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Topic:Uveitis

Uveitis in horses refers to the inflammation of the uveal tract, which includes the iris, ciliary body, and choroid. This condition can result from various causes, such as infections, trauma, or immune-mediated processes. Uveitis can lead to symptoms like eye pain, redness, tearing, and sensitivity to light, and it may result in complications such as cataracts or glaucoma if left untreated. Diagnosis typically involves a thorough ophthalmic examination and may include additional tests to determine underlying causes. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and management of uveitis in equine patients.
Risk factors for equine recurrent uveitis in a population of Appaloosa horses in western Canada.
Veterinary ophthalmology    February 22, 2020   Volume 23, Issue 3 515-525 doi: 10.1111/vop.12749
Sandmeyer LS, Kingsley NB, Walder C, Archer S, Leis ML, Bellone RR, Bauer BS.To characterize clinical manifestations, measure frequency, and evaluate risk factors for equine recurrent uveitis (ERU) in Appaloosa horses in western Canada. Methods: 145 Appaloosa horses. Methods: Ophthalmic examinations were completed and eyes were classified as having no or mild clinical signs, or moderate, or severe damage from ERU. Clinical signs, age, sex, base coat color, and pattern were recorded. Whole blood and/or mane hair follicles were collected for DNA extraction, and all horses were tested for the leopard complex (LP) spotting pattern allele. Pedigree analysis was completed on...
Genetic investigation of equine recurrent uveitis in Appaloosa horses.
Animal genetics    December 2, 2019   Volume 51, Issue 1 111-116 doi: 10.1111/age.12883
Rockwell H, Mack M, Famula T, Sandmeyer L, Bauer B, Dwyer A, Lassaline M, Beeson S, Archer S, McCue M, Bellone RR.Equine recurrent uveitis (ERU) is characterized by intraocular inflammation that often leads to blindness in horses. Appaloosas are more likely than any other breed to develop insidious ERU, distinguished by low-grade chronic intraocular inflammation, suggesting a genetic predisposition. Appaloosas are known for their white coat spotting patterns caused by the leopard complex spotting allele (LP) and the modifier PATN1. A marker linked to LP on ECA1 and markers near MHC on ECA20 were previously associated with increased ERU risk. This study aims to further investigate these loci and identify a...
Neutrophil Extracellular Traps in the Pathogenesis of Equine Recurrent Uveitis (ERU).
Cells    November 27, 2019   Volume 8, Issue 12 doi: 10.3390/cells8121528
Fingerhut L, Ohnesorge B, von Borstel M, Schumski A, Strutzberg-Minder K, Mörgelin M, Deeg CA, Haagsman HP, Beineke A, von Köckritz-Blickwede M....Equine recurrent uveitis (ERU) is considered one of the most important eye diseases in horses and typically appears with relapsing inflammatory episodes without systemic effects. Various disorders have been described as an initial trigger, including infections. Independent of the initiating cause, there are numerous indications that ERU is an immune-mediated disease. We investigated whether neutrophil extracellular traps (NETs) are part of the ERU pathogenesis. Therefore, vitreous body fluids (VBF), sera, and histological sections of the eye from ERU-diseased horses were analyzed for the prese...
Equine uveitis in the UK: a retrospective study (2008-2018).
The Veterinary record    October 9, 2019   Volume 186, Issue 3 92 doi: 10.1136/vr.105423
Malalana F, Ireland JL, Pinchbeck G, McGowan CM.Uveitis appears to be less prevalent in the UK compared with other parts of the world and studies characterising the disease in the UK are lacking. The objectives of this retrospective study were to describe acute and recurrent cases presenting for management of uveitis in a referral hospital on the North West of England and compare the signalment of horses presenting with uveitis with the equine hospital population during the same period. Methods: Medical records of horses presented to the referral Equine Hospital, University of Liverpool with signs of uveitis between 2008 and 2018 were revie...
Horses with equine recurrent uveitis have an activated CD4+ T-cell phenotype that can be modulated by mesenchymal stem cells in vitro.
Veterinary ophthalmology    August 22, 2019   Volume 23, Issue 1 160-170 doi: 10.1111/vop.12704
Saldinger LK, Nelson SG, Bellone RR, Lassaline M, Mack M, Walker NJ, Borjesson DL.Equine recurrent uveitis (ERU) is an immune-mediated disease causing repeated or persistent inflammatory episodes which can lead to blindness. Currently, there is no cure for horses with this disease. Mesenchymal stem cells (MSCs) are effective at reducing immune cell activation in vitro in many species, making them a potential therapeutic option for ERU. The objectives of this study were to define the lymphocyte phenotype of horses with ERU and to determine how MSCs alter T-cell phenotype in vitro. Whole blood was taken from 7 horses with ERU and 10 healthy horses and peripheral blood mononuc...
