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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.
Role of bacteria in the pathogenesis of recurrent uveitis in horses from the southeastern United States.
American journal of veterinary research    October 3, 2008   Volume 69, Issue 10 1329-1335 doi: 10.2460/ajvr.69.10.1329
Gilger BC, Salmon JH, Yi NY, Barden CA, Chandler HL, Wendt JA, Colitz CM.To determine the role of intraocular bacteria in the pathogenesis of equine recurrent uveitis (ERU) in horses from the southeastern United States by evaluating affected eyes of horses with ERU for bacterial DNA and intraocular production of antibodies against Leptospira spp. Methods: Aqueous humor, vitreous humor, and serum samples of 24 clinically normal horses, 52 horses with ERU, and 17 horses with ocular inflammation not associated with ERU (ie, non-ERU inflammation). Methods: Ribosomal RNA quantitative PCR (real-time PCR) assay was used to detect bacterial DNA in aqueous humor and vitreou...
Equine recurrent uveitis–a spontaneous horse model of uveitis.
Ophthalmic research    April 18, 2008   Volume 40, Issue 3-4 151-153 doi: 10.1159/000119867
Deeg CA, Hauck SM, Amann B, Pompetzki D, Altmann F, Raith A, Schmalzl T, Stangassinger M, Ueffing M.Equine recurrent uveitis (ERU) is an autoimmune disease that occurs with a high prevalence (10%) in horses. ERU represents the only reliable spontaneous model for human autoimmune uveitis. We already identified and characterized novel autoantigens (malate dehydrogenase, recoverin, CRALBP) by analyzing the autoantibody-binding pattern of horses affected by spontaneous recurrent uveitis (ERU) to the retinal proteome. CRALBP also seems to be relevant to human autoimmune uveitis. Proteomic screening of vitreous and retinal samples from ERU diseased cases in comparison to healthy controls has led t...
Ocular penetration of intravenously administered enrofloxacin in the horse.
Equine veterinary journal    December 20, 2007   Volume 40, Issue 2 167-170 doi: 10.2746/042516408X255972
Divers TJ, Irby NL, Mohammed HO, Schwark WS.Information on antibiotic concentrations in the equine eye following systemic therapy is limited. Reports that Leptospira spp. are frequently present in the eyes of horses with recurrent uveitis, emphasises a need for studies on ocular concentrations of specific antibiotics. Objective: 1) Enrofloxacin, administered i.v. at 7.5 mg/kg bwt q. 24 h, results in aqueous humour concentrations greater than the reported minimum inhibitory concentration (MIC) for Leptospira pomona. 2) Aqueous humour paracentesis sufficiently disrupts the blood-aqueous humour barrier (BAB) to cause an increase in aqueous...
Detection of Leptospira interrogans DNA and antigen in fixed equine eyes affected with end-stage equine recurrent uveitis. Pearce JW, Galle LE, Kleiboeker SB, Turk JR, Schommer SK, Dubielizig RR, Mitchell WJ, Moore CP, Giuliano EA.Equine recurrent uveitis (ERU) is the most frequent cause of blindness in horses worldwide. Leptospira has been implicated as an etiologic agent in some cases of ERU and has been detected in fresh ocular tissues of affected horses. The objective of this study was to determine the presence of Leptospira antigen and DNA in fixed equine ocular tissues affected with end-stage ERU. Sections of eyes from 30 horses were obtained. Controls included 1) 10 normal equine eyes and 2) 10 equine eyes with a nonrecurrent form of uveitis. The experimental group consisted of 10 eyes diagnosed with ERU based on...
Retinal detachment in horses: 40 cases (1998-2005).
Veterinary ophthalmology    November 1, 2007   Volume 10, Issue 6 380-385 doi: 10.1111/j.1463-5224.2007.00574.x
Strobel BW, Wilkie DA, Gilger BC.To determine clinical features, ophthalmic examination findings, etiology, treatment, and outcome of horses diagnosed with retinal detachment (RD). Methods: Forty horses, presented to the North Carolina State University and The Ohio State University Veterinary Teaching Hospitals from 1998 to 2005 that were diagnosed with RD. PROCEDURE(S): Horses with documented RD, confirmed either on ophthalmic examination or by ultrasonography, and with a complete medical record were included. Information retrieved from the medical records included signalment, presenting complaint, duration of clinical signs...
