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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Comparing racing performance following arthroscopic surgery of metacarpophalangeal/metatarsophalangeal and carpal joints in Thoroughbred racehorses rehabilitated using conventional and underwater treadmill therapies.
The Veterinary record    September 23, 2020   Volume 187, Issue 9 355 doi: 10.1136/vr.105745
Potenza KN, Huggons NA, Jones ARE, Rosanowski SM, McIlwraith CW.Rehabilitation of horses using underwater treadmill therapy has been shown to improve joint range of motion, joint mobility, stride length and proprioceptive parameters with experimental studies. However, studies investigating the prognosis and return to function following rehabilitation are lacking. Methods: A retrospective study of Thoroughbred racehorses treated with arthroscopic surgery for osteochondral fragments of the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joints or carpal joints undergoing conventional rehabilitation or underwater treadmill assisted rehabilitation at th...
Deviant proteome profile of equine granulocytes associates to latent activation status in organ specific autoimmune disease.
Journal of proteomics    September 23, 2020   Volume 230 103989 doi: 10.1016/j.jprot.2020.103989
Weigand M, Hauck SM, Deeg CA, Degroote RL.Equine recurrent uveitis (ERU) is a spontaneous, remitting-relapsing autoimmune disease driven by the adaptive immune system. Although T cells are described as the main effector cells in pathogenesis, granulocytes have also emerged as possible disease mediators. To explore the role of these innate immune cells, we investigated the whole cell proteome of granulocytes from equine recurrent uveitis cases and healthy controls. Among the 2362 proteins identified by mass spectrometry, we found 96 proteins with significantly changed abundance between groups (p < 0.05, fold change >1.2), representin...
Mixed methods investigation of the use of telephone triage within UK veterinary practices for horses with abdominal pain: A Participatory action research study.
PloS one    September 23, 2020   Volume 15, Issue 9 e0238874 doi: 10.1371/journal.pone.0238874
Lightfoot KL, Burford JH, England GCW, Bowen IM, Freeman SL.Telephone triage is an integral part of modern patient care systems in human medicine, and a key component of veterinary practice care systems. There is currently no published research on telephone triage within the veterinary profession. To investigate current approaches to telephone triage of horses with abdominal pain (colic) in veterinary practice and develop new resources to support decision-making. Participatory action research using mixed-methods approach. An online survey assessed current approaches to telephone triage of horses with colic in UK veterinary practices. Structured group a...
Changes in antimicrobial resistance patterns of ocular surface bacteria isolated from horses in the UK: An eight-year surveillance study (2012-2019).
Veterinary ophthalmology    September 22, 2020   Volume 23, Issue 6 950-956 doi: 10.1111/vop.12827
Chalder RH, Knott T, Rushton JO, Nikolic-Pollard D.To identify temporal changes in antimicrobial resistance of ocular surface bacteria isolated from clinically symptomatic equine eyes in the South West of the UK. Methods: Retrospective. Methods: Clinical and laboratory records of horses treated for suspected bacterial ocular surface disease (ulcerative and non-ulcerative) at a single facility between January 2011 and December 2019 were reviewed. Cases were included if they underwent ocular surface sampling, aerobic bacterial culture, and antimicrobial susceptibility testing. Cases were split into two time periods based on when sampling occurre...
Identifying Sources of Potential Bias When Using Online Survey Data to Explore Horse Training, Management, and Behaviour: A Systematic Literature Review.
Veterinary sciences    September 22, 2020   Volume 7, Issue 3 140 doi: 10.3390/vetsci7030140
Fenner K, Hyde M, Crean A, McGreevy P.Owner-reported behavioural observations form an essential part of the veterinarians' diagnosis and treatment plan. The way we train and manage horses affects their behaviour and, in turn, their health and welfare. Current horse training and management practices are largely driven by traditional techniques and longstanding methodologies. These approaches generally lack an evidence base for evaluation purposes. The absence of evidence and evaluation contributes to the persistent use of risky practices and this, in turn, increases risk of potential harms for both horse and rider, and fuels questi...
First identification and genomic characterization of equine hepacivirus sub-type 3 strain in China.
