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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.
Evaluation of equine corneal disease using spectral domain optical coherence tomography (SD-OCT).
Veterinary ophthalmology    February 15, 2019   Volume 22, Issue 6 791-798 doi: 10.1111/vop.12652
Blanchard A, Barr EM, Gilger BC.The purpose of this case series is to evaluate the use of spectral domain optical coherence tomography (SD-OCT) imaging in equine corneal disease to demonstrate the feasibility, diagnostic effectiveness, and limitations of this imaging modality. Methods: Retrospective study: Handheld SD-OCT (Envisu, Bioptigen Inc, Morrisville, NC) was used for high-resolution imaging of horses with corneal disease presenting to the North Carolina State University Equine Ophthalmology Service from 2013 to 2018. Results: Fourteen horses were included in this study, including six horses with corneal ulceration, t...
Computed tomographic dimensions of the normal adult equine eye.
Veterinary ophthalmology    February 4, 2019   Volume 22, Issue 5 651-659 doi: 10.1111/vop.12636
Hollis AR, Dixon JJ, Berlato D, Murray R, Weller R.There are limited data on whether the dimensions of the equine eye and its internal structures change with bodyweight in horses. The aim of this study was to identify whether the size of the equine eye and its individual structures varied in a predictable manner with bodyweight, and to examine the reliability of computed tomography (CT) scans in the measurement of the equine eye. Ninety horses which had undergone CT examination of the head for non-ocular disease were included. All measurements of the eye were performed twice on all eyes by the same operator to quantify intra-operator agreement...
Subconjunctival bone marrow-derived mesenchymal stem cell therapy as a novel treatment alternative for equine immune-mediated keratitis: A case series.
Veterinary ophthalmology    February 4, 2019   Volume 22, Issue 5 674-682 doi: 10.1111/vop.12641
Davis AB, Schnabel LV, Gilger BC.Equine immune-mediated keratitis (IMMK) leads to increased corneal opacity and inflammation secondary to an alteration of the local immune system. Bone marrow-derived mesenchymal stem cells (BM-MSC) have been shown to modulate the immune system by downregulating inflammation. Four horses with unilateral IMMK poorly responsive to traditional medical treatments underwent novel, autologous subconjunctival BM-MSC therapy. Bone marrow was harvested and processed as previously described for equine orthopedic disease. Horses received autologous subconjunctival BM-MSC injections approximately every 3-...
Ophthalmologic findings associated with Rhodococcus equi bronchopneumonia in foals.
Veterinary ophthalmology    January 31, 2019   Volume 22, Issue 5 660-665 doi: 10.1111/vop.12637
Tarancón I, Leiva M, Jose-Cunilleras E, Ríos J, Peña T.To describe ocular findings associated with Rhodococcus equi bronchopneumonia in foals, and to determine whether severity of the ocular lesions is related with outcome. Methods: Foals diagnosed with R equi infection at the VTH-UAB from January 2002 to December 2017. Methods: Rhodococcus equi infection was diagnosed by means of clinical signs, radiographic/ultrasonographic findings, and/or positive culture. In all the foals, a complete ophthalmic examination by a boarded ophthalmologist was performed and ocular signs were recorded and graded (0-4). Results: Thirty-nine foals were included in t...
Effect of Topical 1% Cyclopentolate Hydrochloride on Tear Production, Intraocular Pressure, and Pupil Size in Healthy Turkman Horses.
Journal of equine veterinary science    January 29, 2019   Volume 75 25-29 doi: 10.1016/j.jevs.2019.01.002
Ansari Mood M, Rajaei SM, Faghihi H, Ghiadi A.This study was performed to evaluate the effect of topical 1% cyclopentolate hydrochloride on tear production (STT), intraocular pressure (IOP), and vertical pupil diameter (VPD) in healthy Turkman horses. Forty eyes of 20 clinically normal horses were used for this study, which were randomly assigned to two groups. Before instillation of 1% cyclopentolate, the baseline STT, IOP, and VPD of each group were recorded. Then, one drop of cyclopentolate was instilled randomly into one eye of each animal, and the contralateral eye served as control. Measurements were repeated at 20 minutes, 60 min...
The use of a combined sliding skin graft and a free labial mucocutaneous graft for reconstruction of the equine upper eyelid after full-thickness excision of a melanoma.
Clinical case reports    January 17, 2019   Volume 7, Issue 3 419-425 doi: 10.1002/ccr3.1992
Steinmetz A, Gittel C, Böttcher D, Lapko L, Offhaus J.A melanoma of the upper eyelid was resected in a gray warmblood gelding. A full functional eyelid could be obtained by completion a sliding skin graft with a free labial mucocutaneous graft transplantation to restore the mucocutaneous junction and to decrease the risk of postoperative trichiasis.