What is your diagnosis? Onchocerciasis.
Journal of the American Veterinary Medical Association    July 4, 2007   Volume 231, Issue 1 39-40 doi: 10.2460/javma.231.1.39
Metry CA, Beard DM, Simon E.No abstract available
Recurrent uveitis in horses: vitreal examinations with ultrastructural detection of leptospires.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    May 26, 2007   Volume 54, Issue 5 270-275 doi: 10.1111/j.1439-0442.2007.00921.x
Brandes K, Wollanke B, Niedermaier G, Brem S, Gerhards H.This study documents the examination of 17 horses (both sexes, 3-18 years old) suffering from spontaneous equine recurrent uveitis (ERU). Vitreal samples obtained by pars plana vitrectomy were examined macroscopically and ultrastructurally, and in most cases also by cultural examination, by microscopic agglutination test (MAT) and by polymerase chain reaction. In 24% (4/17) of the animals, ultrastructural examination by electron microscopy revealed intact leptospiral bacteria in the vitreous. The leptospires were detected freely in the vitreous and also incorporated by a phagocyte. They were s...
Major retinal autoantigens remain stably expressed during all stages of spontaneous uveitis.
Molecular immunology    April 27, 2007   Volume 44, Issue 13 3291-3296 doi: 10.1016/j.molimm.2007.02.027
Deeg CA, Hauck SM, Amann B, Kremmer E, Stangassinger M, Ueffing M.Equine recurrent uveitis (ERU) is a valuable model for autoimmune diseases, since it develops frequently and occurs spontaneously. We investigated the overall expression level of three major retinal autoantigens in normal retinas and various ERU stages. Analysis of retinal proteomes of both, healthy and diseased retinas revealed an almost unaffected expression of IRBP, S-antigen and cRALBP in ERU cases. Validation of these findings with western blots and immunohistochemistry confirmed constant to increased expression of these autoantigens, although loss of their physiological expression sites ...
Retinal Mueller glial cells trigger the hallmark inflammatory process in autoimmune uveitis.
Journal of proteome research    April 20, 2007   Volume 6, Issue 6 2121-2131 doi: 10.1021/pr060668y
Hauck SM, Schoeffmann S, Amann B, Stangassinger M, Gerhards H, Ueffing M, Deeg CA.Spontaneous equine recurrent uveitis (ERU) is an incurable autoimmune disease affecting the eye. Although retinal-autoantigen specific T-helper 1 cells have been demonstrated to trigger disease progression and relapses, the molecular processes leading to retinal degeneration and consequent blindness remain unknown. To elucidate such processes, we studied changes in the total retinal proteome of ERU-diseased horses compared to healthy controls. Severe changes in the retinal proteome were found for several markers for blood-retinal barrier breakdown and whose emergence depended upon disease seve...
Diagnostic ophthalmology. Anterior and posterior uveitis with inflammatory retinal detachment, most likely secondary to equine recurrent uveitis.
The Canadian veterinary journal = La revue veterinaire canadienne    February 22, 2007   Volume 48, Issue 1 97-98 
Sandmeyer LS, Grahn BH, Breaux CB.No abstract available
[Detection of leptospira in the vitreous body of horses without ocular diseases and of horses with equine recurrent uveitis (ERU) using transmission-electron microscopy].
DTW. Deutsche tierarztliche Wochenschrift    December 7, 2006   Volume 113, Issue 11 418-422 
Niedermaier G, Wollanke B, Hoffmann R, Brem S, Gerhards H.Equine recurrent uveitis (ERU) is caused by persistent intraocular leptospira, which appear to use the vitreous body as a refuge. The detection of leptospira in the vitreous body of horses with spontaneous ERU by histological methods has not yet been described. Thirty eight vitreous body samples from 36 horses with ERU (collected during vitrectomy), and 10 vitreous body samples obtained from 5 horses without ocular disease (control group) were examined by transmission electron microscopy. Prior to sample collection, 2 ml of a leptospira culture suspension were injected into the vitreous body o...
[Depiction of the structure of the vitreous body in horses without ocular diseases and in horses with equine recurrent uveitis (ERU) using transmission electron microscopy].