Use of Intravitreal Injection of Gentamicin in 71 Horses With Equine Recurrent Uveitis.
Journal of equine veterinary science    March 6, 2019   Volume 77 93-97 doi: 10.1016/j.jevs.2019.02.018
Launois T, González Hilarión LM, Barbe F, Leurquin C, Bihin B, Hontoir F, Dugdale A, Vandeweerd JM.We report a retrospective evaluation of intravitreal gentamicin (6 mg in 0.3 mL solution) injection in 71 horses with equine recurrent uveitis between 2010 and 2016. Aqueous flare and hyalitis were scored at the baseline in all horses, then at 15, 30, 60, 90, 180, 365, and 730 in 37, 46, 30, 25, 22, 18, and 11 horses, respectively. Forty-two animals had a global score of inflammation (sum of scores for aqueous flare and hyalitis) of zero at the last examination (number of re-examinations per horse ranged from 1 to 5). Among the 29 remaining horses, four were not reassessed after the interven...
[Intravitreal injection of low-dose gentamicin for the treatment of ERU-affected horses].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 26, 2019   Volume 47, Issue 1 25-34 doi: 10.1055/a-0816-7156
Kleinpeter A, Göpfert A, Köhler E, Brehm W.Aim of the study was the retrospective evaluation regarding vision and recurrence in equine recurrent uveitis (ERU)-affected horses treated by intravitreal low-dose gentamicin injection in Tierklinik Alt Sammit during the years 2006-2013. Methods: The study included 50 equine patients (61 ERU-affected eyes) of different age and breed with different stages of ERU. The solution for the injection contained 4.0 mg sterile gentamicin per eye. The injection was performed according to the procedure described by Pinard et al. in 2005 under general anaesthesia in lateral recumbency of the patient and...
Presumed Sulfonamide-Associated Uveitis With Stevens-Johnson Syndrome in a Quarter Horse Mare.
Journal of equine veterinary science    February 22, 2019   Volume 77 17-22 doi: 10.1016/j.jevs.2019.02.004
Potocnik E, Drozdzewska K, Schwarz B.We describe the case of a four-year-old Quarter Horse mare that presented with fever, respiratory infection with productive cough, disorientation, and bilateral anterior uveitis with discharge that had been previously treated with trimethoprim-sulfadiazine (TMPS). Acinetobacter johnsonii was cultured from an endoscopic tracheal wash. Treatment was initiated with cefquinome, systemic flunixin-meglumine, local ocular atropine, and corticosteroids. On subsequent days, the mare exhibited bilateral edematous, painful swelling of the face, primarily affecting the eyelids and lips. There were neither...
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...
Intravitreal injection of low-dose gentamicin for the treatment of recurrent or persistent uveitis in horses: Preliminary results.
BMC veterinary research    January 16, 2019   Volume 15, Issue 1 29 doi: 10.1186/s12917-018-1722-7
Fischer BM, McMullen RJ, Reese S, Brehm W.Despite appropriate medical therapy, many horses with equine recurrent uveitis continue to suffer from recurrent bouts of inflammation. Surgical intervention via the pars plana vitrectomy or suprachoroidal cyclosporine implant placement may control and/or prevent recurrences, however, these procedures may be contraindicated, unavailable, or declined by an owner. Thus, an effective adjunctive treatment option may help to improve the clinical outcomes in those situations. There are several anecdotal reports on the use of intravitreal gentamicin injections, but to date, no data evaluating the com...
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...
Interaction of septin 7 and DOCK8 in equine lymphocytes reveals novel insights into signaling pathways associated with autoimmunity.
Scientific reports    August 17, 2018   Volume 8, Issue 1 12332 doi: 10.1038/s41598-018-30753-7
Schauer M, Kleinwort KJH, Degroote RL, Wiedemann C, Kremmer E, Hauck SM, Deeg CA.The GTP-binding protein septin 7 is involved in various cellular processes, including cytoskeleton organization, migration and the regulation of cell shape. Septin 7 function in lymphocytes, however, is poorly characterized. Since the intracellular signaling role of septin 7 is dependent on its interaction network, interaction proteomics was applied to attain novel knowledge about septin 7 function in hematopoietic cells. Our previous finding of decreased septin 7 expression in blood-derived lymphocytes in ERU, a spontaneous animal model for autoimmune uveitis in man, extended the role of sept...
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
Immune Relevant Models for Ocular Inflammatory Diseases.