Ocular abnormalities in a herd of Old Kladruber Horses: A cross-sectional study.
Veterinary ophthalmology    October 5, 2018   Volume 22, Issue 4 462-469 doi: 10.1111/vop.12614
Andrysikova R, Pot S, Rüegg S, Markova J, Horackova E, Kolos F, Voelter K, Spiess B.To screen a closed herd of the Old Kladruber Horses (OKH) for the prevalence of ocular disorders and report normal ocular variations. Methods: Two hundred and sixty-one horses, 122 Old Kladruber Gray Horses, and 139 Old Kladruber Black Horses owned by the National Stud Farm Kladruby nad Labem, Czech Republic, were included in the study with signalment and pedigree information recorded. Methods: Bilateral ocular examination of manually restrained horses was performed in a darkened environment by a single examiner (RA), using a portable slit-lamp biomicroscope, direct ophthalmoscope, and monocul...
Detection of intraocular Leptospira spp. by real-time polymerase chain reaction in horses with recurrent uveitis in Belgium.
Equine veterinary journal    September 22, 2018   Volume 51, Issue 3 299-303 doi: 10.1111/evj.13012
Sauvage AC, Monclin SJ, Elansary M, Hansen P, Grauwels MF.Equine recurrent uveitis (ERU) has been associated with Leptospira spp. infection. No information exists concerning the prevalence of Leptospira-associated ERU in Belgium and about the sensitivity of detection of Leptospira in different ocular media. Objective: To establish the prevalence of intraocular Leptospira spp. in ERU-affected and healthy eyes of horses examined at the Equine Clinic of the University of Liège by real-time PCR and to compare the results of the aqueous and vitreous humour of the same eye. Methods: Cross-sectional. Methods: Sixty-six eyes from 59 client-owned horses with...
Limbal squamous cell carcinoma in a Rocky Mountain Horse: Case report and investigation of genetic contribution.
Veterinary ophthalmology    September 20, 2018   Volume 22, Issue 2 201-205 doi: 10.1111/vop.12612
Knickelbein KE, Lassaline ME, Bellone RR.To document a case of limbal squamous cell carcinoma (SCC) in a Rocky Mountain Horse stallion determined to be homozygous for the genetic risk factor (DDB2 c.1013C>T) strongly associated with the disease in Haflinger and Belgian horses, and to determine the frequency of this allele in a larger population of Rocky Mountain Horses. Methods: One privately owned Rocky Mountain Horse and 84 Rocky Mountain Horses screened for allelic frequency. Methods: A complete ophthalmic examination was performed on a Rocky Mountain Horse stallion for assessment of a mass affecting the right eye. A clinical diag...
Age-associated changes in the equine flash visual evoked potential.
Veterinary ophthalmology    September 13, 2018   Volume 22, Issue 4 388-397 doi: 10.1111/vop.12601
Ström L, Michanek M, Ekesten B.To investigate age-associated changes of flash visual evoked potentials (FVEPs) in sedated horses. Methods: Twenty-eight clinically healthy Standardbred Warmblooded trotters, aged 36 hours to 28 years. Methods: Light-adapted FVEPs and FERGs were recorded (An-vision RETIport, Roland-consult, Germany) in response to flash stimuli. Sedation was obtained using alpha-2-agonists intravenously. Akinesia of the eyelids was induced and pupils were dilated. Results: Reproducible FVEPs and FERGs were readily recorded from all foals and horses. The FVEP waveform included up to four positive components (...
Conjunctival aerobic bacterial flora in healthy Silesian foals and adult horses in Poland.
BMC veterinary research    August 31, 2018   Volume 14, Issue 1 261 doi: 10.1186/s12917-018-1598-6
Zak A, Siwinska N, Slowikowska M, Borowicz H, Ploneczka-Janeczko K, Chorbinski P, Niedzwiedz A.Commensal bacterial and fungal flora of the conjunctival sac has been described in horses and other animals. The identification of commensal flora of the conjunctival sac may aid in the diagnosis of ocular inflammatory diseases, such as conjunctivitis or more severe ulcerative keratitis, common in horses. Moreover, damage of ocular protective barriers may lead to an opportunistic infection. The study was carried out in Silesian horses kept at a single breeding center in South-western Poland, in order to limit any breed-dependant and climate-dependant variables affecting the results. Following ...