Virus genes    September 22, 2020   Volume 56, Issue 6 777-780 doi: 10.1007/s11262-020-01792-y
Wu L, Ou J, Cai S, Ji J, Ren Z, Shao R, Li S.Equine Hepacivirus (EqHV) is a newly discovered equine virus that is classified under the Hepacivirus genus of the Flaviviridae family. There are three sub-types of EqHV worldwide namely; sub-types 1-3. The majority of EqHV sub-type 1 strains were found in China. While different sub-types have been found in Japan and USA, therefore, to investigate whether the other sub-types of EqHV strains were present in China, a total of 60 horse serum samples were collected and screened for EqHV RNA through RT-PCR. The results revealed that 19 serum samples were RNA-positive (19/60) and the EqHV detection ...
Purification of sarcoplasmic reticulum vesicles from horse gluteal muscle.
Analytical biochemistry    September 19, 2020   Volume 610 113965 doi: 10.1016/j.ab.2020.113965
Autry JM, Karim CB, Cocco M, Carlson SF, Thomas DD, Valberg SJ.We have analyzed protein expression and enzyme activity of the sarcoplasmic reticulum Ca2+-transporting ATPase (SERCA) in horse gluteal muscle. Horses exhibit a high incidence of recurrent exertional rhabdomyolysis, with myosolic Ca2+ proposed, but yet to be established, as the underlying cause. To better assess Ca2+ regulatory mechanisms, we developed an improved protocol for isolating sarcoplasmic reticulum (SR) vesicles from horse skeletal muscle, based on mechanical homogenization and optimized parameters for differential centrifugation. Immunoblotting identified the peak subcellular fract...
Fetal morphological features and abnormalities associated with equine early pregnancy loss.
Equine veterinary journal    September 19, 2020   Volume 53, Issue 3 530-541 doi: 10.1111/evj.13340
Kahler A, McGonnell IM, Smart H, Kowalski AA, Smith KC, Wathes DC, de Mestre AM.Early pregnancy loss (EPL) occurs in approximately 8% of equine pregnancies, although the aetiology is mostly unknown and embryonic/fetal morphological abnormalities associated with EPL are not defined. Objective: To compare the morphology of EPL to clinically normal embryos/fetuses and previously described embryonic/fetal developmental milestones. To identify morphological abnormalities associated with equine EPL. Methods: Observational case-control study. Methods: Embryos/fetuses were obtained from clinically normal Thoroughbred and pony pregnancies (n = 11) and following EPL from Thorough...
Leptospira spp. in horses in southern Brazil: Seroprevalence, infection risk factors, and influence on reproduction.
Comparative immunology, microbiology and infectious diseases    September 19, 2020   Volume 73 101552 doi: 10.1016/j.cimid.2020.101552
Da Silva AS, Jaguezeski AM, Laber IF, von Laer AE, Lovato LT, da Silva MO, de Moura AB.Leptospirosis in horses is often associated with reproductive disorders. In the southern states of Brazil, horses are used for various jobs and cultural practices; nevertheless, serological surveillance for Leptospira is rare. Therefore, the objective of this study was to determine the seroprevalence of Leptospira spp. in horses in southern Brazil, as well as to identify the risk factors for infection and its impacts on reproduction. We performed microscopic agglutination tests for 12 serovars that corresponding 9 serogroup (Sejroe, Icterohaemorrhagiae, Australis, Pyrogenes, Pomona, Canicola, ...
Intraocular pressure following four different intravenous sedation protocols in normal horses.
Equine veterinary journal    September 19, 2020   Volume 53, Issue 3 612-617 doi: 10.1111/evj.13336
Joyner RL, Liu CC, Cremer J, Carter RT, Lewin AC.Intravenous sedation is frequently necessary for ophthalmic examination in horses. Common sedation protocols have not been directly compared in terms of relative intraocular pressure (IOP) reduction, duration of IOP reduction and time to maximum IOP reduction. Objective: To compare the effects of standing sedation protocols on IOP. Methods: Randomised cross-over experiment. Methods: Twelve healthy horses received four intravenous sedation protocols with a 48 hours washout: 0.5 mg/kg xylazine and 0.01 mg/kg butorphanol (SED1); 10 µg/kg detomidine and 0.01 mg/kg of butorphanol (SED2); 10 ...
Antimicrobial and Antioxidant Activities of Two Medicinal Plants Cuphea aequipetala var. hispida (Cav.) Koehne and Eryngium comosum Delaroche F Against Bacteria Related to Equine Infections.
