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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.
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...
The Equine Fundus.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 499-517 doi: 10.1016/j.cveq.2017.08.003
Ben-Shlomo G.Fundus is an anatomic term referring to the portion of an organ opposite from its opening, and the fundus of the eye is the back portion of the posterior segment of the globe, including the optic nerve, retina, and choroid. Clinically, the fundus can be visualized by direct or indirect ophthalmoscopy. Understanding the normal anatomy and appearance of the equine fundus is crucial for differentiating normal variations from abnormalities. This article reviews the normal anatomy and appearance of the equine fundus and discusses basic and advanced examination techniques. It also discusses common f...
Genetic Testing as a Tool to Identify Horses with or at Risk for Ocular Disorders.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 627-645 doi: 10.1016/j.cveq.2017.08.005
Bellone RR.Advances in equine genetics and genomics resources have enabled the understanding of some inherited ocular disorders and ocular manifestations. These ocular disorders include congenital stationary night blindness, equine recurrent uveitis, multiple congenital ocular anomalies, and squamous cell carcinoma. Genetic testing can identify horses with or at risk for disease and thus can assist in clinical management. In addition, genetic testing can identify horses that are carriers and thus can inform breeding decisions. Use of genetic tests in management and breeding decisions should aid in reduci...
Ocular and periocular hemangiosarcoma in six horses.
Veterinary ophthalmology    November 7, 2017   Volume 21, Issue 4 432-437 doi: 10.1111/vop.12529
Scherrer NM, Lassaline M, Engiles J.To determine the characteristics of and prognosis for ocular and periocular hemangiosarcoma in horses. Methods: Six horses treated for ocular or periocular hemangiosarcoma. Methods: A retrospective review of medical records from 2007 to 2015 was performed to identify horses with a histologic diagnosis of ocular or periocular hemangiosarcoma. Signalment (age, sex, breed), duration of clinical signs, prior treatment, tumor size and location, medical and surgical treatment including postoperative chemotherapy, follow-up time, and outcome were obtained from medical records. Histopathology was revi...
The prevalence of ocular diseases in polish Arabian horses.
BMC veterinary research    November 7, 2017   Volume 13, Issue 1 319 doi: 10.1186/s12917-017-1252-8
Paschalis-Trela K, Cywińska A, Trela J, Czopowicz M, Kita J, Witkowski L.Equine ocular diseases pose a medical challenge due to long-lasting and cost-consuming therapies as well as economic issues associated with potential decrease in value of affected horses. The scale of the problem is significant but difficult to precisely define because epidemiological data is limited and lacks consistency in presentation. To date, no retrospective studies specifically investigating Arabian horses have been published. Results: The aim of this cross-sectional study was to investigate the prevalence of ocular lesions and define the ocular diseases present in Arabian horses from b...
Effects of three blood derived products on equine corneal cells, an in vitro study.
Equine veterinary journal    November 3, 2017   Volume 50, Issue 3 356-362 doi: 10.1111/evj.12770
Rushton JO, Kammergruber E, Tichy A, Egerbacher M, Nell B, Gabner S.Despite advances in therapy of corneal ulcerative diseases in horses, a vast number of cases require surgical intervention, due to poor response to treatment. Topical application of serum has been used for many years, based on its anticollagenolytic properties and the presence of growth factors promoting corneal wound healing. However, although other blood derived products i.e. platelet rich plasma (PRP), plasma rich in growth factors (PRGF) have been widely used in equine orthopaedics and in human ophthalmology, no reports of the effects of these blood derived products exist in equine ophthal...
Advanced Imaging of the Equine Eye.
The Veterinary clinics of North America. Equine practice    October 3, 2017   Volume 33, Issue 3 607-626 doi: 10.1016/j.cveq.2017.07.006
Gilger BC.This article reviews the literature for studies describing advanced imaging of the equine eye as a reference for practitioners to help in the selection of image modalities, describe how to use the instruments, and help interpret the image findings. Indications for, technique of, and image interpretation of advanced image modalities such as ultrasound, computed tomography, MRI, optical coherence tomography, confocal microscopy, and angiography are reviewed. The article is organized anatomically, not by instrument, so that the reader will be able to quickly research ways to image specific diseas...