Prevalence of owner-reported ocular problems and veterinary ocular findings in a population of horses aged ≥15 years.
Equine veterinary journal    August 25, 2018   Volume 51, Issue 2 212-217 doi: 10.1111/evj.13005
Malalana F, McGowan TW, Ireland JL, Pinchbeck GL, McGowan CM.Previous studies suggest that ocular disease is common among aged horses but owners may fail to identify or underestimate their clinical relevance. Objective: To document the prevalence of owner-reported ocular disease in horses aged ≥15 years. In a subset of these horses, to document ophthalmic findings from veterinary examination and compare with owner-reported ocular disease, and to determine risk factors for veterinary ophthalmic findings. Methods: Cross-sectional study. Methods: Owners of aged horses completed a survey on management, clinical signs and medical history. Risk factors for ...
Blink patterns and kinematics of eyelid motion in ophthalmologically normal horses.
American journal of veterinary research    August 8, 2018   Volume 79, Issue 6 650-657 doi: 10.2460/ajvr.79.6.650
Best LJ, Alexiades V, Hendrix DVH, Chen T, Ward DA.OBJECTIVE To describe qualitative blinking patterns and determine quantitative kinematic variables of eyelid motion in ophthalmologically normal horses. ANIMALS 10 adult mares. PROCEDURES High-resolution videography was used to film blinking behavior. Videotapes were analyzed for mean blink rate, number of complete versus incomplete blinks, number of unilateral versus bilateral blinks, and subjective descriptions of blinking patterns. One complete blink for each horse was analyzed with image-analysis software to determine the area of corneal coverage as a function of time during the blink and ...
Eosinophilic keratitis in horses.
The Veterinary record    July 7, 2018   Volume 183, Issue 1 24-25 doi: 10.1136/vr.k2969
Hartley C.No abstract available
Identification of bacteria and fungi sampled from the conjunctival surface of normal horses in South-East Queensland, Australia.
Veterinary ophthalmology    July 2, 2018   Volume 22, Issue 3 265-275 doi: 10.1111/vop.12587
Hampson ECGM, Gibson JS, Barot M, Shapter FM, Greer RM.To identify bacteria and fungi found on the conjunctival surface of normal horse eyes; to investigate potential risk factors for these microflora; and to determine their susceptibility to common topical ophthalmic antimicrobials. Methods: A total of 95 client-owned horses were studied. Methods: Horses within sub-tropical Australia (South-East Queensland) were sampled once between April 2012 and March 2013. A conjunctival swab was taken from each eye and cultured for aerobic bacteria and fungi. Organisms were identified by colony morphology and phenotype. Antimicrobial disk diffusion susceptibi...
Comparison of angiographic dyes and injection techniques for ocular anterior segment angiography in horses.
American journal of veterinary research    April 25, 2018   Volume 79, Issue 5 562-567 doi: 10.2460/ajvr.79.5.562
Pirie CG, LoPinto AJ, Tenney WA.OBJECTIVE To assess and compare 2 injection techniques for conducting ocular anterior segment indocyanine green angiography (ASICGA) and sodium fluorescein (SF) angiography in horses. ANIMALS 3 healthy adult female horses (age range, 19 to 25 years). PROCEDURES Horses were sedated, jugular catheters were placed, and manual restraint was used to ensure proper positioning for the angiography procedure. Two injection techniques (IV and intra-arterial) were performed for each horse 1 week apart. Intravenous injections of 0.25% indocyanine green (ICG; 50 mg) and 10% SF (10 mg/kg) were administered ...
Canine, feline, and equine corneal vascular neoplasia: A retrospective study (2007-2015).
Veterinary ophthalmology    April 24, 2018   Volume 22, Issue 1 76-87 doi: 10.1111/vop.12571
Shank AMM, Teixeria LBC, Dubielzig RR.Corneal vascular neoplasms (hemangioma and hemangiosarcoma) are rare in all species. Reported cases are single case reports in a single species. Archived cases of corneal hemangioma and hemangiosarcoma from dogs, cats, and horses were obtained from the Comparative Ocular Pathology Lab of Wisconsin (COPLOW, Madison, WI), tabulated, and examined. This retrospective study describes the breeds, ages, tumor types, and characteristics of vascular neoplasms that appeared to be primarily corneal in location, in feline, canine, and equine patients, with gross and histologic images. There is a discussio...
Comparison of 3 corneal cytology collection methods for evaluating equine ulcerative keratitis: Cytobrush, kimura platinum spatula, and handle edge of scalpel blade.
