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.
Matthews AG.Distribution of the immunoglobulin (Ig) classes G, A and M within the anterior uvea of eight clinically normal equine eyes was examined using indirect immunoperoxidase labelling. Increased staining intensity of stromal IgG and IgA was observed within the ciliary processes, the iris stroma being relatively free of immunoglobulin. This may reflect anatomical variation in the permeability of the uveal microvasculature to lipid insoluble plasma macro-molecules. Intracellular IgG and IgA were observed within the non-pigmented ciliary epithelium in seven and four of the eight eyes respectively, alth...
Seahorn TL, Brumbaugh GW, Carter GK, Wood RL.Erysipelothrix rhusiopathiae serotype 5 was isolated from blood obtained antemortem from a horse with presenting problems of laminitis, uveitis, acute blindness, localized ventral edema and depression. The patient failed to respond to therapy and died 96 hours after the onset of clinical signs. Cultures of the lung postmortem yielded Erysipelothrix rhusiopathiae serotype 5, Beta-hemolytic Streptococcus sp., Escherichia coli, Proteus sp., and Klebsiella sp.
Smith P, Samuelson D, Brooks D.The anterior vasculature of the pony eye was examined by the corrosion cast method. The anterior segment of the pony eye has a vascular pattern which is similar but distinct from that of other mammalian species. Large iridal veins collateralized directly with the anterior vortex venous system. The intrascleral plexus was present but formed a fine, radially oriented, extensive network. This contrasted to the circumferential larger-diameter intrascleral plexus noted in dogs and the canal of Schlemm present in primates. The intrascleral plexus only drained posteriorly in the pony as compared to t...
Angelos J, Oppenheim Y, Rebhun W, Mohammed H, Antczak DF.The relationship between breed and the risk of developing sarcoid tumours or uveitis of unknown etiology was evaluated in a retrospective study of 16242 equine cases admitted between 1975 and 1987 to the New York State College of Veterinary Medicine Large Animal Hospital, and 3198 equine tissue samples sent to the New York State Veterinary Diagnostic Laboratory between 1977 and 1987. Of 120 sarcoid cases from the Large Animal Hospital, sarcoids were twice as likely to develop in Quarter Horses (odds ratio, OR = 1.8, P less than 0.05) relative to Thoroughbreds and less than half as likely to de...
Sillerud CL, Bey RF, Ball M, Bistner SI.After the observation of 2 horses with uveitis on a horse farm in the Minnesota River valley, 100 horses from this geographic area were given ophthalmologic examinations and were evaluated serologically for leptospirosis. A statistically significant (P less than 0.001) association was observed between the finding of antibodies against Leptospira interrogans serovar pomona and uveitis.
Moran CT, James ER.Eyes from 292 old (15-20 years) horses originating in the eastern, southeastern and midwestern United States were examined for the presence of Onchocerca cervicalis microfilariae (mf) and concurrently for anterior and posterior segment ocular pathological changes. One-hundred-fifty-three animals (52.4%) were positive for dermal mf (range 0.03-5,364/mg). Of these, 60 animals had anterior segment changes. An additional 58 animals with pathological changes had no dermal mf. Mf were recovered from the ocular tissues of 18% of animals (range 0.07-29/mg). All animals with ocular mf were positive for...
Matthews AG, Waitkins SA, Palmer MF.The prevalence of antibody titres to a range of 20 leptospira antigens in the serum of horses and ponies with no ophthalmic abnormalities and with ophthalmoscopic evidence of endogenous uveal inflammatory disease was determined using a microscopic agglutination technique. Titres against leptospira antigens were observed in 13 out of 138 (9.1 per cent) animals with no ophthalmic abnormalities, and in three out of 27 (11.1 per cent) animals with anterior uveitis. Serovar sejroe was common to all seropositive animals with anterior uveitis. The results show that leptospira infection is not a major...
Burgess EC, Gillette D, Pickett JP.Infection with Borrelia burgdorferi caused panuveitis and arthritis in a pony. Spirochetes were detected by direct immunofluorescence in the anterior chamber of the eye. The carpal joints had severe degenerative joint disease, with synovial proliferation. The synovium and serum had B burgdorferi antibody titers of 1:1024. The pony lived in an area of Wisconsin where infection with B burgdorferi is endemic in human beings. Previously, serum antibodies to B burgdorferi had been found in horses, but disease had not been reported.
