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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.
Manual corneal thickness measurements of healthy equine eyes using a portable spectral-domain optical coherence tomography device.
Equine veterinary journal    December 9, 2013   Volume 46, Issue 5 631-634 doi: 10.1111/evj.12198
Pirie CG, Alario AF, Barysauskas CM, Gradil C, Uricchio CK.Corneal thickness measurements of the equine globe using spectral-domain optical coherence tomography (SD-OCT) have not been reported. Objective: To determine corneal thickness measurements and the intra- and interoperator reliability of a portable SD-OCT device in equine eyes. Methods: Prospective observational study. Methods: Horses free of ocular disease were used for this study. Gentle manual restraint, in combination with detomidine hydrochloride and a head stand, were employed to ensure proper animal positioning. Corneal pachymetry measurements were obtained from both eyes of each animal...
Clinical course of ophthalmic findings and potential influence factors of herpesvirus infections: 18 month follow-up of a closed herd of lipizzaners.
PloS one    November 20, 2013   Volume 8, Issue 11 e79888 doi: 10.1371/journal.pone.0079888
Rushton JO, Kolodziejek J, Tichy A, Nowotny N, Nell B.To date the influence of herpesviruses on the development of equine ocular diseases has not been clearly determined. Objective: The purpose of this study was to illustrate the course of equine ocular findings over a period of 18 months at 6 month intervals, in correlation with the results of herpesvirus detection. Methods: 266 Lipizzaners in 3 federal states of Austria underwent complete ophthalmologic examination 4 times. Blood samples, nasal- and conjunctival swabs were obtained at the same time and used for the detection of the equid gammaherpesviruses EHV-2 and EHV-5 using consensus herpes...
Treatment and long-term follow-up of distichiasis, with special reference to the Friesian horse: a case series.
Equine veterinary journal    November 6, 2013   Volume 46, Issue 4 458-462 doi: 10.1111/evj.12157
Hermans H, Ensink JM.Distichiasis is very uncommon in horses and treatment options and outcome remain unknown. Objective: To describe treatment and long-term follow-up of distichiasis in the horse. Methods: Retrospective clinical study. Methods: Case records of horses admitted for diagnosis and treatment of uni- or bilateral distichiasis between 2003 and 2012 were reviewed. Long-term (>6 months after last treatment) follow-up was by telephone conversation with the owner or referring veterinarian. Data were analysed using a Chi-squared test. Results: Eighteen cases were identified, of which 17 were Friesians. All h...
Diagnostic ophthalmology. Corneal perforation with iris prolapse and anterior uveitis due to injury in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    November 2, 2013   Volume 54, Issue 11 1089-1090 
Sandmeyer LS, Bauer BS, Grahn BH.No abstract available
Diagnostic ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 5 514-515 
Sandmeyer LS, Bauer BS, Grahn BH.No abstract available
Diagnostic ophthalmology. Anterior uveitis of the right eye.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 9 897-898 
Sandmeyer LS, Bauer BS, Grahn BH.No abstract available
Equine deep stromal abscesses (51 cases – 2004-2009)–Part 1: the clinical aspects with attention to the duration of the corneal disease, treatment history, clinical appearance, and microbiology results.
Veterinary ophthalmology    October 17, 2013   Volume 17 Suppl 1 6-13 doi: 10.1111/vop.12103
de Linde Henriksen M, Andersen PH, Thomsen PD, Plummer CE, Mangan B, Heegaard S, Toft N, Brooks DE.To study the equine deep stromal abscesses (DSA) with focus on the duration of the corneal disease, medical treatment, season of presentation, clinical appearance, and the degree of corneal vascularization. Methods: Equine DSA diagnosed, biopsied, and surgically treated at the University of Florida Veterinary Medical Center (UFVMC) from 2004 to 2009 were identified. The medical record, clinical photographic images, and microbiology results for each case were evaluated. Frequency and prevalence calculation as well as qualitative data analysis was performed for clinical and microbiological data....
Equine multiple congenital ocular anomalies and silver coat colour result from the pleiotropic effects of mutant PMEL.
PloS one    September 23, 2013   Volume 8, Issue 9 e75639 doi: 10.1371/journal.pone.0075639
Andersson LS, Wilbe M, Viluma A, Cothran G, Ekesten B, Ewart S, Lindgren G.Equine Multiple Congenital Ocular Anomalies (MCOA) syndrome is a heritable eye disorder mainly affecting silver colored horses. Clinically, the disease manifests in two distinct classes depending on the horse genotype. Horses homozygous for the mutant allele present with a wide range of ocular defects, such as iris stromal hypoplasia, abnormal pectinate ligaments, megaloglobus, iridociliary cysts and cataracts. The phenotype of heterozygous horses is less severe and predominantly includes iridociliary cysts, which occasionally extend into the temporal retina. In order to determine the genetic ...
