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Topic:Ultrasound

Ultrasound in horses is a diagnostic imaging technique that utilizes high-frequency sound waves to produce images of the horse's internal structures. It is commonly used in veterinary medicine to evaluate soft tissues, tendons, ligaments, and organs. This non-invasive method allows for real-time visualization of physiological and pathological conditions, aiding in the diagnosis and management of various equine health issues. Ultrasound is particularly valuable for assessing musculoskeletal injuries, reproductive health, and abdominal conditions in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the application, methodology, and advancements in ultrasound technology within equine veterinary practice.
External transcutaneous ultrasound technique in the equine cricoarytenoideus dorsalis muscle: Assessment of muscle size and echogenicity with resting endoscopy.
Equine veterinary journal    February 6, 2020   Volume 52, Issue 4 500-508 doi: 10.1111/evj.13209
Satoh M, Higuchi T, Inoue S, Miyakoshi D, Kajihara A, Gotoh T, Shimizu Y.Recent studies have assessed the cricoarytenoideus dorsalis muscle (CAD) using transoesophageal ultrasonography in equine recurrent laryngeal neuropathy (RLN). We assessed the CAD using the external transcutaneous ultrasound technique, which may constitute an easier method in horses. Objective: To evaluate ultrasonographic imaging of the left cricoarytenoideus dorsalis muscle (LCAD) and right cricoarytenoideus dorsalis muscle (RCAD) as a diagnostic tool for RLN using the transcutaneous ultrasound technique. Methods: Cross-sectional study. Methods: The axial plane thickness, cross-sectional are...
Ultrasound-guided continuous block of median and ulnar nerves in horses: development of the technique.
Veterinary anaesthesia and analgesia    February 6, 2020   Volume 47, Issue 3 405-413 doi: 10.1016/j.vaa.2019.12.008
Souto MTM, Fantoni DT, Hamaji A, Hamaji M, Vendruscolo CP, Otsuki DA, Pinto ACB, Ambrósio AM.To develop a technique for ultrasound-guided continuous median and ulnar peripheral nerve block in horses. Methods: Anatomical and prospective experimental study. Methods: A total of 16 thoracic limbs from horse cadavers and 18 adult horses. Methods: This study was conducted in three phases. Phase 1: Dissection of median and ulnar nerves in the antebrachial region of two cadaver limbs to identify localizing landmarks. Description of sonoanatomy in 14 cadaver limbs using ultrasound-guided perineural infiltration of a combination of cellulose gel (5 mL), contrast medium (4 mL) and methylene blue...
Doppler evaluation of renal resistivity index in healthy conscious horses and donkeys.
PloS one    February 6, 2020   Volume 15, Issue 2 e0228741 doi: 10.1371/journal.pone.0228741
The renal resistive index (RRI) is used as a measurement of downstream resistance in arteries. The aim of this study was to assess the RRI of the arcuate arteries by pulsed-wave Doppler ultrasonography in healthy conscious horses and donkeys, and to verify any differences related to age, breed, bodyweight (BW) or body condition (BCS). Thirty-three healthy conscious horses and nine donkeys had their systolic and diastolic flow velocities at the level of the arcuate arteries estimated by pulsed-wave Doppler ultrasound, and the RRI was calculated. The relationship of RRI with age, breed (Trotters...
Evaluation of the caudal cervical articular process joints by using a needle arthroscope in standing horses.
Veterinary surgery : VS    February 5, 2020   Volume 49, Issue 3 463-471 doi: 10.1111/vsu.13388
Pérez-Nogués M, Vaughan B, Phillips KL, Galuppo LD.To determine the safety and efficacy of caudal cervical articular process joint arthroscopy by using needle arthroscopy in standing sedated horses. Methods: Prospective experimental case series. Methods: Six adult horses. Methods: Three horses underwent exploration of bilateral C5-6 vertebral articular process joints and three bilateral C6-7 articular process joints by using a 1.2 × 65-mm needle arthroscope under standing sedation. The 16-gauge arthroscopic trocar and canula assembly was inserted in the desired articular process joint under ultrasonographic guidance without distention of ...
Evaluation of Return Rates to Races in Racehorses After Tendon Injuries: Lesion-Related Parameters.