Medical and Surgical Management of Equine Recurrent Uveitis.
The Veterinary clinics of North America. Equine practice    October 3, 2017   Volume 33, Issue 3 465-481 doi: 10.1016/j.cveq.2017.07.003
McMullen RJ, Fischer BM.Equine recurrent uveitis (ERU) is characterized by recurrent bouts of inflammation interrupted by periods of quiescence that vary in duration. There is little consensus on the clinical manifestations, the underlying causes, or the management. The 3 commonly recognized syndromes of ERU (classic, insidious, and posterior) do not accurately separate the clinical manifestations of disease into distinct categories. An accurate diagnosis and early intervention are essential to minimizing the effects of disease and preserving vision. There are multiple medical and surgical options for controlling ERU...
Antifungal Therapy in Equine Ocular Mycotic Infections.
The Veterinary clinics of North America. Equine practice    September 27, 2017   Volume 33, Issue 3 583-605 doi: 10.1016/j.cveq.2017.08.001
Ledbetter EC.Fungi are clinically important causes of ocular infections in the horse. Keratomycosis is the most common; however, a diverse range of mycotic infections, affecting numerous ocular tissues, may be encountered. Many equine mycoses are diagnostic and therapeutic challenges. Prompt and appropriate treatment is essential to minimize morbidity and reduce the likelihood of vision loss. Knowledge of the characteristics and properties of equine ophthalmology antifungal medications is essential to selecting an optimal treatment strategy, including selection of appropriate medication and effective admin...
Neuro-ophthalmology in the Horse.
The Veterinary clinics of North America. Equine practice    September 27, 2017   Volume 33, Issue 3 541-549 doi: 10.1016/j.cveq.2017.07.001
Myrna KE.This article provides a brief, clinically relevant review of neurologic disorders of the eye. A description of the neuro-ophthalmic examination is provided. Stepwise descriptions of the most common neuro-ophthalmic abnormalities are provided along with common rule outs.
Uveal myxoid leiomyosarcoma in a horse.
Clinical case reports    September 25, 2017   Volume 5, Issue 11 1811-1818 doi: 10.1002/ccr3.1190
Grosås S, Østevik L, Revold T, Ottesen N, Ropstad EO.A uveal leiomyosarcoma of a horse is reported. There are few published reports of intraocular tumors in horses. Intraocular tumors challenge animal welfare by causing uveitis, glaucoma, and loss of vision. Knowledge regarding treatment of intraocular tumors with globe preservation is sparse, and further investigations on this topic are required.
Effect of topical application of 2% lidocaine gel on corneal sensitivity of clinically normal equine eyes.
Veterinary anaesthesia and analgesia    September 15, 2017   Volume 45, Issue 2 158-164 doi: 10.1016/j.vaa.2017.08.008
Regnier A, Berton I, Concordet D, Douet JY.To assess the degree and duration of corneal anaesthesia provided by topical application of a non-ophthalmic 2% lidocaine gel in horses. Methods: Experimental, 'blinded', randomized prospective study. Methods: Twelve adult horses without relevant ocular abnormalities. Methods: Baseline corneal touch threshold (CTT) measurements were obtained bilaterally by use of a Cochet-Bonnet aesthesiometer just prior to topical treatment. A volume of 0.2mL of 2% lidocaine gel was administered in one randomly selected eye and the same volume of a viscous lubricant in the other eye to serve as control. The C...
A multicentre study of long-term follow-up and owner satisfaction following enucleation in horses.