Evaluation of the conjunctival fungal flora and its susceptibility to antifungal agents in healthy horses in Switzerland.
Veterinary ophthalmology    August 2, 2013   Volume 17 Suppl 1 31-36 doi: 10.1111/vop.12088
Voelter-Ratson K, Monod M, Unger L, Spiess BM, Pot SA.To characterize the conjunctival fungal flora and to determine the susceptibility of 2 isolated molds to antifungal drugs in samples of 64 healthy horses from The National Stud in Switzerland. Methods: Conjunctival cytobrush samples were collected from both eyes of 64 ophthalmologically normal horses in August 2012 and subsequently cultured on Sabouraud's agar medium. Growing fungi were identified and counted. Etests or broth microdilution tests for Aspergillus fumigatus and Eurotium amstelodami were carried out to determine antifungal drug sensitivity. These species had previously been detect...
Treatment of immune-mediated keratitis in horses with episcleral silicone matrix cyclosporine delivery devices.
Veterinary ophthalmology    August 1, 2013   Volume 17 Suppl 1 23-30 doi: 10.1111/vop.12087
Gilger BC, Stoppini R, Wilkie DA, Clode AB, Pinto NH, Hempstead J, Gerding J, Salmon JH.To describe the use of episcleral silicone matrix cyclosporine (ESMC) drug delivery devices in horses with immune-mediated keratitis (IMMK) with evaluation of tolerability and efficacy in long-term control of inflammation. Methods: Retrospective study. ESMC implants (1.2 cm length, 30% wt/wt cyclosporine (CsA) in silicone; with approximately 2 μg/day steady-state release for at least 400 days) were used. Results: Nineteen horses (20 eyes) received two or more ESMC implants for superficial stromal (n = 9), midstromal (n = 3), or endothelial (n = 5) IMMK. Three additional horses received two or...
Mast cell tumor invading the cornea in a horse.
Veterinary ophthalmology    August 1, 2013   Volume 17, Issue 3 221-227 doi: 10.1111/vop.12084
Halse S, Pizzirani S, Parry NM, Burgess KE.A 3-year-old Marwari mare was presented for evaluation of an irregular, reddish mass protruding from behind the right third eyelid. The mass appeared to arise at the ventral limbal area, involved the perilimbal bulbar conjunctiva and widely extended into corneal tissue. No other ocular or systemic abnormalities were detected at the time of presentation. The mass was surgically removed by lamellar keratectomy, with defocused CO(2) laser used as adjunctive therapy to treat the surgical exposed area and its surroundings. Histopathologic evaluation showed sheets of densely packed, well-differentia...
Feasibility of aqueous shunts for reduction of intraocular pressure in horses.
Equine veterinary journal    July 22, 2013   Volume 46, Issue 2 239-243 doi: 10.1111/evj.12098
Townsend WM, Langohr IM, Mouney MC, Moore GE.Based on the current literature, neither medical, surgical nor combination therapy adequately controls equine glaucoma for many horses. Aqueous shunts have been useful in other species to control glaucoma. Objective: To determine whether aqueous shunts in normal equine eyes significantly reduce intraocular pressure (IOP) without causing vision threatening complications. Methods: Prospective experimental trial. Methods: Aqueous shunts were placed in 7 normal eyes of 4 horses. The shunts were placed dorsotemporally. Examinations were initially performed daily for 7 days and after that every 3 da...
Comparison of ultrasonography and histologic examination for identification of ocular diseases of animals: 113 cases (2000-2010).
Journal of the American Veterinary Medical Association    July 20, 2013   Volume 243, Issue 3 376-388 doi: 10.2460/javma.243.3.376
Gallhoefer NS, Bentley E, Ruetten M, Grest P, Haessig M, Kircher PR, Dubielzig RR, Spiess BM, Pot SA.To compare ultrasonographic and histologic examination findings for eyes of animals with ocular diseases. Methods: Retrospective case series. Methods: 116 eyes of 113 animals examined at 2 facilities. Methods: Diseased eyes of animals were examined by means of ultrasonography, removed via enucleation or exenteration, then histologically examined. Ultrasonographic images and histopathologic slides were evaluated, and diseases of eyes were identified with each of those methods and allocated to various categories. For each disease category, agreement between results of ultrasonography and those o...