Journal of equine veterinary science    January 23, 2020   Volume 87 102931 doi: 10.1016/j.jevs.2020.102931
Ülke ÇG, Deniz SI, Nureddin Ç.Metacarpal tendon diseases are important problems that may cause a decrease in performance and even may finish sport life in equine athletes. In this study, it was aimed to evaluate the ratio of return to races and the time of staying away from races and also to detect the prognostic value of ultrasonographic findings in Thoroughbred and Arabian racehorses with metacarpal flexor tendon injury or peritendonitis. Of 120 cases, 84 (70.0%) returned to races. Among these, 82.1% had tendonitis (69/84) and 17.9% peritendonitis (15/84). Among the cases being unable to return to races, 91.7% had tendon...
Examination of jackass (Equus asinus) accessory sex glands by B-mode ultrasound and of testicular artery blood flow by colour pulsed-wave Doppler ultrasound: Correlations with semen production.
Reproduction in domestic animals = Zuchthygiene    January 10, 2020   Volume 55, Issue 2 181-188 doi: 10.1111/rda.13604
Gacem S, Papas M, Catalan J, Miró J.The accessory sex glands play a major role in the production of seminal plasma, and testicular artery blood flow seems to strongly influence testicular function. However, very little ultrasound imaging of these organs has been undertaken in donkeys. The present work reports the results of such examinations in five jackasses along the year. The accessory glands were inspected by B-mode ultrasound while the testicular artery blood flow was assessed by colour pulsed-wave Doppler ultrasound. The testicular artery was examined at pampiniform plexus (PPT), supratesticular area (ST) and capsular arte...
Power Doppler can detect the presence of 7-8 day conceptuses prior to flushing in an equine embryo transfer program.
Theriogenology    January 9, 2020   Volume 145 1-9 doi: 10.1016/j.theriogenology.2020.01.015
Nieto-Olmedo P, Martín-Cano FE, Gaitskell-Phillips G, Ortiz-Rodríguez JM, Peña FJ, Ortega-Ferrusola C.In order to determine whether differences in uterine blood flow between pregnant and non-pregnant mares can be used to predict the presence of the equine embryo prior to flushing in an embryo transfer program, power Doppler ultrasonography was used on a total of 52 mares on days 7 or 8 post-ovulation. Computer analysis of Doppler images was subsequently performed using ImageJ v1.48 software. Vascular perfusion of the endometrium was analyzed using spot meter techniques, measuring mean pixel intensity and area of blood flow. Mares with positive flushings presented a higher uterine blood flow ar...
Influence of age and ovarian antral follicle count on the reproductive characteristics of embryo donor mares.
The Veterinary record    January 2, 2020   Volume 186, Issue 17 564 doi: 10.1136/vr.105526
Goncalves GR, Morotti F, Colombo AHB, Bonato DV, Bizarro-Silva C, Rosa CO, Cavalieri FLB, Seneda MM.Age and antral follicle count (AFC) are related to fertility in cattle, but this information remains limited in mares. Methods: To verify the influence of age and AFC on the reproductive characteristics of mares, 15 Quarter Horse donors, with 5-15 antral follicles, ranging from three to 17 years old, healthy and in good nutritional status, were divided into groups with low AFC (≤9 follicles) or high AFC (≥10 follicles) and mares considered young (≤9 years) or old (≥10 years). Mares were submitted to ultrasonography to determine the dominant follicle diameter, follicular growth rate, de...
Ultrasound-guided arthrocentesis of the temporomandibular joint in healthy adult horses is equivalent to blind arthrocentesis. Norvall A, Cota JG, Pusterla N, Cissell D.Equine temporomandibular joint (TMJ) diseases are increasingly recognized as a problem for the well-being and performance of horses. Diagnosis is confounded by overlap of clinical signs associated with pathology of the oral cavity, poll, and cervical vertebrae. Arthrocentesis for intra-articular analgesia, sampling of synovial fluid, and medication is needed for diagnostic and therapeutic purposes. Ultrasound features of the normal TMJ and a blind arthrocentesis technique have been described, but a systematic approach to ultrasound-guided (USG) arthrocentesis has not been reported. Ultrasound ...