DTW. Deutsche tierarztliche Wochenschrift    July 22, 2006   Volume 113, Issue 6 211-217 
Niedermaier G, Wollanke B, Hoffmann R, Matiasek K, Gerhards H.Neither the ultrastructure of the vitreous body from horses without ocular diseases, nor the pathomorphological changes in the vitreous body associated with equine recurrent uveitis (ERU) have been described. However, the vitreous body plays an important role in the pathogenesis of ERU. Ten vitreous body samples obtained from 5 horses without ocular disease, and 38 vitreous body samples from horses with ERU (collected during vitrectomy) were examined by transmission electron microscopy. The vitreous body samples of horses without ocular diseases were characterized by a loose network of unbranc...
A novel bioerodible deep scleral lamellar cyclosporine implant for uveitis.
Investigative ophthalmology & visual science    May 26, 2006   Volume 47, Issue 6 2596-2605 doi: 10.1167/iovs.05-1540
Gilger BC, Salmon JH, Wilkie DA, Cruysberg LP, Kim J, Hayat M, Kim H, Kim S, Yuan P, Lee SS, Harrington SM, Murray PR, Edelhauser HF, Csaky KG....To determine the feasibility, safety, and effectiveness of an episcleral or deep scleral lamellar sustained release cyclosporine (CsA) device in a naturally occurring animal model of uveitis. Methods: A two-compartment perfusion chamber was used to assess in vitro human and equine scleral permeability of fluorescein, dexamethasone-fluorescein, or CsA. A biodegradable, matrix-reservoir CsA implant was designed, and release rates of CsA were determined in vitro. Tissue CsA levels were measured in eyes with the implant. Horses with equine recurrent uveitis (ERU) received episcleral or deep sclera...
Identification and functional validation of novel autoantigens in equine uveitis.
Molecular & cellular proteomics : MCP    May 11, 2006   Volume 5, Issue 8 1462-1470 doi: 10.1074/mcp.M500352-MCP200
Deeg CA, Pompetzki D, Raith AJ, Hauck SM, Amann B, Suppmann S, Goebel TW, Olazabal U, Gerhards H, Reese S, Stangassinger M, Kaspers B, Ueffing M.The development, progression, and recurrence of autoimmune diseases are frequently driven by a group of participatory autoantigens. We identified and characterized novel autoantigens by analyzing the autoantibody binding pattern from horses affected by spontaneous equine recurrent uveitis to the retinal proteome. Cellular retinaldehyde-binding protein (cRALBP) had not been described previously as autoantigen, but subsequent characterization in equine recurrent uveitis horses revealed B and T cell autoreactivity to this protein and established a link to epitope spreading. We further immunized h...
[Halicephalobus gingivalis infection in a 5-year-old Tinker gelding].
Tijdschrift voor diergeneeskunde    March 1, 2006   Volume 131, Issue 3 74-80 
Boswinkel M, Neyens IJ, Sloet van Oldruitenborgh-Oosterbaan MM.A 5-year old Tinker gelding was referred to the Department of Equine Sciences with a left eye uveitis and fever. At presentation the horse showed a mild lethargy, fever and decreased vision of the left eye. Rectal examination revealed an enlarged left kidney, with a hard and an irregular surface. The cranial mesentery artery had an enlarged and irregular aspect. Blood analysis showed anaemia, leucocytosis, increased blood urea nitrogen and creatinine and a hyperproteinemia. Urine analysis repeatedly showed a marked proteinuria and an increased gammaGT/creatinine ratio. The amount of abdominal ...
Inter- and intramolecular epitope spreading in equine recurrent uveitis.
Investigative ophthalmology & visual science    January 25, 2006   Volume 47, Issue 2 652-656 doi: 10.1167/iovs.05-0789
Deeg CA, Amann B, Raith AJ, Kaspers B.To test the hypothesis that inter- and intramolecular spreading to S-antigen (S-Ag) and interphotoreceptor retinoid binding protein (IRBP)-derived epitopes occurs in a spontaneous model of recurrent uveitis in the horse. Methods: The immune response of eight horses with equine recurrent uveitis (ERU) was compared with that of five control horses with healthy eyes. Lymphocytes derived from peripheral blood (PBLs) were tested every 8 weeks for their reactivity against S-Ag and various S-Ag and IRBP-derived peptides for 12 to 39 months (median, 22 months). During uveitic episodes, additional bloo...
LruA and LruB, novel lipoproteins of pathogenic Leptospira interrogans associated with equine recurrent uveitis.