Equine veterinary journal    September 13, 2017   Volume 50, Issue 2 186-191 doi: 10.1111/evj.12743
Wright K, Ireland JL, Rendle DI.Horses are reported to return to a variety of disciplines following unilateral enucleation; however, owners of horses with ocular disease are frequently reluctant to consider the procedure. There is little published information investigating owners' attitudes towards, and satisfaction following, enucleation. Objective: To investigate the hypotheses: 1) horses return to their previous level of work following unilateral enucleation and 2) their owners are satisfied with the post-operative outcome. Methods: Retrospective case series with cross-sectional survey. Methods: Clinical records from eigh...
Esthesiometric evaluation of corneal analgesia after topical application of 1% morphine sulfate in normal horses.
Veterinary ophthalmology    July 17, 2017   Volume 21, Issue 3 218-223 doi: 10.1111/vop.12494
Gordon E, Sandquist C, Cebra CK, Heidel J, Poulsen K, Schlipf JW.To evaluate whether topical ocular application of 1% morphine sulfate would change corneal sensitivity and to identify the duration of action. Methods: Eight healthy adult horses. Methods: Corneal touch threshold (CTT) was measured in the center of one randomly selected eye of each horse by Cochet-Bonnet esthesiometer (Luneau Cochet-Bonnet Esthesiometer; Western Ophthalmics, Lynnwood, WA, USA). Immediately following baseline CTT measurement, 0.3 ml of 1.0% preservative-free morphine sulfate (Morphine Sulfate 25 mg/ml Preservative-free; Hospira, Lake Forest, IL, USA) (3 mg) was applied to th...
Equine recurrent uveitis in western Canadian prairie provinces: A retrospective study (2002-2015).
The Canadian veterinary journal = La revue veterinaire canadienne    July 13, 2017   Volume 58, Issue 7 717-722 
Sandmeyer LS, Bauer BS, Feng CX, Grahn BH.The objectives of this study were to determine the demographics of horses with equine recurrent uveitis (ERU) presenting to the Western College of Veterinary Medicine and to describe and compare the prognosis of ERU in the Appaloosa with that in other breeds. Horses diagnosed with ERU by a veterinary ophthalmologist between 2002 and 2015 were included. Eye lesions were classified as mild, moderate, or severe based on clinical manifestations. Breed, age, severity, blindness, and final outcome were evaluated. Thirty-two horses fit the inclusion criteria; 62.5% were Appaloosas. Mean age at presen...
Corneal sensitivity and tear production in 108 horses with ocular disease.
Veterinary ophthalmology    June 9, 2017   Volume 21, Issue 1 76-81 doi: 10.1111/vop.12481
Knickelbein KE, Scherrer NM, Lassaline M.To compare corneal sensitivity and tear production in horses with keratitis to horses with other ocular disease. Methods: Retrospective medical record review was used to identify equine patients presented during a 1-year period for an ocular complaint who had Schirmer Tear Test (STT) or Corneal Touch Threshold (CTT) measured. Variables studied included patient age and sex; affected eye; category of presenting ocular complaint (keratitis vs. other ocular complaint); STT; and CTT. Patients with a complaint of ulcerative keratitis, immune-mediated keratitis, and stromal abscess were categorized i...
Effects of 0.2% brimonidine and 0.2% brimonidine-0.5% timolol on intraocular pressure and pupil size in normal equine eyes.
Equine veterinary journal    June 5, 2017   Volume 49, Issue 6 810-814 doi: 10.1111/evj.12695
Von Zup M, Lassaline M, Kass PH, Miller PE, Thomasy SM.Brimonidine is an α2 -adrenergic agonist that decreases aqueous humour production and may increase uveoscleral outflow. It has not been evaluated in normal or glaucomatous equine eyes. Objective: To evaluate the efficacy and safety of brimonidine in lowering intraocular pressure (IOP), alone and in conjunction with timolol, as a treatment for equine glaucoma by comparing IOP in normal equine eyes treated with brimonidine and brimonidine-timolol, respectively, with IOP in control eyes. Methods: A balanced crossover design with 16 horses receiving one of two treatments, brimonidine and brimonid...
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