Journal of equine veterinary science    September 18, 2020   Volume 94 103269 doi: 10.1016/j.jevs.2020.103269
Alvarado TD, Mariezcurrena Berasain MD, Salem AZM, Pinzón Martínez DL.Functional biocompounds beneficial for animals and humans are in Mexican folk herbs. Cuphea and Eryngium species presented antimicrobial potential. Natural antibiotic uses by ethnoveterinary research with medicinal plants in equine infection or digestive diseases need more scientific evidence. Staphylococcus aureus, Escherichia coli, Salmonella enterica serotype Enteritidis are etiological agents in horses responsible for stable infections, abortions, fetal or perinatal deaths, and resistant intrahospital infections. The main objective of the present research was to evaluate the potential of a...
Fetal lesions of EHV-1 in equine.
Anais da Academia Brasileira de Ciencias    September 18, 2020   Volume 92, Issue suppl 2 e20180837 doi: 10.1590/0001-3765202020180837
Ali AA, Refat NA, Algabri NA, Sobh MS.EHV-1 infection is responsible for huge economic losses in equines due to abortion and neonatal mortality. In this study, we describe 4 cases of abortion and neonatal deaths from pregnant mares and a she-donkey from different localities in Egypt during the period from May 2015 to October 2017. Attempts were made to isolate and identify EHV-1, in addition to compare the different pathological lesions in various tissues of the necropsied cases. EHV-1 was successfully isolated from two aborted fetuses and one dead neonatal foal from mares, beside one aborted fetus from a she-donkey. The positive ...
Anti-fibrotic Actions of Equine Interleukin-10 on Transforming Growth Factor-Beta1-Stimulated Dermal Fibroblasts Isolated From Limbs of Horses.
Frontiers in veterinary science    September 18, 2020   Volume 7 577835 doi: 10.3389/fvets.2020.577835
Wise LM, Stuart GS, Sriutaisuk K, Adams BR, Riley CB, Theoret CL.Fibroproliferative disorders occur in both humans and horses following skin injury. In horses, wound healing on the limb is often complicated by the formation of fibroproliferative exuberant granulation tissue, characterized by persistent expression of pro-fibrotic transforming growth factor-beta1 (TGF-β1) and deficient expression of anti-inflammatory interleukin-10 (IL-10). IL-10 has been shown to directly modulate fibrotic gene expression in human fibroblasts, so we hypothesized that equine IL-10 (eIL-10) may exert similar anti-fibrotic effects on equine dermal fibroblasts. Cell-lines were ...
The Relationship of Mitochondrial Membrane Potential, Reactive Oxygen Species, Adenosine Triphosphate Content, Sperm Plasma Membrane Integrity, and Kinematic Properties in Warmblood Stallions.
Journal of equine veterinary science    September 17, 2020   Volume 94 103267 doi: 10.1016/j.jevs.2020.103267
Akbarinejad V, Fathi R, Shahverdi A, Esmaeili V, Rezagholizadeh A, Ghaleno LR.Equine sperm possesses a unique physiology because its energy supply is mostly dependent on oxidative phosphorylation of mitochondria as an aerobic source of adenosine triphosphate (ATP) generation. The present study was, therefore, conducted to investigate the relationship between sperm kinematic and functional variables in stallions. Semen samples were collected from five warmblood stallions (three ejaculates from each stallion), diluted with INRA96 and transferred to the laboratory. Next, sperm motility, mitochondrial membrane potential (MMP), production of superoxide anion (as a reactive o...
Lysophosphatidic acid as a regulator of endometrial connective tissue growth factor and prostaglandin secretion during estrous cycle and endometrosis in the mare.
BMC veterinary research    September 17, 2020   Volume 16, Issue 1 343 doi: 10.1186/s12917-020-02562-6
Szóstek-Mioduchowska A, Leciejewska N, Zelmańska B, Staszkiewicz-Chodor J, Ferreira-Dias G, Skarzynski D.Equine endometrosis is a chronic degenerative condition, described as endometrial fibrosis that forms in the stroma, under the basement membrane and around the endometrial glands. The role of lysophosphatidic acid (LPA) in the development of tissue fibrosis varies depending on the organ, and its profibrotic role in mare endometrosis remains unclear. The study aimed to establish the endometrial presence of LPA and its receptors (LPAR1-4), together with its effects on connective tissue growth factor (CTGF) and prostaglandins (PG) secretion from equine endometrium under physiological (estrous cyc...