Diagnostic imaging of a basihyoid bone fracture and partial avulsion of the medial pterygoid muscle in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    January 2, 2020   Volume 61, Issue 1 44-48 
Veerasammy B, Delli-Rocili M, Jensen M, Cribb N, Zur Linden A.A 3-year-old gelding was presented for further evaluation and treatment of a swelling over the left mandible and inability to eat and drink. Radiographs of the mandible were unremarkable. Computed tomography (CT) of the head demonstrated a fracture of the basihyoid bone and partial avulsion of the medial pterygoid muscle. Ultrasound examination was performed to establish a baseline and confirmed the fracture. The gelding was managed conservatively, recovered uneventfully, and was able to return to training after 4 months of rest. Key clinical message: Computed tomography and ultrasonography in...
An assessment of the utility and repeatability of the renal resistive index in horses.
PloS one    December 26, 2019   Volume 14, Issue 12 e0226941 doi: 10.1371/journal.pone.0226941
Siwinska N, Zak A, Slowikowska M, Szczepankiewicz B, Niedzwiedz A, Paslawska U.The aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in three age groups: 15 foals, 15 adults and 15 elderly horses. The procedure was performed in unsedated standing animals. RI values were measured using pulsed-wave Doppler at the medial part of each kidney in the intrarenal arteries. To evaluate repeatability, all measurements were repeated two hours ...
Prevalence and severity of ultrasonographic pulmonary findings in horses with asthma – a preliminary study.
Polish journal of veterinary sciences    December 24, 2019   Volume 22, Issue 4 653-659 doi: 10.24425/pjvs.2019.129977
Siwinska N, Zak A, Slowikowska M, Krupinska P, Niedzwiedz A.Asthma is one of the most common non-infectious respiratory diseases in horses. Ultrasound examination is a widely available non-invasive additional diagnostic tool. To date, there are no studies focusing on ultrasonographic findings in horses with asthma. The aim of this study was to analyse the prevalence and severity of ultrasound lesions in lung tissue in horses with asthma. Lung ultrasonography was carried out on six healthy horses (controls) and 12 horses with asthma (six with mild and six with severe asthma). The sonographic changes in three lung sections were assessed using a scoring s...
Multimodal Imaging to Identify and Characterize a P3 Cystic Lesion and Pathologic Fracture.
Journal of equine veterinary science    December 24, 2019   Volume 86 102898 doi: 10.1016/j.jevs.2019.102898
Ball AN, Hoaglund EL, Pool R, Barrett MF, Bass LD.Lameness remains a common cause of retirement in the equine athlete and among hobby enthusiasts. The distal limb is one of the most frequently imaged areas, and recent advances in diagnostic imaging capabilities help practicing veterinarians differentiate normal variants from informative pathology. Although acute, non-weight-bearing lameness is commonly associated with etiologies, such as fractures, abscesses, and laminitis, other uncommon differentials such as cystic lesions and neoplasia might also be considered. This report describes the characterization of a large, cystic lesion in the thi...
Endoscopic Laser Ablation of a Midline Cyst of the Colliculus Seminalis as a Treatment for Anejaculation in a Stallion.
Journal of equine veterinary science    December 23, 2019   Volume 86 102896 doi: 10.1016/j.jevs.2019.102896
Pozor MA, McCarrel TM, Perez Jimenez EE, Macpherson ML, Kelleman AA, Shelton KE.An 18-year-old Appaloosa stallion presented with a history of ejaculatory dysfunction, which had recently progressed to an inability to ejaculate (anejaculation). Transrectal ultrasound evaluation revealed the presence of a prominent midline cyst of the colliculus seminalis, which was compressing the most terminal parts of the deferent ducts. Both ducts were enlarged and filled with hyperechoic content. The stallion was diagnosed with a complete occlusion of the deferent ducts because of the compression from the midline cyst of the colliculus seminalis. To date, there are no established treatm...
CTX-M-15 Producing Escherichia coli Sequence Type 361 and Sequence Type 38 Causing Bacteremia and Umbilical Infection in a Neonate Foal.