ILAR journal    February 24, 2018   Volume 59, Issue 3 352-362 doi: 10.1093/ilar/ily002
Gilger BC.Ocular inflammatory diseases, such as dry eye and uveitis, are common, painful, difficult to treat, and may result in vision loss or blindness. Ocular side effects from the use of antiinflammatory drugs (such as corticosteroids or nonsteroidal antiinflammatories) to treat ocular inflammation have prompted development of more specific and safer medications to treat inflammatory and immune-mediated diseases of the eye. To assess the efficacy and safety of these new therapeutics, appropriate immune-relevant animal models of ocular inflammation are needed. Both induced and naturally-occurring mode...
Borrelia burgdorferi Infection and Lyme Disease in North American Horses: A Consensus Statement.
Journal of veterinary internal medicine    February 22, 2018   Volume 32, Issue 2 617-632 doi: 10.1111/jvim.15042
Divers TJ, Gardner RB, Madigan JE, Witonsky SG, Bertone JJ, Swinebroad EL, Schutzer SE, Johnson AL.Borrelia burgdorferi infection is common in horses living in Lyme endemic areas and the geographic range for exposure is increasing. Morbidity after B. burgdorferi infection in horses is unknown. Documented, naturally occurring syndromes attributed to B. burgdorferi infection in horses include neuroborreliosis, uveitis, and cutaneous pseudolymphoma. Although other clinical signs such as lameness and stiffness are reported in horses, these are often not well documented. Diagnosis of Lyme disease is based on exposure to B. burgdorferi, cytology or histopathology of infected fluid or tissue and a...
Development of septic polysynovitis and uveitis in foals experimentally infected with Rhodococcus equi.
PloS one    February 7, 2018   Volume 13, Issue 2 e0192655 doi: 10.1371/journal.pone.0192655
Huber L, Giguère S, Berghaus LJ, Hanafi A, Vitosh-Sillman S, Czerwinski SL.Rhodococcus equi is one of the most important causes of disease in foals. Infection is typically characterized by pyogranulomatous pneumonia although extrapulmonary infections occur occasionally. Uveitis and polysynovitis have been reported in foals naturally infected with R. equi and are thought to be the result of an immune-mediated process. However, the pathogenesis of these conditions is poorly understood. The objectives of this study were to document the occurrence of uveitis and polysynovitis after experimental infection with R. equi and to determine if these disorders are the direct res...
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.
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...
Unusual presentation of cyathostomiasis in an adult Thoroughbred mare.
The Canadian veterinary journal = La revue veterinaire canadienne    November 2, 2017   Volume 58, Issue 11 1221-1223 
Zakrajsek E.A recently purchased 16-year-old Thoroughbred mare with a history of recurrent colic and low body weight, also had lameness in 3 limbs, pain at the sacro-iliac joint, and increased corneal opacity of the right eye. Response to supportive therapy was poor and euthanasia was elected. A postmortem examination and histopathology confirmed cyathostomiasis within the large colon and cecum and chronic anterior uveitis of the right eye. Une jument Thoroughbred, âgée de 16 ans et récemment achetée, avec une anamnèse de coliques récurrentes et de faible poids corporel souffrait aussi de boiterie ...
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...
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.
Proteome Dynamics in Biobanked Horse Peripheral Blood Derived Lymphocytes (PBL) with Induced Autoimmune Uveitis.
Proteomics    August 29, 2017   Volume 17, Issue 19 doi: 10.1002/pmic.201700013
Hauck SM, Lepper MF, Hertl M, Sekundo W, Deeg CA.Equine recurrent uveitis is the only spontaneous model for recurrent autoimmune uveitis in humans, where T cells target retinal proteins. Differences between normal and autoaggressive lymphocytes were identified in this study by analyzing peripheral blood derived lymphocytes (PBL) proteomes from the same case with interphotoreceptor retinoid binding protein induced uveitis sampled before (Day 0), during (Day 15), and after uveitic attack (Day 23). Relative protein abundances of PBL were investigated in a quantitative, label-free differential proteome analysis in cells that were kept frozen for...
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...
The role of Leptospira spp. in horses affected with recurrent uveitis in the UK.
Equine veterinary journal    April 24, 2017   Volume 49, Issue 6 706-709 doi: 10.1111/evj.12683
Malalana F, Blundell RJ, Pinchbeck GL, Mcgowan CM.Equine recurrent uveitis (ERU) is a common cause of ocular pain and blindness in horses. Leptospira spp. have been commonly implicated in the pathophysiology of ERU in mainland Europe and the USA. No recent studies have been carried out in the UK, but Leptospira is reported not to be a major factor in the aetiology of ERU in the UK. Objective: To establish the prevalence of Leptospira-associated ERU in the UK and to identify the serovars involved in these cases; to compare serum vs. aqueous humour antibody levels in cases and controls in order to confirm the diagnosis of Leptospira-associated ...
