 10.1111/j.2042-3306.2010.tb05629.x
Giuliano EA.Neoplastic adnexal disease represents one of the most frequently encountered and therapeutically challenging ophthalmic problems of horses. This paper reviews current concepts in equine periocular neoplasia. Specifically, a literature-based review of the aetiopathogenesis of the most common tumours to affect the equine eyelid (squamous cell carcinoma, sarcoid, melanoma and lymphosarcoma) is provided. Current and emerging treatment modalities, including photodynamic therapy, are reviewed.
Equine glaucoma: state of the art.
Equine veterinary journal. Supplement    October 14, 2010   Issue 37 62-68 doi: 10.1111/j.2042-3306.2010.tb05637.x
Wilkie DA.Understanding and awareness of equine glaucoma has significantly improved in recent years. The availability of portable tonometers and veterinarian/owner awareness has increased the frequency of glaucoma as a clinical diagnosis. A variety of medications for the medical management of equine glaucoma have been evaluated and the addition of lasers has improved the surgical treatment of equine glaucoma. Despite this, equine glaucoma is an insidious and painful disease that probably remains under diagnosed and often results in blindness in the affected eye.
Long-term outcome after implantation of a suprachoroidal cyclosporine drug delivery device in horses with recurrent uveitis.
Veterinary ophthalmology    September 16, 2010   Volume 13, Issue 5 294-300 doi: 10.1111/j.1463-5224.2010.00807.x
Gilger BC, Wilkie DA, Clode AB, McMullen RJ, Utter ME, Komaromy AM, Brooks DE, Salmon JH.To determine the long-term efficacy, complications, and duration of effect of a cyclosporine (CsA) suprachoroidal implant (CSI) in horses with equine recurrent uveitis (ERU). Methods: Horses with ERU were treated with a 6-mm diameter, 25 mg, reservoir matrix CsA implant in the deep sclera adjacent to the suprachoroidal space. Horses with follow-up >1 year were examined for frequency of uveitis episodes, complications, and vision at last recheck. Results: Data from 151 eyes of 133 horses from the USA and Europe that had CsA devices implanted for ERU were reviewed. Follow-up time ranged from 13 ...
Mitomycin C, with or without surgery, for the treatment of ocular squamous cell carcinoma in horses.
The Veterinary record    September 8, 2010   Volume 167, Issue 10 373-376 doi: 10.1136/vr.c3815
Malalana F, Knottenbelt D, McKane S.Ocular lesions in horses, confirmed as squamous cell carcinoma, were treated topically with mitomycin C. Fourteen horses with confirmed ocular squamous cell carcinoma, three of which were affected bilaterally, were included in the study. Eight of the affected eyes were treated topically with mitomycin C alone; in the other nine eyes, the tumours were surgically removed and topical treatment with mitomycin C was then applied. The treatment protocol consisted of 0.2 ml of 0.04 per cent mitomycin C instilled into the conjunctival sac of the affected eye, every six hours, in rounds of seven days o...
Coat color and coat color pattern-related neurologic and neuro-ophthalmic diseases.
The Canadian veterinary journal = La revue veterinaire canadienne    September 3, 2010   Volume 51, Issue 6 653-657 
Webb AA, Cullen CL.No abstract available
Effects of antifungal drugs and delivery vehicles on morphology and proliferation of equine corneal keratocytes in vitro.
American journal of veterinary research    August 3, 2010   Volume 71, Issue 8 953-959 doi: 10.2460/ajvr.71.8.953
Mathes RL, Reber AJ, Hurley DJ, Dietrich UM.To evaluate the effects of topical antifungal drugs and delivery vehicles on the morphology and proliferation rate of cultured equine keratocytes. Methods: 16 corneas obtained from 8 apparently ophthalmologically normal horses < 0.5 hours after euthanasia for reasons unrelated to the study. Methods: Primary cultures of equine keratocytes were obtained from corneal stroma and were exposed to several concentrations of 3 commonly used, topically applied antifungals: natamycin, itraconazole, and miconazole. In addition, effects of drug delivery vehicles DMSO, benzalkonium chloride, and carboxym...
EcPV2 DNA in equine squamous cell carcinomas and normal genital and ocular mucosa.
Veterinary microbiology    July 22, 2010   Volume 147, Issue 3-4 292-299 doi: 10.1016/j.vetmic.2010.07.008
Vanderstraeten E, Bogaert L, Bravo IG, Martens A.Squamous cell carcinoma (SCC) represents the most common malignant tumour of the eye and external genitals in horses. Comparable to humans, papillomaviruses (PV) have been proposed as etiological agents of cancer in horses and recently, Equine papillomavirus type 2 (EcPV2) has been identified in genital SCCs. Hitherto it had never been demonstrated in ocular SCCs. The first goal of this study was to determine the prevalence of EcPV2 DNA in tissue samples from equine genital and ocular SCCs, genital papillomas and penile intraepithelial neoplasia (PIN) lesions, using EcPV2-specific PCR. The sec...
Surgical extraction of an intraocular infection of Parelaphostrongylus tenuis in a horse.
Journal of the American Veterinary Medical Association    July 17, 2010   Volume 237, Issue 2 196-199 doi: 10.2460/javma.237.2.196
Reinstein SL, Lucio-Forster A, Bowman DD, Eberhard ML, Hoberg EP, Pot SA, Miller PE.A 4-year-old Hanoverian gelding was evaluated because of a mobile worm-like structure in the right eye. Results: Ophthalmologic examination of the right eye revealed a white, thin, coiled, mobile parasite, which was presumed to be a nematode, located in the ventral portion of the anterior chamber of the eye; there also were vitreal strands located temporally and inferiorly near the margin of the pupil. Results of ophthalmologic examination of the left eye were unremarkable. Results: The horse was treated with a neomycin-polymyxin B-dexamethasone ophthalmic solution applied topically (1 drop, q...
Measurement of phenol red thread tear test in Arabian and throughbred horses.
Veterinary ophthalmology    July 14, 2010   Volume 13, Issue 4 219-221 doi: 10.1111/j.1463-5224.2010.00786.x
Sindak N, Kandemir L, Yertürk M, Biricik HS.To determine physiologic levels of tear production in Arabian (AH) and throughbred horses (TH) by using phenol red thread test (PRT). Methods: The study was performed on 16 AH and 14 TH, ranging from 2.5 to 24 years of age, housed in a stable situated in the Sanliurfa of Turkey. Methods: For the measurement of PRT, the strip was placed under the lower eyelid approximately one-third the distance from the temporal to nasal canthus and left for 15 s. The length of the wet area was measured in mm and compared among breed, sex, and age groups and between eyes of both sides. Results: The mean length...
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