Journal of equine veterinary science    December 14, 2019   Volume 85 102881 doi: 10.1016/j.jevs.2019.102881
Shnaiderman-Torban A, Navon-Venezia S, Dahan R, Dor Z, Taulescu M, Paitan Y, Edery N, Steinman A.An eighteen-hour-old Tennessee walking horse foal was referred due to weakness and abdominal pain. Physical examination revealed dehydration, distended abdomen, and uveitis. Blood analysis revealed leukopenia, neutrophils' toxicity and left shift. The foal developed bloody diarrhea, gastric reflux, and was diagnosed with sepsis and enterocolitis. The foal was treated with intravenous fluids, plasma, antibiotics (ceftriaxone and metronidazole), partial parenteral nutrition (dextrose and amino acids), flunixin meglumine, and ophthalmic drops. Umbilical ultrasound revealed a fluid pocket adjacent...
Secretion of equine chorionic gonadotropin and its association with supplementary corpus luteum formation and progesterone concentration in Hokkaido native pony recipient mares.
Domestic animal endocrinology    December 10, 2019   Volume 72 106424 doi: 10.1016/j.domaniend.2019.106424
Hannan MA, Murata K, Takeuchi S, Haneda S, Cheong SH, Nambo Y.The objectives of this study were to determine the plasma profile of equine chorionic gonadotropin (eCG) and its association with the formation of supplementary corpus luteum (CL) and plasma progesterone concentrations in embryo transfer Hokkaido native pony recipient mares. Blood samples and transrectal ultrasound examination of the reproductive tract were carried out weekly from the day of ovulation until week 32 of gestation (n = 4). Plasma concentrations of eCG and progesterone were measured by enzyme immunoassays. The eCG concentration was first detectable at week 5 for 2 mares and at wee...
Small Intestine Ultrasound Findings on Horses Following Exploratory Laparotomy, Can We Predict Postoperative Reflux?
Animals : an open access journal from MDPI    December 9, 2019   Volume 9, Issue 12 doi: 10.3390/ani9121106
Cuevas-Ramos G, Domenech L, Prades M.Postoperative reflux (POR) is a well-recognized complication after colic surgery in horses, particularly when presenting small intestinal pathology. Even though much has been written about the pathophysiology and management of POR, additional clinical studies are needed to better understand and anticipate this complication. The aim of the study was to provide clinical evidence of ultrasound findings in the postoperative period (three days). The study is based on transcutaneous abdominal ultrasounds of the caudoventral abdomen during the postoperative period (three days), in 58 horses, presente...
[Comparison between gastric ultrasonography findings and the obtained reflux amounts in warmblood horses – First results].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 6, 2019   Volume 47, Issue 6 366-371 doi: 10.1055/a-1019-7307
Bankert J, Winter K, Scharner D.The aim of the present study was to investigate the degree of correlation between ultrasonographic findings of the stomach and the obtained reflux volume in horses with secondary gastric distension. Methods: In this prospective, controlled clinical study, warmblood horses presented with secondary gastric distension at the Clinic for Horses between 2017 and 2018 were included. Gastric fluid content was assessed sonographically by evaluating the number of intercostal spaces with detectable fluid level as well as the maximum height of gastric fluid. These findings were compared to the amount of r...
Clinical utility, dose determination, and safety of ocular contrast-enhanced ultrasonography in horses: A pilot study.
Veterinary ophthalmology    December 4, 2019   Volume 23, Issue 2 331-340 doi: 10.1111/vop.12730
Blohm KO, Tichy A, Nell B.To determine efficacy of contrast-enhanced ultrasonography (CEUS) using different sulfur hexafluoride (SF6) doses to assess blood flow and perfusion in equine eyes and to evaluate safety of SF6 in horses. Methods: Ocular B-mode and contrast-enhanced ultrasonography were performed bilaterally in nine sedated university-owned horses. Intravenous SonoVue® bolus injections of 5, 10, 15, 20, 25, and 30 mL were administered for 2/18, 5/18, 6/18, 3/18, 1/18, and 1/18 eyes, respectively. Doses were increased based on ascending bodyweight. Each eye within one horse was examined utilizing a different ...
Penetration Profiles of a Class IV Therapeutic Laser and a Photobiomodulation Therapy Device in Equine Skin.
