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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.
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...
Equine protozoal myeloencephalitis due to Neospora hughesi and equine motor neuron disease in a mule.
Veterinary ophthalmology    July 14, 2010   Volume 13, Issue 4 259-265 doi: 10.1111/j.1463-5224.2010.00790.x
Finno CJ, Eaton JS, Aleman M, Hollingsworth SR.A 23-year-old female mule was presented for bilateral ocular abnormalities and an abnormal pelvic limb gait. Results: Anisocoria, unilateral enophthalmos, medial strabismus, ptosis, pupillary light reflex deficits, and bilateral reticulated pigmentary retinopathy were observed on ophthalmic examination. Neurologic abnormalities included right-sided facial nerve paralysis, extensive symmetric muscle atrophy, and asymmetric pelvic limb ataxia with an abnormal pelvic limb gait. A positive titer (1:40) for equine protozoal myeloencephalitis (EPM) associated with Neospora hughesi was obtained from ...
Evaluation of 30- and 25-diopter intraocular lens implants in equine eyes after surgical extraction of the lens.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 809-816 doi: 10.2460/ajvr.71.7.809
McMullen RJ, Davidson MG, Campbell NB, Salmon JH, Gilger BC.To determine appropriate intraocular lens (IOL) implant strength to approximate emmetropia in horses. Methods: 16 enucleated globes and 4 adult horses. Methods: Lens diameter of 10 enucleated globes was measured. Results were used to determine the appropriate-sized IOL implant for insertion in 6 enucleated globes and 4 eyes of adult horses. Streak retinoscopy and ocular ultrasonography were performed before and after insertion of 30-diopter (D) IOL implants (enucleated globes) and insertion of 25-D IOL implants (adult horses). Results: In enucleated globes, mean +/- SD lens diameter was 20.14 ...
Tear volume, turnover rate, and flow rate in ophthalmologically normal horses.
American journal of veterinary research    June 2, 2010   Volume 71, Issue 6 671-676 doi: 10.2460/ajvr.71.6.671
Chen T, Ward DA.To determine tear volume, turnover rate, and flow rate in ophthalmologically normal horses by use of fluorophotometry. Methods: 12 mares free of ophthalmic disease. Methods: 2 microL of 10% sodium fluorescein was instilled onto 1 eye of each horse, and tear samples were collected via microcapillary tubes from the inferonasal conjunctival culde-sac at 0, 2, 4, 6, 10, 15, and 20 minutes after instillation. Collected tear samples were then measured for fluorescein concentrations with a computerized scanning ocular fluorophotometer. A decay curve plot of concentration changes over time was used to...
Evaluation of healthy equine eyes by use of retinoscopy, keratometry, and ultrasonographic biometry.
American journal of veterinary research    June 2, 2010   Volume 71, Issue 6 677-681 doi: 10.2460/ajvr.71.6.677
Grinninger P, Skalicky M, Nell B.To assess natural variations in degree of refraction, corneal curvature, corneal astigmatism, corneal radius, and intraocular distance of healthy equine eyes. Methods: 159 horses with healthy eyes that were admitted to a veterinary teaching hospital for nonophthalmic surgeries. Methods: Eyes of horses were examined with a retinoscope prior to anesthesia and with a keratograph and A- and B-scan ultrasonographic biometers during surgery. In addition, manual caliper measurements of horizontal and vertical corneal radii were obtained. Results: Mean +/- SD degree of refraction in the horizontal mer...
Immunohistochemical study of matrix metalloproteinases-2 and -9, macrophage inflammatory protein-2 and tissue inhibitors of matrix metalloproteinases-1 and -2 in normal, purulonecrotic and fungal infected equine corneas.
Veterinary ophthalmology    May 8, 2010   Volume 13, Issue 2 81-90 doi: 10.1111/j.1463-5224.2009.00757.x
Boveland SD, Moore PA, Mysore J, Krunkosky TM, Dietrich UM, Jarrett C, Paige Carmichael K.Determine the effects of matrix metalloproteinases (MMPs)-2, -9, macrophage inflammatory protein-2 (MIP-2), tissue inhibitors of matrix metalloproteinase (TIMP)-1 and -2 by immunohistochemical expression in fungal affected and purulonecrotic corneas. Methods: Paraffin-embedded equine corneal samples; normal (n = 9), fungal affected (FA; n = 26), and purulonecrotic without fungi (PN; n = 41) were evaluated immunohistochemically for MMP-2, -9, MIP-2, TIMP-1 and -2. The number of immunoreactive inflammatory cells was counted and statistics analyzed. Western blot was performed to detect MMP-2, MMP...