Caron JP, Barber SM, Bailey JV, Fretz PB, Pharr JW.Periorbital skull fractures were diagnosed in 5 horses, and were associated with ophthalmic complications including corneal ulceration, uveitis, and entrapment of the eye by retrobulbar bone fragments. Physical examination was of greater diagnostic use than radiography. Surgical repair was performed on all horses and was associated with a more favorable postoperative appearance in horses treated acutely; however, the cosmetic results were considered acceptable in all horses. Major postoperative complications were not observed.
van der Velden MA, Schuitemaker EA.The aetiology, clinical symptoms and treatment of equine periodic ophthalmia are discussed. Particular attention is paid to the possible role in aetiology of Onchocerca cervicalis microfilariae. Corticosteroids and atropine are the most important therapeutic drugs.
Halliwell RE, Brim TA, Hines MT, Wolf D, White FH.An enzyme linked immunosorbent assay was developed for the detection of immunoglobulin class specific antibodies to Leptospira interrogans serovar pomona in the serum and aqueous humor of horses. Serum antibody was also assayed by microscopic agglutination tests. Although higher levels of antibody were found in sera from horses with signs of uveitis, the association was not statistically significant. Antibodies to pomona were detected in the aqueous of 12 eyes from the 101 horses sampled at a slaughterhouse, and in most instances, a comparison of the aqueous/serum antibody level with that of t...
Halliwell RE, Hines MT.A radioimmunoassay was developed for detection of immunoglobulin in the aqueous of normal horses and horses with intraocular diseases. Levels of albumin were detected by radial immunodiffusion. Results of assays on samples from normal eyes from which aqueous was obtained by paracentesis under anesthesia were 32.10 +/- 21.50 microgram/ml for IgG, 0.05 +/- 0.01 microgram/ml for IgM, 0.04 +/- 0.02 microgram/ml for IgA and 34.0 +/- 38.0 microgram/ml for albumin. Results in 138 normal eyes sampled post mortem were 41.56 +/- 38.65 microgram/ml for IgG, 0.18 +/- 0.43 microgram/ml for IgM, 0.46 +/- 1....
Little PB, Thorsen J, Moore W, Weninger N.Powassan virus strain M794, a member of the Flavivirus genus known to infect man and animals in Canada, was inoculated intracerebrally into rabbits and horses. No clinical signs were observed in rabbits, but widespread encephalitis resulted, characterized by lymphoid perivascular cuffing, lymphocytic meningitis, and lymphocytic choroiditis. In horses, eight days after inoculation, prominent neurological signs occurred and lesions were those of non-suppurative encephalomyelitis, neuronal necrosis, and focal parenchymal necrosis. The virus could not be reisolated from the rabbit or horse brains....
Hines MT.The continued study of immunology and its relationship to diseases of the eye will hopefully give some insight into the pathogenic mechanisms of certain ocular diseases of many species, including the horse. It may lead to a better understanding of equine recurrent uveitis, a disease that has remained an enigma for years and that now appears to be an immunologic hypersensitivity response to a number of varied antigens. The precise mechanism of the inflammation is still unclear, and the immunologic response may be variable or mixed depending upon the inciting antigen. Other ophthalmic diseases i...
Pomorski Z, Pinkiewicz E, Grzebuła S.In the studies attempts were to demonstrate the occurrence of immunological reactivity against antigens of the lens and tunica vascularis of the eye in periodical inflammation of eyes in horses. For this purpose antigens from the lens and tunica vascularis of the eye, prepared in our laboratory, were used in the experiments. The reactivity of horses with monthly symptoms of blindness against the above antigens was determined in vivo (skin tests and PCA) and in vitro (ID reaction). The results obtained mainly in skin tests account for its occurrence in some percentage of diseased animals, becau...
Neumann SM, Kainer RA, Severin GA.In the main study, hyperthermia was induced by radio-frequency current to obtain a single, central, corneal lesion in the right eye and 2 separate limbal lesions in the left eye of 13 light horses and 8 ponies. Intracorneal and intralimbal temperature profiles for the procedure were obtained in a separate study from the eyes of a horse and a pony treated in the same manner. After treatment of the principal eyes and 6 sham-treated eyes, clinical observations were conducted for up to 6 months, using indirect ophthalmoscopy, biomicroscopy, and fluorescein staining. Immediately after hyperthermic ...
Holmberg DL.Four horses with corneal perforations of various etiologies were presented for surgical correction. Pedicle grafts taken from the bulbar or palpebral conjunctiva were used to repair the defects. Two horses regained functional vision in the affected eyes while a third had significant impairment. The fourth eye, which had an intense uveitis pre and postoperative, became phthisic and blind.