Prevalence of linear keratopathy in a herd of Lipizzaners over an 18-month period.
The Veterinary record    July 9, 2013   Volume 173, Issue 8 192 doi: 10.1136/vr.101710
Rushton JO, Tichy A, Kolodziejek J, Nowotny N, Nell B.The prevalence of linear keratopathy with progressing age in a closed population of a single horse breed is reported. All Lipizzaners in three federal states in Austria underwent complete ophthalmic examination four times over a period of 18 months, with six-month intervals. Findings consistent with linear keratopathy were recorded, and associated with factors such as sex, location, boarding system and level of performance throughout the study period. Logistic regression was applied to determine the influence of age on ophthalmic findings. On the first, second, third and fourth examinations, 0...
Evaluation of the effects of age and pituitary pars intermedia dysfunction on corneal sensitivity in horses.
American journal of veterinary research    June 28, 2013   Volume 74, Issue 7 1030-1035 doi: 10.2460/ajvr.74.7.1030
Miller C, Utter ML, Beech J.To determine effects of age and pituitary pars intermedia dysfunction (PPID) on corneal sensitivity in horses. Methods: 20 adult horses allocated into 3 groups (PPID group, old [> 15 years old] horses with PPID [n = 5]; old group, old [> 15 years old] horses without PPID [9]; and young group, young [≤ 10 years old] horses without PPID [6]). All horses with PPID had hirsutism and abnormal fat deposition or laminitis; none of the old or young horses had hirsutism, abnormal fat deposition, or laminitis. Methods: A Cochet-Bonnet aesthesiometer was used to measure the corneal touch threshold (CTT...
Eosinophilic keratitis in 46 eyes of 27 horses in the Mid-Atlantic United States (2008-2012).
Veterinary ophthalmology    June 14, 2013   Volume 17, Issue 5 311-320 doi: 10.1111/vop.12076
Lassaline-Utter M, Miller C, Wotman KL.To review the signalment, clinical characteristics, treatment, and outcome of equine EK cases in the Mid-Atlantic United States; to evaluate the effects of topical or systemic corticosteroid treatment, oral cetirizine treatment and secondary corneal infection on disease duration; and to evaluate the association between corticosteroid and cetirizine treatment and likelihood of recurrence. Methods: Twenty-seven horses (47 eyes) diagnosed with EK from 2008 to 2012. Methods: Retrospective medical record review followed by phone interview to obtain recurrence data. Results: Average age of affected ...
Effect of retrobulbar nerve block on heart rate variability during enucleation in horses under general anesthesia.
Veterinary ophthalmology    June 6, 2013   Volume 17, Issue 3 170-174 doi: 10.1111/vop.12061
Oel C, Gerhards H, Gehlen H.Analysis of any effect of retrobulbar block during ocular surgery on heart rate variability and oculocardiac reflex. Methods: Prospective study. Methods: Horses (n = 16) undergoing eye enucleation due to chronic ophthalmologic diseases. Methods: Eye enucleation was performed under general anesthesia. The horses were randomly assigned to the first (inhalation anesthesia only, n = 10) or second group (inhalation and local retrobulbar anesthesia, n = 6). The retrobulbar block was performed using 12 mL of mepivacaine hydrochloride 2%. ECG data were taken by a Telemetric ECG before, during, and aft...
Clinical snapshot: Corneal edema in a Tennessee walking horse.
Compendium (Yardley, PA)    May 30, 2013   Volume 35, Issue 2 E7 
Tirosh-Levy S.No abstract available
The effect of 1% tropicamide-induced mydriasis and cycloplegia on spherical refraction of the adult horse.
Veterinary ophthalmology    May 6, 2013   Volume 17, Issue 2 120-125 doi: 10.1111/vop.12055
McMullen RJ, Davidson MG, Gilger BC.To determine the effects of tropicamide 1% on the refractive state of the adult equine globe and identify the most appropriate time period (in relation to mydriasis) to perform streak retinoscopy. Methods: Eight university-owned mares of various ages and breeds. Methods: Topical tropicamide 1% was applied to one randomly selected eye from each of the horses to induce mydriasis and cycloplegia. The contralateral eyes served as controls. Streak retinoscopy and pupillometry were performed prior to, and every 5 min after tropicamide 1% installation for 90 min. Results: All values are expressed as ...