Aqueous humor and plasma concentrations of ciprofloxacin and moxifloxacin following topical ocular administration in ophthalmologically normal horses.
American journal of veterinary research    May 4, 2010   Volume 71, Issue 5 564-569 doi: 10.2460/ajvr.71.5.564
Clode AB, Davis JL, Salmon J, LaFevers H, Gilger BC.To determine the degree of ocular penetration and systemic absorption of commercially available topical ophthalmic solutions of 0.3% ciprofloxacin and 0.5% moxifloxacin following repeated topical ocular administration in ophthalmologically normal horses. Methods: 7 healthy adult horses with clinically normal eyes as evaluated prior to each treatment. Methods: 6 horses were used for assessment of each antimicrobial, and 1 eye of each horse was treated with topically administered 0.3% ciprofloxacin or 0.5% moxifloxacin (n = 6 eyes/drug) every 4 hours for 7 doses. Anterior chamber paracentesis wa...
Effect of treatment with a topical ophthalmic preparation of 1% nalbuphine solution on corneal sensitivity in clinically normal horses.
American journal of veterinary research    February 2, 2010   Volume 71, Issue 2 223-228 doi: 10.2460/ajvr.71.2.223
Wotman KL, Utter ME.To assess the effect of treatment with a topical ophthalmic preparation of 1.2% nalbuphine solution on corneal sensitivity in clinically normal horses. Methods: 8 horses. Methods: Baseline corneal touch threshold (CTT) was measured (defined as the mean filament length [mm] at which a consistent blink response was elicited) for both eyes of each horse by use of a Cochet-Bonnet aesthesiometer. Subsequently, 0.2 mL of 1.2% nalbuphine solution was instilled in 1 randomly selected eye of each horse, and 0.2 mL of artificial tears solution was instilled in the contralateral eye (control treatment). ...
Uveal inflammation in septic newborn foals.
Journal of veterinary internal medicine    January 7, 2010   Volume 24, Issue 2 391-397 doi: 10.1111/j.1939-1676.2009.0452.x
Leiva M, Peña T, Armengou L, Cesarini C, Monreal L.Septicemia in humans is described as a leading cause of uveitis, which eventually can induce blindness. Objective: Uveal inflammatory findings could be related to sepsis severity in newborn foals and might be used as an indirect indicator for survival. Methods: Seventy-four septic foals, 54 nonseptic foals, and 42 healthy foals. Methods: Prospective observational clinical study. A detailed blinded, ophthalmic examination was performed by boarded ophthalmologists on all admitted newborn foals. Foals were grouped as septic (when blood culture resulted positive or the sepsis score was > or =14...
Third eyelid resection as a treatment for suspected squamous cell carcinoma in 24 horses.
The Veterinary record    December 22, 2009   Volume 165, Issue 25 740-743 
Payne RJ, Lean MS, Greet TR.Between October 2000 and January 2007, 24 horses were presented with suspected squamous cell carcinoma (SCC) of the third eyelid. The hospital's medical records were analysed retrospectively to gain data about the cases, and telephone follow-up was obtained from the owners and referring veterinary surgeons. The resected third eyelid was submitted for histological examination in 21 cases; in the other three cases the tissue was not submitted at the owners' request, for economic reasons. SCC was confirmed in 16 of these 21 cases, three cases were diagnosed histologically as lymphoid hyperplasia,...
Equine immune-mediated keratopathies.
Veterinary ophthalmology    November 26, 2009   Volume 12 Suppl 1 10-16 doi: 10.1111/j.1463-5224.2009.00740.x
Matthews A, Gilger BC.Equine immune mediated keratopathies are common in both Europe and the USA. This review article will compare the clinical differences in horses with this disease and also review the current theories on pathogenesis and treatment of equine IMMK.
The use of amniotic membrane transplantation for ocular surface reconstruction: a review and series of 58 equine clinical cases (2002-2008).