Journal of equine veterinary science    December 4, 2019   Volume 85 102846 doi: 10.1016/j.jevs.2019.102846
Luna SPL, Schoen A, Trindade PHE, Rocha PBD.Photobiomodulation therapy (PBMT) effects depend on the energy settings and laser penetration. We investigated the penetration time profiles of two different light therapy devices, at the dark and light skin regions in horses. Six light skin and six dark skin adult clinically healthy Arab and Quarter horses were used. A cutometer was used to measure the width of the skin fold from both sides of the cervical area, followed by three measurements of the thickness of the same skin fold by transversal and longitudinal ultrasonography (US). The depth of light penetration was compared based on the pe...
Prenatal Diagnosis of Megacystitis and Hydronephrosis in an Equine Fetus: How Transabdominal Ultrasonography Can Help to Diagnose Fetal Abnormalities.
Journal of equine veterinary science    November 29, 2019   Volume 85 102877 doi: 10.1016/j.jevs.2019.102877
Denys M, Thomas-Cancian A, Tortereau A, Josson-Schramme A, Buff S.Premature udder development constitutes an alarm signal in pregnant mares. The objective of this clinical case report is to highlight the importance of transabdominal ultrasound examination of the fetus in these cases and to report a unique case of prenatal diagnosis of obstructive uropathy based on the observation of severe fetal hydronephrosis and megacystitis in utero. A 4-year-old French chaser primiparous mare was referred for evaluation of premature udder development during the ninth month of pregnancy. The mare had clinical signs within normal limits, a developed and sensitive udder wit...
Power Doppler to investigate superficial digital flexor tendinopathy in the horse.
Open veterinary journal    November 27, 2019   Volume 9, Issue 4 317-321 doi: 10.4314/ovj.v9i4.7
Recent advances in tendinopathy research have focused on tendon vascularization detected with Color Doppler (CD) ultrasound. The use of CD has also been described in horses in a study on chronic lesions of superficial digital flexor tendon and suspensory ligament. The aim of this study was to investigate the occurrence and distribution of power Doppler (PD) signal in horses with superficial digital flexor tendinopathy. Twenty-five horses with tendinopathy were included and 10 healthy horses with no lameness and no ultrasonographic abnormalities were used for comparison. In all horses with tend...
Relationships Between Measurements of Body Fat in Thoroughbred Horses.
Journal of equine veterinary science    November 27, 2019   Volume 85 102873 doi: 10.1016/j.jevs.2019.102873
Fowler AL, Pyles MB, Bill VT, Hayes SH, Harris PA, Lawrence LM.Equine obesity is increasing in prevalence, and weight loss diets are frequently recommended for these horses. However, there are also management situations in which horses are deemed to be too thin. To monitor the efficacy of weight change programs, estimates of body fat are often made. There are several systems available to estimate body fat, and there are benefits and challenges to using each method. The objective of this study was to compare four different methods of estimating body fat in Thoroughbred horses. In 14 mature Thoroughbred horses, relationships among body condition score (BCS)...
The Effect of Season on Muscle Growth, Fat Deposition, Travel Patterns, and Hoof Growth of Domestic Young Horses.
Journal of equine veterinary science    November 22, 2019   Volume 85 102817 doi: 10.1016/j.jevs.2019.102817
He Y, Nadeau J, Reed S, Hoagland T, Bushmich S, Aborn S, Jones AK, Martin D.Our objective was to determine the influence of season (winter, spring, summer, and fall) on travel patterns, hoof growth, and longissimus dorsi muscle (LM) height and fat thickness between 13th and 14th ribs in 16 horses aged <4 years (eight males and eight females) of Morgan, Quarter Horse, and Moriesian breeds. Real-time ultrasound images of LM height and fat thickness as well as measures of hoof growth were obtained at the end of each season. Global positioning system tracking was conducted for four randomly selected days and one storm day in each season. Data were analyzed using a linear...
Aortic, common carotid and external iliac artery arterial wall stiffness parameters in horses: Inter-day and inter-observer and intra-observer measurement variability.
Equine veterinary journal    November 20, 2019   Volume 52, Issue 3 471-476 doi: 10.1111/evj.13196
Vera L, De Clercq D, Paulussen E, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.In human medicine, local and regional arterial wall stiffness (AWS) parameters are routinely used to assess the vascular health. In horses, information regarding reproducibility of ultrasonographically derived AWS parameters is lacking. Objective: To evaluate the inter-day and inter-observer and intra-observer measurement variability of both local and regional AWS parameters in horses. Methods: Experimental study. Methods: In 10 healthy, adult Warmblood horses, B-, M-mode and pulsed-wave Doppler ultrasound images were collected on two different days from aorta, cranial and caudal common caroti...