Veterinary ophthalmology    April 24, 2018   Volume 22, Issue 2 153-160 doi: 10.1111/vop.12574
Proietto L, Beatty SS, Plummer CE.To compare corneal cytology samples from three common sampling techniques: cytobrush (CB), Kimura platinum spatula (KS), and the handle edge of a scalpel blade (SB). Methods: Equine patients presenting to the University of Florida College of Veterinary Medicine with ulcerative keratitis were included. Following diagnosis of corneal ulcer and sampling for microbial culture, two cytology samples per technique were collected with sterile CB, KS, and SB in a randomized order. Cytologic evaluation was performed by two observers masked to collection method. Objective measures of sample cellularity, ...
Factors associated with postoperative complications in healthy horses after general anesthesia for ophthalmic versus non-ophthalmic procedures: 556 cases (2012-2014).
Journal of the American Veterinary Medical Association    April 12, 2018   Volume 252, Issue 9 1113-1119 doi: 10.2460/javma.252.9.1113
Curto EM, Griffith EH, Posner LP, Walsh KT, Balko JA, Gilger BC.OBJECTIVE To compare complications between healthy horses undergoing general anesthesia for ophthalmic versus non-ophthalmic procedures and identify potential risk factors for the development of complications. DESIGN Retrospective case series. ANIMALS 502 horses (556 anesthetic procedures). PROCEDURES Medical records from January 2012 through December 2014 were reviewed to identify horses undergoing general anesthesia. Signalment, body weight, drugs administered, patient positioning, procedure type (ophthalmic, orthopedic, soft tissue, or diagnostic imaging), specific procedure, procedure time...
Intraocular lens power calculation for the equine eye.
BMC veterinary research    April 3, 2018   Volume 14, Issue 1 123 doi: 10.1186/s12917-018-1448-6
Meister U, Görig C, Murphy CJ, Haan H, Ohnesorge B, Boevé MH.Phacoemulsification and intraocular lens (IOL) implantation during cataract surgery in horses occur with increasing frequency. To reduce the postoperative refractive error it is necessary to determine the proper IOL power. In the present study retinoscopy, keratometry and ultrasonographic biometry were performed on 98 healthy equine eyes from 49 horses. The refractive state, corneal curvature (keratometry) and the axial location of all optical interfaces (biometry) were measured. The influences of breed, height at the withers, gender and age on values obtained and the comparison between the le...
Intraocular pressure reference intervals in eyes of clinically normal miniature donkeys (Equus africanus asinus).
Veterinary ophthalmology    March 8, 2018   Volume 22, Issue 1 24-30 doi: 10.1111/vop.12561
Hibbs CD, Barrett PM, Dees DD.To determine intraocular pressure (IOP) reference intervals in eyes of healthy miniature donkeys (Equus africanus asinus) via rebound and applanation tonometry. Methods: Complete ophthalmic and physical examinations were performed by board-certified veterinary ophthalmologists. Inclusion criteria for animals participating in this study were dictated by the American Society for Veterinary Clinical Pathology (ASVCP) reference interval guidelines. Intraocular pressure estimates (TonoVet® and TonoPen XL® ) were obtained in both eyes. Forty animals (San Angelo group) received intramuscular xylazi...
A survey of ocular ultrasound abnormalities in horse: 145 cases.
Journal of ultrasound    February 28, 2018   Volume 21, Issue 1 53-59 doi: 10.1007/s40477-018-0284-7
Gialletti R, Marchegiani A, Valeriani T, Nannarone S, Beccati F, Fruganti A, Laus F.To describe the association of clinical and ultrasonographic (US) findings in horses affected by visual impairments, to estimate the most frequent ultrasonographic alteration as well importance and limits of US as a part of ophthalmic evaluation in equine patients. Methods: One-hundred-forty-five horses referred to the Veterinary Teaching Hospitals of the University of Perugia and Camerino for ocular problems were submitted to ophthalmic examination and ocular ultrasound. The following group of abnormalities was established: corneal alteration, cataract, synechiae, iris prolapse, anterior cham...
Pharmacokinetic evaluation and safety of topical 1% morphine sulfate application on the healthy equine eye.
Veterinary ophthalmology    January 19, 2018   Volume 21, Issue 5 516-523 doi: 10.1111/vop.12541
Gordon E, Stang BV, Heidel J, Poulsen KP, Cebra CK, Schlipf JW.To determine if corneal epithelial cell integrity is detrimentally affected by short-term administration of 1.0% morphine sulfate. Additionally, we sought to determine if topical 1.0% morphine applied to the equine cornea would result in ocular or systemic absorption. Methods: Six healthy horses. Methods: Morphine sulfate (1.0%) was applied topically to one eye every four hours for 72 h before horses were euthanized. Serum samples were collected at varying time points during the study and aqueous and vitreous humor were collected immediately after euthanasia. Morphine quantification in serum, ...