Magnetic Resonance Imaging Findings in the Proximal Metacarpal Region of 359 Horses and Proximal Metatarsal Region of 64 Horses Acquired Under Standing Sedation.
Journal of equine veterinary science    September 17, 2020   Volume 94 103268 doi: 10.1016/j.jevs.2020.103268
Murray RC, Tranquille CA, Walker VA, Milmine RC, Bak L, Tacey JB, Bolas NM.Standing magnetic resonance (MR) images of proximal metacarpal/metatarsal regions are increasingly being acquired. This study aimed at describing ranges of abnormalities detected in sport/racehorses, using retrospective evaluation of magnetic resonance imaging (MRI) reports from horses with lameness isolated to proximal metacarpal/metatarsal regions with images acquired standing. It was hypothesized that MRI features are different between metacarpal and metatarsal regions and between horses doing different sports. Reports from 359 forelimbs and 64 hindlimbs were included. Palmar/plantar metaca...
Idiopathic multifocal myocardial atrophy with fibrosis and fatty infiltration involving Purkinje fibres in a 13-year-old Arabian broodmare: Histopathological features.
Veterinary medicine and science    September 17, 2020   Volume 7, Issue 1 3-8 doi: 10.1002/vms3.350
Goto Asakawa M, Mehmood W, Ali M, Oikawa MA.Myocardial atrophy with fibrosis and fatty infiltration involving the cardiac conduction system is relatively unusual in horses. We herein report of such a case in a 13-year-old Arabian broodmare that had spontaneously died on a paddock. An autopsy revealed multifocal myocardial atrophy with concomitant fibrosis and fatty infiltration in both the ventricles and interventricular septum. The Purkinje fibres in the ventricles and interventricular septum were surrounded by thick fibrous or adipose tissues adjacent to atrophic myocardial cells. Myocardial fibrosis and fatty infiltration were likely...
Management of Subchondral Lucencies of the Medial Aspect of the Equine Antebrachiocarpal Joint.
Journal of equine veterinary science    September 17, 2020   Volume 94 103266 doi: 10.1016/j.jevs.2020.103266
Santschi EM, Juzwiak JS, Honnas C, Walker WT, Hunter B, Whitman JL, Prichard MA, Morehead JP.The objective of this study is to describe the management and outcomes of eight horses with subchondral lucencies (SCLs) of the medial aspect of the antebrachiocarpal (ABC) joint. The medical records and radiographs of the carpi of 8 horses with SCLs of the medial aspect of the ABC joint were reviewed. Follow-up clinical information was obtained for 6-60 months (the median duration of 14 months). Treatment was successful if radiographic healing was apparent or lameness was reduced or eliminated. Four horses had SCLs in the distomedial radius (DMR) and four in the proximal aspect of the radio...
Inter-observer variability of two grading systems for equine glandular gastric disease.
Equine veterinary journal    September 17, 2020   Volume 53, Issue 3 495-502 doi: 10.1111/evj.13334
Tallon R, Hewetson M.Equine glandular gastric disease (EGGD) is recognised as a separate entity to equine squamous gastric disease (ESGD) and it is recommended that lesions are graded differently. Currently, no validated scoring system exists for EGGD. Objective: To determine inter-observer reliability of two previously described grading systems for EGGD and to assess if agreement improved with gastroscopy experience, specialist training or familiarity with the descriptive system. Methods: Cross-sectional survey. Methods: A link to an electronic questionnaire containing 20 images of glandular lesions was circulate...
Overview of the Current Situation in a Sample of Headshakers and Owner Assessment of Effective Therapeutic Measures Used in Germany.
Journal of equine veterinary science    September 17, 2020   Volume 95 103270 doi: 10.1016/j.jevs.2020.103270
Stange LM, Krieter J, Czycholl I.Equine headshaking syndrome is a problematic behavior that has been described in literature for more than 100 years. The signs of headshaking syndrome appear frequently and violently so that riding the horse can be dangerous. The aim of this research was to gain an overview of the underlying causes of equine headshaking syndrome to identify effective treatment options, reduce the distress of horses and, in a second step, potentially improve therapeutic possibilities for horse owners and veterinarians. Most studies on prevalence originate from Anglo-American countries, so this research was to ...