The mule (Equus mulus) as a recipient of horse (Equus caballus) embryos: Comparative aspects of early pregnancy with mares.
Theriogenology    October 30, 2019   Volume 145 217-225 doi: 10.1016/j.theriogenology.2019.10.029
Camargo CE, Rechsteiner SF, Macan RC, Kozicki LE, Gastal MO, Gastal EL.The aim of this study was to compare the embryonic and early fetal development of horse embryos between recipient mules and mares from day 10-60 of pregnancy, in addition to hormonal (eCG and progesterone), ovarian, and uterine characteristics for approximately 4 months. Embryo donor mares (n = 5) and two groups of recipients (acyclic mules, n = 7; cyclic mares, n = 7) were used. Donor mares were monitored daily by transrectal ultrasonography and inseminated using fresh semen. Cyclic recipient mares were synchronized with the donor's ovulation using PGF2α and deslorelin acetate. M...
Pregnancy obtained in a late gestational mare by in vitro embryo production.
Reproduction, fertility, and development    October 3, 2019   Volume 31, Issue 12 1926-1929 doi: 10.1071/RD19305
Campos-Chillon LF, Martin J, Altermatt JL.Recently, the demand for invitro embryo production in the horse has increased worldwide. Most clinical transvaginal ultrasound-guided ovum pick-up (OPU) procedures are performed in non-pregnant donor mares, and few experimental studies have described invitro embryo production from oocytes of pregnant donors 21-150 days in gestation. This report discusses OPU, follicular growth and invitro embryo production in a pregnant mare during late gestation.
Risk of intra-articular injection with longitudinal ultrasound-guided injection of collateral ligaments of the equine distal interphalangeal joint. Smith R, Parsons J, Dixon J.Desmopathy of the collateral ligaments of the distal interphalangeal joint is a common cause of equine foot lameness and carries a poor prognosis with conservative management. Intralesional injections may improve healing, although accuracy of radiographically guided injections is significantly less than when guided by MRI, which requires special needles. Longitudinal ultrasound-guided injection of the distal collateral ligament has not been evaluated objectively. In this prospective, anatomic study, seven equine cadaver limbs (14 collateral ligaments) were injected with methylene blue dye and ...
Transition to the ovulatory season in mares: An investigation of antral follicle receptor gene expression in vivo.
Molecular reproduction and development    September 30, 2019   Volume 86, Issue 12 1832-1845 doi: 10.1002/mrd.23277
Ishak GMA, Dutra GA, Gastal GDA, Gastal MO, Feugang JM, Gastal EL.The inability to obtain in vivo samples of antral follicle wall layers without removing the ovaries or sacrificing the animals has limited more in-depth studies on folliculogenesis. In this study, a novel ultrasound-guided follicle wall biopsy (FWB) technique was used to obtain in vivo follicle wall layers and follicular fluid samples of growing antral follicles. The expression of proliferative, hormonal, angiogenic, and pro-/antiapoptotic receptors and proteins in the follicular wall among three follicle classes were compared during the spring transitional anovulatory (SAN) and spring ovulato...
Clinical, ultrasonographic, and histopathologic findings in seven horses with Descemet’s membrane detachment: A case series.
Veterinary ophthalmology    September 22, 2019   Volume 23, Issue 1 181-189 doi: 10.1111/vop.12710
Slenter IJM, Hermans H, Ensink JM, Willems DS, Veraa S, Grinwis GCM, Boevé MH.To describe ultrasonography as a diagnostic method of in vivo Descemet's membrane detachment (DMD) in horses. Methods: Seven horses (three Icelandic horses, two Dutch Warmblood horses, one Appaloosa, and one Welsh Pony), presenting with moderate-to-severe focal or diffuse corneal edema, in whom DMD was suspected on ultrasonographic examination and confirmed with histopathology, were studied. Methods: A retrospective analysis of case records of horses with suspected DMD was performed. Results: Median age at presentation was 14 years (range 11-24). Clinical signs in eyes with DMD were unilatera...
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