Corneal ulcers in horses.
Compendium (Yardley, PA)    March 28, 2013   Volume 35, Issue 1 E4 
Williams LB, Pinard CL.Corneal ulceration is commonly diagnosed by equine veterinarians. A complete ophthalmic examination as well as fluorescein staining, corneal cytology, and corneal bacterial (aerobic) and fungal culture and sensitivity testing are necessary for all infected corneal ulcers. Appropriate topical antibiotics, topical atropine, and systemic NSAIDs are indicated for all corneal ulcers. If keratomalacia (melting) is observed, anticollagenase/antiprotease therapy, such as autologous serum, is indicated. If fungal infection is suspected, antifungal therapy is a necessity. Subpalpebral lavage systems all...
Visual outcome after corneal transplantation for corneal perforation and iris prolapse in 37 horses: 1998-2010.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 115-119 doi: 10.1111/j.2042-3306.2012.00657.x
Henriksen Mde L, Plummer CE, Mangan B, Ben-Shlomo G, Tsujita H, Greenberg S, Toft N, Brooks DE.We wanted to investigate the visual outcome of horses presented with iris prolapse and treated with corneal transplantation. Objective: To evaluate the visual outcome of horses with iris prolapse treated with penetrating keratoplasty alone and penetrating keratoplasty in combination with overlying conjunctival or amniotic membrane grafting. Methods: A retrospective medical records study of horses presented to the University of Florida Veterinary Medical Center for iris prolapse and treated with penetrating keratoplasty in the period of 1998-2010. Data collected from the medical records include...
Comparison of efficacy and duration of effect on corneal sensitivity among anesthetic agents following ocular administration in clinically normal horses.
American journal of veterinary research    February 27, 2013   Volume 74, Issue 3 459-464 doi: 10.2460/ajvr.74.3.459
Pucket JD, Allbaugh RA, Rankin AJ, Ou Z, Bello NM.To compare efficacy and duration of effect on corneal sensitivity of 0.5% proparacaine hydrochloride, 0.5% bupivacaine hydrochloride, 2% lidocaine hydrochloride, and 2% mepivacaine hydrochloride solutions following ocular administration in clinically normal horses. Methods: 68 clinically normal horses. Methods: 60 horses were assigned to receive 1 anesthetic agent in 1 eye. For each of another 8 horses, 1 eye was treated with each of the anesthetic agents in random order with a 1-week washout period between treatments. Corneal sensitivity was assessed via corneal touch threshold (CTT) measurem...
Anesthesia for ophthalmic procedures in the standing horse.
The Veterinary clinics of North America. Equine practice    January 18, 2013   Volume 29, Issue 1 179-191 doi: 10.1016/j.cveq.2012.12.001
Labelle AL, Clark-Price SC.Effective delivery of local anesthesia is essential for successful standing surgical procedures in the horse. Local anesthesia can be used to facilitate examination of the eye, diagnostic procedures, therapeutic techniques, and surgical procedures. Understanding the relevant clinical anatomy and techniques for performing local anesthesia is critical to delivering successful local and regional anesthesia and analgesia.
Ultrasonographic features of PMEL17 (Silver) mutant gene-associated multiple congenital ocular anomalies (MCOA) in Comtois and Rocky Mountain horses.
Veterinary ophthalmology    January 1, 2013   Volume 16, Issue 6 429-435 doi: 10.1111/vop.12021
Ségard EM, Depecker MC, Lang J, Gemperli A, Cadoré JL.(1) To describe the ultrasonographic appearance of multiple congenital ocular anomalies (MCOA) in the eyes of horses with the PMEL17 (Silver) mutant gene. (2) To compare the accuracy of B-mode ocular ultrasound to conventional direct ophthalmoscopy. Methods: Sixty-seven Comtois and 18 Rocky Mountain horses were included in the study. Methods: Horses were classified as being carriers or noncarriers of the PMEL17 mutant allele based on coat color or genetic testing. Direct ophthalmoscopy followed by standardized ultrasonographic examination was performed in all horses. Results: Seventy-five of 8...
Effects of action of proparacaine and tetracaine topical ophthalmic formulations on corneal sensitivity in horses.