Protective effects of dexmedetomidine on small intestinal ischaemia-reperfusion injury in horses.
Equine veterinary journal    September 17, 2020   Volume 53, Issue 3 569-578 doi: 10.1111/evj.13337
VanderBroek AR, Engiles JB, Kästner SBR, Kopp V, Verhaar N, Hopster K.Strangulating small intestinal lesions in the horse have increased morbidity and mortality compared to nonstrangulating obstructions due to mucosal barrier disruption and subsequent endotoxaemia. Objective: To investigate protective effects of dexmedetomidine on small intestinal ischaemia-reperfusion injury in the horse. Methods: Randomised, controlled, experimental study. Methods: Eighteen systemically healthy horses were randomly assigned to three groups: control, preconditioning, and post-conditioning. During isoflurane anaesthesia, complete ischaemia was induced in a 1-m segment of jejunum...
Climate change is likely to increase the development rate of anthelmintic resistance in equine cyathostomins in New Zealand.
International journal for parasitology. Drugs and drug resistance    September 17, 2020   Volume 14 73-79 doi: 10.1016/j.ijpddr.2020.09.001
Sauermann CW, Leathwick DM, Lieffering M, Nielsen MK.Climate change is likely to influence livestock production by increasing the prevalence of diseases, including parasites. The traditional practice of controlling nematodes in livestock by the application of anthelmintics is, however, increasingly compromised by the development of resistance to these drugs in parasite populations. This study used a previously developed simulation model of the entire equine cyathostomin lifecycle to investigate the effect a changing climate would have on the development of anthelmintic resistance. Climate data from six General Circulation Models based on four di...
Horizontal bone grafting using equine-derived cancellous bone blocks is associated with severe complications: A prospective clinical and histological pilot study.
Clinical oral implants research    September 17, 2020   Volume 31, Issue 11 1149-1158 doi: 10.1111/clr.13661
Angermair J, Bosshardt DD, Nelson K, Flügge TV, Stricker A, Fretwurst T.The aim of this prospective, clinical study was to evaluate the clinical performance and histological outcome of a new equine hydroxyapatite collagenated bone block (eHAC) for horizontal bone grafting prior to implant placement. Methods: Five patients (two male/three female) with a mean age of 51.6 years (range 22-66 years) and a reduced horizontal bone width of the alveolar ridge (mean 3.5 mm) underwent horizontal bone grafting using eHAC at 10 grafting sites. Reentry was performed 6.9 months after the horizontal grafting procedure. Clinical follow-up (mean 28.9 month) considered width g...
Molecular detection and identification of spotted fever group rickettsiae in ticks collected from horses in Cuba.
Medical and veterinary entomology    September 16, 2020   Volume 35, Issue 2 207-212 doi: 10.1111/mve.12480
Díaz-Sánchez AA, Chilton NB, Roblejo-Arias L, Fonseca-Rodríguez O, Marrero-Perera R, Diyes CP, Yunik MEM, Lobo-Rivero E, Corona-González B.Spotted fever group (SFG) rickettsiae are obligatory intracellular bacteria that cause disease in humans and other animals. Ixodid ticks are the principal vectors of SFG rickettsiae. The present study aimed to determine the prevalence and species identity of SFG rickettsiae in ticks and horses from urban and rural areas of western Cuba using PCR assays. Tick samples, collected from 79 horses, consisted of 14 Amblyomma mixtum adults, 111 Dermacentor nitens adults and 19 pools of D. nitens nymphs (2-5 individuals/pool). The PCR results revealed the presence of Rickettsia spp. in 64% of the A. mi...
A review of in vivo and in vitro studies of the mare endometrium.
Animal reproduction science    September 16, 2020   Volume 222 106605 doi: 10.1016/j.anireprosci.2020.106605
Thompson RE, Premanandan C, Pukazhenthi BS, Whitlock BK.The inner layer of the uterus, the endometrium, is responsible and necessary for many reproductive functions. Normal reproductive cyclicity, maternal recognition of pregnancy, maternal interaction with the embryo, and interaction of the reproductive tract with pathogens are dependent on the endometrium. Although most studies have been conducted in vivo using live animals, recent advances in in vitro approaches could facilitate future research in a laboratory setting with minimal effect on animals. Many reproductive studies have been performed in vivo and in vitro in equids, but new in vitro me...