Infection and immunity    October 22, 2005   Volume 73, Issue 11 7259-7266 doi: 10.1128/IAI.73.11.7259-7266.2005
Verma A, Artiushin S, Matsunaga J, Haake DA, Timoney JF.Recurrent uveitis as a sequela to Leptospira infection is the most common infectious cause of blindness and impaired vision of horses worldwide. Leptospiral proteins expressed during prolonged survival in the eyes of horses with lesions of chronic uveitis were identified by screening a phage library of Leptospira interrogans DNA fragments with eye fluids from uveitic horses. Inserts of reactive phages encoded several known leptospiral proteins and two novel putative lipoproteins, LruA and LruB. LruA was intrinsically labeled during incubation of L. interrogans in medium containing [14C]palmiti...
Immune-mediated keratitis in horses: 19 cases (1998-2004).
Veterinary ophthalmology    July 13, 2005   Volume 8, Issue 4 233-239 doi: 10.1111/j.1463-5224.2005.00393.x
Gilger BC, Michau TM, Salmon JH.The purpose of this study is to describe clinical and histologic findings, treatment, and outcome of horses with suspected immune-mediated keratitis (IMMK). Methods: Retrospective study. Methods: Nineteen horses that presented to NCSU-VTH from 1998 to 2004 with IMMK. Procedures Information retrieved from the medical records included signalment, duration of clinical signs, therapy prior to initial examination, ophthalmic abnormalities, diagnostics performed, therapy instituted, and long-term vision. Results: Nineteen horses (22 eyes) were diagnosed with IMMK. Three distinct clinical groups were...
Effect of vaccination against leptospirosis on the frequency, days to recurrence and progression of disease in horses with equine recurrent uveitis.
Veterinary ophthalmology    May 25, 2005   Volume 8, Issue 3 171-179 doi: 10.1111/j.1463-5224.2005.00367.x
Rohrbach BW, Ward DA, Hendrix DV, Cawrse-Foss M, Moyers TD.To evaluate the effect of vaccination against leptospirosis on frequency and days to recurrence of uveitis and progression of disease in horses with equine recurrent uveitis (ERU). Methods: Forty-one horses with ERU. Methods: Horses were randomly assigned to experimental (vaccinated) or control groups. Vaccine containing six serovars of Leptospira or placebo was administered, an ophthalmic examination performed and blood samples drawn on days 0, 28, 180 and 365. Antibody titers were measured against each serovar. Recurrence of uveitis was verified by ophthalmic examination. Results of the init...
Eye infections due to Listeria monocytogenes in three cows and one horse. Evans K, Smith M, McDonough P, Wiedmann M.A retrospective study was conducted to determine case histories, microbiological characteristics, and molecular subtypes associated with Listeria monocytogenes infections of the eye in large animals. For selected cases, environmental L. monocytogenes contamination patterns on case farms were also evaluated to probe for potential sources and spread of listerial eye infections. Records of 170 L. monocytogenes isolates from animal infections were reviewed to determine the fraction of isolates associated with eye infections (conjunctivitis, keratitis, and uveitis) of animals and to gather informat...
James Wardrop and equine recurrent uveitis.
Archives of ophthalmology (Chicago, Ill. : 1960)    August 11, 2004   Volume 122, Issue 8 1218-1223 doi: 10.1001/archopht.122.8.1218
Paglia DT, Miller PE, Dubielzig RR.James Wardrop should be remembered not only as one of the founders of ocular pathology but also for his contributions to the field of comparative ophthalmology. He described a "specific inflammation" that veterinarians today know as equine recurrent uveitis. As described by Wardrop in the 19th century, this condition is known today to eventually lead to blindness.
Equine recurrent uveitis: new methods of management.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 417-vii doi: 10.1016/j.cveq.2004.04.010
Gilger BC, Michau TM.Equine recurrent uveitis (ERU) is one of the most common causes of blindness in horses. Until recently, treatment of this condition consisted only of symptomatic therapy, typically with steroidal and nonsteroidal medications. A better understanding of the disease process(es) has permitted new medical and surgical therapies that have recently been described. This article highlights clinical features of ERU, the causes of ERU, and new management and treatment options for horses with ERU.