Murphy J, Young S.Sudden unilateral blindness occurred in a 7-year-old grey gelding Quarterhorse. Ophthalmoscopy revealed a pigmented mass arising from the nasal ciliary body of the right eye and extending around the posterior surface of the lens, and there were pigmented particles in the vitreous. Examination of the enucleated globe showed a circumscribed, black, dense and symmetrically ovoid mass with sessile attachment to the nasal ciliary region and extension to posterior lens capsule, vitreous and along the vitreal face of the detached retina to the optic papilla. The mass was composed of heavily pigmented...
Leifsson PS, Olsen SN, Larsen S.This paper is the first report of systemic tuberculosis involving the eyes in a horse. The animal lost condition and gradually became increasingly blind in both eyes; it was eventually euthanased. The pathological findings included bilateral, mycobacterial granulomatous uveitis with unilateral retinal detachment and necrosis, and disseminated, mycobacterial granulomatous foci in the myocardium, lungs, bronchial lymph nodes, kidneys, liver, pancreas, colon and visceral serosal surfaces, with the most extensive lesions in the myocardium. The mycobacteria were identified as Mycobacterium avium.
Malalana F, Ireland JL, Pinchbeck GL, McGowan CM.Risk factors for a first episode of primary uveitis in horses have not been determined. In addition, disease progression and the proportion of horses that develop recurrence following the original episode are not known. Objective: To determine the risk factors for the development of a first episode of primary uveitis in horses in the UK and to document the proportion of cases that experience recurrence following this first episode. Methods: Prospective case-control longitudinal study. Methods: Horses with a first episode of primary uveitis between July 2014 and August 2018 were recruited to th...
Caron JP, Barber SM, Bailey JV, Fretz PB, Pharr JW.Periorbital skull fractures were diagnosed in 5 horses, and were associated with ophthalmic complications including corneal ulceration, uveitis, and entrapment of the eye by retrobulbar bone fragments. Physical examination was of greater diagnostic use than radiography. Surgical repair was performed on all horses and was associated with a more favorable postoperative appearance in horses treated acutely; however, the cosmetic results were considered acceptable in all horses. Major postoperative complications were not observed.
Brooks DE, Millichamp NJ, Peterson MG, Laratta LJ, Morgan RV, Dziezyc J.Five horses with severe nonulcerative keratouveitis had corneal lesions characterized by a pink stromal infiltrate that initially appeared in the stroma near the limbus. Unremitting iridocyclitis also was evident. In 3 horses, microscopic lesions consisted of marked corneal stromal fibrosis, with mild to severe inflammatory cellular infiltration. Corticosteroids and mydriatic/cycloplegics applied topically and corticosteroids and nonsteroidal anti-inflammatory medications administered parenterally were used with varying degrees of success to control pain and retain vision.
van der Velden MA, Schuitemaker EA.The aetiology, clinical symptoms and treatment of equine periodic ophthalmia are discussed. Particular attention is paid to the possible role in aetiology of Onchocerca cervicalis microfilariae. Corticosteroids and atropine are the most important therapeutic drugs.
Knickelbein KE, Lassaline ME.Immune-mediated ocular inflammation is a common clinical diagnosis reached for horses with keratitis and uveitis. This diagnosis is made as a diagnosis of exclusion following a thorough effort to rule out an underlying cause for the inflammation, most importantly infectious and neoplastic disease. Practically, response to ophthalmic and systemic anti-inflammatory or immunomodulatory medications is used to support a diagnosis of immune-mediated ocular inflammation; however, such medications are often contraindicated in the face of infection or neoplasia. This article will summarize our current ...
Terhaar HM, Henriksen ML, Mehaffy C, Hess A, McMullen RJ.The objective of this study was to use shotgun label-free tandem mass spectrometry (LF-MS/MS) to evaluate aqueous humor (AH) from horses with uveitis (UH) compared to ophthalmologically healthy horses (HH). Methods: Twelve horses diagnosed with uveitis based on ophthalmic examination and six ophthalmologically healthy horses (postmortem) purchased for teaching purposes. Methods: All horses received a complete ophthalmic examination and physical exam. Aqueous paracentesis was performed on all horses and AH total protein concentrations were measured with nanodrop (TPn) and refractometry (TPr). A...
Launois T, Hontoir F, Dugdale A, Dedieu M, Vandeweerd JM.Horses with recurrent uveitis can be treated by intravitreal injection of low dose gentamicin under sedation and after local anesthetic techniques including the retrobulbar nerve block. Since it is reported that retinal degeneration can be secondary to an acute increase of intraocular pressure (IOP), the current randomized controlled study was carried out in order to investigate the changes in IOP following retrobulbar anesthesia, with two different volumes of local anesthetic (lidocaine) solution (10 and 5 mL), and intravitreal injection of 6 mg gentamicin in two different volumes of solution...