Prevalence and Distribution of Lesions in the Nasal Bones and Mandibles of a Sample of 144 Riding Horses.
Animals : an open access journal from MDPI    September 16, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091661
Pérez-Manrique L, León-Pérez K, Zamora-Sánchez E, Davies S, Ober C, Wilson B, McGreevy P.Restrictive nosebands are used in equestrian sports to hold the bit in place and reduce mouth-opening, a response that can attract penalties in some sports and is thought to reduce the rider's control of the horse. Sustained pressure from such tightly fitted (restrictive) nosebands denies normal behaviour and thus, causes frustration and distress that can jeopardise horse welfare. It also may push the cheek against the molar teeth, compress soft tissues including blood vessels and nerves, and possibly induce chronic changes to underlying bone. This study of mature cavalry horses (n = 144) was ...
Qualitative analysis and functional classification of the uterine proteome of mares in oestrus and dioestrus.
Reproduction in domestic animals = Zuchthygiene    September 15, 2020   Volume 55, Issue 11 1511-1519 doi: 10.1111/rda.13800
Khan FA, Diel de Amorim M, Chenier TS.Quantitative analysis of the uterine flush fluid proteome of mares in oestrus and dioestrus has been previously reported. The objectives of this study were to: a) evaluate qualitative differences in the uterine flush fluid proteome between mares in oestrus and mares in dioestrus and b) perform a functional classification of proteins either unique to each stage or common between the two stages. Uterine flush fluid samples were collected from 8 light breed mares in either oestrus (n = 5) or dioestrus (n = 3). Proteomic analysis of the samples was conducted using liquid chromatography-tandem ...
Inclusion of supplemental antibiotics (amikacin – penicillin) in a commercial extender for stallion semen: Effects on sperm quality, bacterial growth, and fertility following cooled storage.
Theriogenology    September 15, 2020   Volume 158 209-217 doi: 10.1016/j.theriogenology.2020.09.018
Hernández-Avilés C, Love CC, Serafini R, Ramírez-Agámez L, Kelley DE, de Andino EM, Teague SR, LaCaze KA, Brinsko SP, Varner DD.In this study, the effectiveness of supplementing INRA-96® extender (INRA-Control; original antibiotic formulation: potassium penicillin G = 38 μg/mL; gentamicin sulfate = 105 μg/mL; amphotericin B = 0.315 μg/mL) with amikacin sulfate and potassium penicillin G (AP) was determined. In Exp. 1, two sources of amikacin (INRA-AP-Sigma or INRA-AP-GoldBio) in combination with penicillin G were compared with ticarcillin/clavulanate (INRA-Tim) or no-supplemental antibiotics (INRA-Control) to examine effects on sperm quality and commensal bacterial growth. No differences were detected in s...
Medicine in the Sport of Horse Racing.
Current sports medicine reports    September 15, 2020   Volume 19, Issue 9 373-379 doi: 10.1249/JSR.0000000000000750
Ryan KD, Brodine J, Pothast J, McGoldrick A.Horseracing is among the most popular and increasingly lucrative industry sports in the nation. The average jockey must control a thoroughbred horse 10 times their weight that may act unpredictably whether at rest or full gallop resulting in falls, kicks, or even biting injuries. Despite the risks, jockeys do not have access to the same quality of medical care that is standard in similarly profitable sports organizations. Beyond the mental and physical demands of training and performance endured by any professional athlete, jockeys are confronted with health challenges unique to their sport. I...
Treatment of Progressive Scleromalacia Perforans by Tectonic Enhancement With Lyophilized Equine Pericardium.
Cornea    September 15, 2020   Volume 40, Issue 5 648-651 doi: 10.1097/ICO.0000000000002465
Droutsas K, Giachos I, Katsiampoula V, Kourti P, Kymionis G, Petrou P.To describe the off-label use of lyophilized equine pericardium for tectonic enhancement of the sclera in a case of progressive scleromalacia perforans. Methods: An 82-year-old woman with a history of varicella zoster virus sclerokeratitis presented with a progressively expanding scleral thinning at the superonasal quadrant of the anterior sclera of her left eye. The eye was blind because of intractable glaucoma. To avoid perforation of the exposed choroid, a single layer of lyophilized equine pericardium was sutured over the scleral perforation. After performing a conjunctival peritomy in the...