Formin like 1 expression is increased on CD4+ T lymphocytes in spontaneous autoimmune uveitis.
Journal of proteomics    January 3, 2017   Volume 154 102-108 doi: 10.1016/j.jprot.2016.12.015
Degroote RL, Uhl PB, Amann B, Krackhardt AM, Ueffing M, Hauck SM, Deeg CA.The membrane protein expression repertoire of cells changes in course of activation. In equine recurrent uveitis (ERU), a spontaneous autoimmune disease in horses with relapsing and ultimately blinding inner eye inflammation, CD4+ T lymphocytes are the crucial pathogenic cells activated in the periphery directly prior to an inflammatory episode. In order to find relevant changes in the membrane proteome associated to disease, we sorted CD4+ lymphocytes and compared protein abundance from the generated proteome datasets of both healthy horses and ERU cases. We detected formin like 1, a key play...
Cytokine and chemokine profiles of aqueous humor and serum in horses with uveitis measured using multiplex bead immunoassay analysis.
Veterinary immunology and immunopathology    September 27, 2016   Volume 182 43-51 doi: 10.1016/j.vetimm.2016.09.008
Curto E, Messenger KM, Salmon JH, Gilger BC.To determine whether horses with clinically diagnosed Equine Recurrent Uveitis (ERU) and those with Leptospirosis infection have a specific cytokine profile in their aqueous humor (AH) and serum that differs from horses with uveitis secondary to other ocular inflammatory processes and from horses with normal eyes. Methods: Twenty-five client-owned horses with uveitis that were presented to the North Carolina State University Ophthalmology Service, and four University-owned horses without history or clinical signs of ocular disease. Methods: Samples of AH and serum were obtained from horses wit...
Immunological Characterization of Intraocular Lymphoid Follicles in a Spontaneous Recurrent Uveitis Model.
Investigative ophthalmology & visual science    August 30, 2016   Volume 57, Issue 10 4504-4511 doi: 10.1167/iovs.16-19787
Kleinwort KJ, Amann B, Hauck SM, Feederle R, Sekundo W, Deeg CA.Recently, formation of tertiary lymphoid structures was demonstrated and further characterized in the R161H mouse model of spontaneous autoimmune uveitis. In the horse model of spontaneous recurrent uveitis, intraocular lymphoid follicle formation is highly characteristic, and found in all stages and scores of disease, but in depth analyses of immunologic features of these structures are lacking to date. Paraffin-embedded eye sections of cases with equine spontaneous recurrent uveitis (ERU) were characterized with immunohistochemistry to gain insight into the distribution, localization, and si...
Clinical behavior of intraocular teratoid medulloepithelioma in two-related Quarter Horses.
Veterinary ophthalmology    July 20, 2016   Volume 20, Issue 6 551-559 doi: 10.1111/vop.12409
Monk CS, Craft WF, Abbott JR, Farina LL, Reuss SM, Czerwinski SL, Brooks DE, Plummer CE.The objective of this paper is to describe clinical behavior, histopathologic features, and immunohistochemical staining of two-related horses with intraocular teratoid medulloepithelioma. Two-related Quarter Horses with similar intraocular masses presented to the UF-CVM Comparative Ophthalmology Service for evaluation and treatment. The first horse, a 3-year-old gelding, had glaucoma and a cyst-like mass in the anterior chamber. Enucleation was performed. Histopathology revealed a teratoid medulloepithelioma. The tumor was considered to be completely excised. Fifteen months later, the gelding...
[Detection of leptospira by culture of vitreous humor and detection of antibodies against leptospira in vitreous humor and serum of 225 horses with equine recurrent uveitis].
Berliner und Munchener tierarztliche Wochenschrift    June 28, 2016   Volume 129, Issue 5-6 209-215 
Dorrego-Keiter E, Tóth J, Dikker L, Sielhorst J, Schusser GF.In the ongoing discussion regarding the aetiopathogenesis of equine recurrent uveitis (ERU) it was the aim of the present study to elucidate the relationship of leptospira infection and ERU. In a population of 225 horses leptospira were examined in vitreous humor by culture and leptospira antibody were detected in vitreous humor and serum samples. Preoperative serum samples were collected from 221/225 ERU patients of different age, gender and breed. Undiluted vitreous humor was aseptically taken from 198/225 patients that underwent pars plana vitrectomy at the beginning of surgery and from 27/...