Equine glaucoma.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 381-vii doi: 10.1016/j.cveq.2004.04.002
Wilkie DA, Gilger BC.Glaucoma is a diverse group of vision-impairing disorders that have as a common bond an elevation of intraocular pressure(IOP) to a level incompatible with the health of the eye. Glaucoma can be congenital, primary, or secondary. Congenital equine glaucoma is associated with developmental abnormalities of the iridocorneal angle or, in many cases, with the more severe anterior segment dysgenesis.
Inflammatory stromal keratopathies: medical management of stromal keratomalacia, stromal abscesses, eosinophilic keratitis, and band keratopathy in the horse.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 345-vi doi: 10.1016/j.cveq.2004.04.007
Brooks DE.This article discusses the diagnosis and medical treatment of stromal keratomalacia or "melting ulcers," stromal abscesses, eosinophilic keratitis (EK), and calcific band keratopathy. These are common and important inflammatory keratopathies of the equine corneal stroma. Keratomalacia and stromal abscesses are associated with infection, leukocytic invasion of the stroma, and loss of tissue and tear film proteinase homeostasis. Eosinophils infiltrate the stroma in response to unknown stimuli in EK. Calcium is deposited in the stroma and epithelium secondary to chronic equine recurrent uveitis i...
The uveitogenic potential of retinal S-antigen in horses.
Investigative ophthalmology & visual science    June 30, 2004   Volume 45, Issue 7 2286-2292 doi: 10.1167/iovs.03-1226
Deeg CA, Reese S, Gerhards H, Wildner G, Kaspers B.To investigate the uveitogenic potential of retinal S-antigen (S-Ag) in horses. Methods: Horses were immunized subcutaneously with S-Ag or BSA as control antigen, emulsified in complete Freund's adjuvant. Simultaneously, Bordetella pertussis was given intravenously. Antigen specific T- and B-cell responses were analyzed in a 3-day interval. Disease development was judged clinically and histopathologically. Two identical booster immunizations were given every 4 weeks to test induction of recurrences. Results: T- and B-cell responses specific for S-Ag were observed in all immunized horses but we...
Classification of leptospira from the eyes of horses suffering from recurrent uveitis.
Journal of veterinary medicine. B, Infectious diseases and veterinary public health    April 27, 2004   Volume 51, Issue 3 110-115 doi: 10.1111/j.1439-0450.2004.00740.x
Hartskeerl RA, Goris MG, Brem S, Meyer P, Kopp H, Gerhards H, Wollanke B.No abstract available
[Moon blindness (Equine Recurrent Uveitis) in the horse].
Tijdschrift voor diergeneeskunde    March 23, 2004   Volume 129, Issue 5 153-157 
van der Velden MA.No abstract available
Equine recurrent uveitis is strongly associated with the MHC class I haplotype ELA-A9.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 73-75 doi: 10.2746/0425164044864651
Deeg CA, Marti E, Gaillard C, Kaspers B.No abstract available
Intracapsular lens removal in a Przewalski’s wild horse (Equus caballus przewalskii).
Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians    October 30, 2003   Volume 34, Issue 3 284-286 doi: 10.1638/02-027
Kenny DE, Dugan SJ, Knightly F, Baier J.A 11.5-yr-old female Przewalski's wild horse (Equus caballus przewalskii) presented for unilateral blepharitis and drainage from the left eye. The left cornea was not ulcerated, and intraocular evaluation was hampered by severe corneal edema. The left eye appeared to respond positively to treatment with anti-inflammatories and a topical mydriatic agent. During the ensuing 2 yr, there were minor episodes of epiphora from the left eye. The discharge then increased, and a luxated lens was noted during an examination by a veterinary ophthalmologist as part of the preshipment examination. Initially...
Nonulcerative keratouveitis as a manifestation of Leptospiral infection in a horse.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 191-195 doi: 10.1046/j.1463-5224.2003.00288.x
Wada S, Yoshinari M, Katayama Y, Anzai T, Wada R, Akuzawa M.A 2-year-old Thoroughbred filly presented with ocular pain and epiphora of the left eye. The pupil was miotic and the cornea edematous near the ventro-temporal limbus, but did not retain any fluorescein. The topical antibiotics and atropine and diclofenac, and systemic flunixin meglumine and antibiotic therapy did not resolve the condition. A pink and fleshy infiltrate developed near the limbus indicating nonulcerative keratouveitis. The anterior uveitis deteriorated as manifested by the presence of dyscoria, hypopyon, and organized fibrin in the anterior chamber. Ocular signs were improved by...
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