Veterinary ophthalmology    November 26, 2009   Volume 12 Suppl 1 17-24 doi: 10.1111/j.1463-5224.2009.00741.x
Plummer CE, Ollivier F, Kallberg M, Brooks D, Barrie K, Utter M, Gelatt K.Amniotic membrane transplantation (AMT) is an effective clinical therapy for reconstruction of the ocular surface in human and veterinary patients. Amnion is avascular and strong, contains antiangiogenic and antiinflammatory properties and growth factors, and has properties that prevent or decrease fibrosis in healing tissue. Indications for its use are steadily growing and include grafting to replace diseased, missing or excised tissue, patching to support diseased tissue during the healing process and as a substrate for the expansion of epithelial cells for transplantation to the cornea. AMT...
In vivo confocal microscopy of the normal equine cornea and limbus.
Veterinary ophthalmology    November 26, 2009   Volume 12 Suppl 1 57-64 doi: 10.1111/j.1463-5224.2009.00730.x
Ledbetter EC, Scarlett JM.To describe morphologic features, pachymetry and endothelial cell density of the normal equine cornea and limbus by in vivo confocal microscopy. Methods: Ten horses without ocular disease. Methods: The central and peripheral corneas were examined with a modified Heidelberg Retina Tomograph II and Rostock Cornea Module using a combination of automated and manual image acquisition modes. Thickness measurements of various corneal layers were performed and endothelial cell density determined. Results: Images of the constituent cellular and noncellular elements of the corneal epithelium, stroma, en...
Enterococcus casseliflavus endophthalmitis associated with a horse tail injury.
Archives of ophthalmology (Chicago, Ill. : 1960)    November 11, 2009   Volume 127, Issue 11 1551-1552 doi: 10.1001/archophthalmol.2009.282
Khurana RN, Leder HA, Nguyen QD, Do DV.No abstract available
Effect of topical 1% tropicamide on Schirmer tear test results in clinically normal horses.
Veterinary ophthalmology    November 4, 2009   Volume 12, Issue 6 369-371 doi: 10.1111/j.1463-5224.2009.00734.x
Selk Ghaffari M, Sabzevari A, Radmehr B.To observe the effect of topical 1% tropicamide on equine tear production as measured by Schirmer I tear test. Methods: Fourteen adult horses received one drop of 1% tropicamide ophthalmic solution in one eye and the opposite eye served as the control. The tear production in both eyes was tested at 1, 2, 4, 6, and 24 h after 1% tropicamide administration. Results: Measurements made 1 h after treatment revealed a significant reduction in Schirmer tear test values in tropicamide treated eyes (P = 0.002). The observed decrease in tear production was maintained up to 4 h after treatment (P = 0.002...
International Equine Ophthalmology Consortium (IEOC) Symposium.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 606-607 doi: 10.2746/042516409x447789
Gilger BC, Brooks DE.This first IEOC symposium met its goals of gathering a group of leading equine ophthalmology clinicians and researchers to identify the challenges of the field. To facilitate collaboration, notes from round-table discussions, including the ideas and plans that were discussed are being complied and will be distributed to the attendees. Development of an IEOC membership organisation and website was discussed and supported by the group in an effort further to advance the science of equine ophthalmology. To present results from the collaborations made at this first IEOC meeting, an IEOC mini-sympo...
Iris abscesses with and without intralenticular fungal invasion in the horse.
Veterinary ophthalmology    September 16, 2009   Volume 12, Issue 5 306-312 doi: 10.1111/j.1463-5224.2009.00718.x
Brooks DE, Taylor DP, Plummer CE, Quinn R, Kallberg ME, Sheppard B, Barrie KP, Blackwood SE, Nunnery CM, Ben-Shlomo G, Clark CJ, Woodworth AA.To describe clinical and histologic findings in horses with iris abscesses. Design Retrospective medical records study. Methods: Medical records of horses that had iris abscesses at the University of Florida Veterinary Medical Center, Peterson & Smith Equine Hospital, and Veterinary Eye Specialists of London, Ontario, from 2005 to 2008 were reviewed. Methods: Data collected from the medical records included signalment, clinical and histologic descriptions of ocular lesions, therapy, complications, and visual outcomes. Results: The medical records of two Quarterhorses, one pony, one warmblood, ...
Diagnostic ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    May 14, 2009   Volume 50, Issue 3 319-320 
Sandmeyer LS, Grahn BH.No abstract available
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