Journal of the American Veterinary Medical Association    December 12, 2012   Volume 241, Issue 12 1645-1649 doi: 10.2460/javma.241.12.1645
Sharrow-Reabe KL, Townsend WM.To compare the corneal anesthetic effects and duration of action of 2 ophthalmic anesthetic agents in horses. Methods: Prospective, randomized masked crossover study. Methods: 8 clinically normal adult horses. Methods: Corneal sensitivity was determined by measuring each eye's corneal touch threshold (CTT) with a Cochet-Bonnet esthesiometer. Each eye's baseline CTT was recorded prior to anesthetic instillation at 0 minutes and every 10 minutes thereafter for 60 minutes. Each eye was randomly assigned to receive 2 of 4 treatments: 0.5% aqueous proparacaine ophthalmic solution (aqueous proparaca...
Fungal polymerase chain reaction testing in equine ulcerative keratitis.
Veterinary ophthalmology    December 10, 2012   Volume 16, Issue 5 341-351 doi: 10.1111/vop.12004
Zeiss C, Neaderland M, Yang FC, Terwilliger G, Compton S.To assess the diagnostic utility of fungal polymerase chain reaction (PCR) in forty-three horses with naturally acquired corneal ulcers presenting to a private practice. Methods: Routine evaluation of cytologic, histologic, and microbiologic samples was performed. Two PCR approaches were compared - generic and specific fungal nested PCR followed by sequencing and quantitative PCR (qPCR). PCRs were applied to pure control fungal cultures, corneal tissue from ulcerated eyes and in a subset of 9 horses, to swabs from contralateral normal eyes. Results: The expected fungus was identified by nested...
Resolution of hyphaema following intracameral injection of tenecteplase in a Stock Horse.
Australian veterinary journal    December 2, 2012   Volume 91, Issue 1-2 31-34 doi: 10.1111/avj.12003
Rendle DI, Hughes KJ.Intracameral injection of tissue plasminogen activator has been suggested as a means of hastening the clearance of blood from the anterior chamber and reducing the risk of synechia and fibrotic membrane formation in horses with hyphaema. The following report describes a case of ocular trauma in which intracameral injection of tenecteplase (TNK), a new-generation plasminogen activator, resulted in rapid resolution of hyphaema and successful outcome. However, a large dose (1 mg) was administered and may have been associated with retinopathy and keratopathy. TNK may be an effective treatment for ...
Association of height, body weight, age, and corneal diameter with calculated intraocular lens strength of adult horses.
American journal of veterinary research    November 28, 2012   Volume 73, Issue 12 1977-1982 doi: 10.2460/ajvr.73.12.1977
Mouney MC, Townsend WM, Moore GE.To determine whether differences exist in the calculated intraocular lens (IOL) strengths of a population of adult horses and to assess the association between calculated IOL strength and horse height, body weight, and age, and between calculated IOL strength and corneal diameter. Methods: 28 clinically normal adult horses (56 eyes). Methods: Axial globe lengths and anterior chamber depths were measured ultrasonographically. Corneal curvatures were determined with a modified photokeratometer and brightness-mode ultrasonographic images. Data were used in the Binkhorst equation to calculate the ...
Ocular disease in working horses in Ethiopia: a cross-sectional study.
The Veterinary record    November 15, 2012   Volume 172, Issue 4 99 doi: 10.1136/vr.100802
Scantlebury CE, Aklilu N, Reed K, Knottenbelt DC, Gebreab F, Pinchbeck GL.Ocular disease is a frequent finding in working horses. This study aimed to estimate the prevalence and types of ocular pathology, and explore risk factors potentially associated with disease within a population of working horses in Ethiopia. In total, 1049 horses were selected from horses attending clinics run by the Society for Protection of Animals Abroad (SPANA). Each had an ophthalmic examination conducted under field conditions using a pen-torch. All owners completed a short questionnaire. The prevalence of ocular abnormalities was 23.5 per cent (95 per cent confidence interval (CI) 18.0...
Multicentric T-cell lymphoma presenting as inferior palpebral swelling in a Standardbred mare.
Australian veterinary journal    October 30, 2012   Volume 90, Issue 12 485-489 doi: 10.1111/j.1751-0813.2012.01015.x
Rendle DI, Hughes KJ, Farish C, Kessell A.A 6-year-old Standardbred mare that presented with bilateral palpebral swelling and a left corneal ulcer was diagnosed with a multicentric T-cell lymphoma. Other clinical findings included submandibular lymphadenopathy and oedema, pharyngeal oedema and rhinitis. Prior to euthanasia the horse developed keratomalacia, the onset of which was coincidental with the use of high doses of topical and systemic corticosteroids. Although an unusual presentation, palpebral swelling should be considered as a clinical sign of lymphoma.
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