Equine ocular mast cell tumor: histopathological and immunohistochemical description.
Journal of equine science    December 16, 2017   Volume 28, Issue 4 149-152 doi: 10.1294/jes.28.149
Flores AR, Azinhaga A, Pais E, Faria F, Nunes F, Gartner F, Amorim I.This report describes an ocular mast cell tumor in a 13-year-old female sport horse. Clinical examination revealed a solitary firm mass located in the ocular mucosa, protruding from behind the left lower eyelid. The lesion was surgically removed and submitted to histopathology. Microscopically, the mass was composed of sheets of well-differentiated neoplastic round cells circumscribed by delicate connective tissue. Positive Giemsa and Toluidine Blue staining confirmed the presence of cytoplasmic granules. Neoplastic cells showed strong membranous and mild diffuse cytoplasmic immunoreactivity f...
Objective evaluation of the systemic effects of topical application of 1% atropine sulfate ophthalmic solution in healthy horses.
Journal of the American Veterinary Medical Association    November 21, 2017   Volume 251, Issue 11 1324-1330 doi: 10.2460/javma.251.11.1324
Wehrman RF, Gemensky-Metzler AJ, Zibura AE, Nyhart AB, Chandler HL.OBJECTIVE To determine the safety of topical administration of 1% atropine ophthalmic solution in healthy horses by objectively measuring gastrointestinal transit time. DESIGN Randomized, masked, controlled crossover study. ANIMALS 6 adult geldings. PROCEDURES Horses were randomly assigned (3/group) to first receive topical treatment of the left eye with 1% atropine or artificial tears solution; the right eye was left untreated. After 24 hours of treatment every 6 hours, 200 nontoxic beads were administered to each horse via nasogastric intubation and treatment frequency was decreased to every...
The Science and Practice of Equine Ophthalmology: A Quarter Century Later.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 ix-x doi: 10.1016/j.cveq.2017.09.001
Lassaline M.No abstract available
Equine Glaucoma.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 519-540 doi: 10.1016/j.cveq.2017.07.005
Michau TM.Glaucoma is a multifactorial neurodegenerative ocular disease leading to progressive loss of retinal ganglion cells and their axons that form the optic nerve, causing blindness. Knowledge of the pathogenesis and development of equine glaucoma is in its infancy compared with human glaucoma. Glaucoma occurs most commonly secondary to uveitis and may be underdiagnosed or misdiagnosed in horses suffering from uveitis. Recognition and clinical diagnosis of glaucoma in the horse is improved with clinician awareness and the availability of handheld tonometers. Therapy for glaucoma is aimed at decreas...
Periocular Neoplasia in the Horse.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 551-562 doi: 10.1016/j.cveq.2017.08.004
Estell K.Periocular neoplasia is common in horses. Treatment of the periocular skin and ocular adnexal structures can be technically challenging. Common neoplastic conditions, a treatment algorithm, surgical principles, and therapeutic modalities are reviewed. Regardless of the type of neoplasia found or the treatment that is applied, success is most likely when the neoplastic tumor is small.
Disease and Surgery of the Equine Lens.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 483-497 doi: 10.1016/j.cveq.2017.07.004
Townsend WM.Examination of the lens is critical, particularly when evaluating horses with visual impairment or performing prepurchase examinations. To adequately evaluate the lens, the pupil must be pharmacologically dilated. A cataract is any lens opacity. The size, density, and position of a cataract determine the impact on vision. Cataracts may be congenital or inherited or occur secondary to trauma or equine recurrent uveitis. Surgical removal is the only treatment option for vision impairing cataracts, but careful selection of surgical candidates is critical for successful outcomes.
Ocular Manifestations of Systemic Disease in the Horse.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 563-582 doi: 10.1016/j.cveq.2017.08.002
Wotman KL, Johnson AL.Many systemic diseases have ocular manifestations. In some cases, ocular abnormalities are the most obvious or first recognized sign of disease that prompts veterinary evaluation. In other cases, the systemic disease leads to secondary ocular changes that might lead to loss of vision or globe if not addressed. Therefore, recognition of ocular abnormalities that might result from systemic diseases is an essential skill for the equine practitioner. This article provides practitioners with information regarding the most common systemic diseases of horses in North America that have ocular manifest...
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