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Equine veterinary journal2017; 50(2); 186-191; doi: 10.1111/evj.12743

A multicentre study of long-term follow-up and owner satisfaction following enucleation in horses.

Abstract: Horses are reported to return to a variety of disciplines following unilateral enucleation; however, owners of horses with ocular disease are frequently reluctant to consider the procedure. There is little published information investigating owners' attitudes towards, and satisfaction following, enucleation. Objective: To investigate the hypotheses: 1) horses return to their previous level of work following unilateral enucleation and 2) their owners are satisfied with the post-operative outcome. Methods: Retrospective case series with cross-sectional survey. Methods: Clinical records from eight equine referral centres in the United Kingdom were reviewed to identify horses that underwent enucleation between August 2006 and March 2015. Owner questionnaires were completed to corroborate information provided by medical records and obtain information on client perceptions. Results: A total of 170 cases were identified and 119 owner questionnaires completed. The most frequent primary uses of horses in the study were pleasure/leisure riding, showjumping and dressage, with 25.2% (n = 30) of horses used for competition. Following enucleation, 77.3% (n = 92) of horses were performing at an equivalent or higher level than prior to enucleation and 60.0% (n = 18/30) of competition horses were competing at an equivalent or higher level. Complications related to the surgical site (predominantly mild post-operative swelling) were reported in 3.7% of cases and nonocular complications in 3.7% of cases. Of owners who reported being concerned or very concerned about certain factors prior to surgery, ≥86.8% reported that these factors caused little or no issue post-surgery. Most owners, 90.8% (n = 108) were pleased with the outcome following surgery, with 21.3% (n = 23/108) wishing the procedure had been undertaken sooner. Conclusions: Retrospective data collection from clinical records and the potential for recall bias. Conclusions: Horses can return successfully to a variety of disciplines following enucleation. Owners are satisfied with the outcome and pleased that enucleation was performed.
Publication Date: 2017-09-13 PubMed ID: 28815702DOI: 10.1111/evj.12743Google Scholar: Lookup
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  • Journal Article

Summary

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This research study investigates the health and performance outcomes of horses after undergoing a surgical procedure called enucleation, or eye removal, due to an ocular disease. The study found that most horses returned to their previous or even higher level of work following the procedure, with maximum owner satisfaction.

Research Purpose and Methodology

  • The study primarily aimed to test two hypotheses: whether horses can return to their previous work level after an enucleation and if the owners are satisfied with the post-surgery outcome.
  • The researchers carried out their study retrospectively by analyzing clinical records from eight equine referral centres across the United Kingdom for horses that underwent enucleation from August 2006 to March 2015.
  • To collate a rounded picture and gage owner sentiments, questionnaires were sent to the owners of these horses. These surveys aimed to confirm the information present in the medical records and to understand the perceptions of the owners.

Key Findings

  • A total of 170 cases were identified, and 119 questionnaires were completed by the horse owners.
  • The range of disciplines the horses were involved in was quite wide, including leisure riding, showjumping, dressage, and competition horses. Interestingly, post-enucleation, 77.3% of the horses were performing at the same or higher level than before, including 60% of competition horses.
  • Post-surgery complications were reported in a small number of cases, including minor swelling at the surgical site and nonocular complications.
  • From the owner’s perspective, most concerns prior to surgery were not a significant issue after the operation. A high percentage (90.8%) of owners expressed satisfaction with the surgical outcome, and many wished they had opted for the procedure sooner.

Research Limitations and Conclusion

  • The study acknowledged potential limitations, such as the retrospective nature of the data collection and the possible impact of recall bias on the data gathered through questionnaires.
  • Despite these limitations, the study provides strong evidence that post-enucleation, horses can indeed recover well and return to their various disciplines. Furthermore, it showcases that owners were largely satisfied with the surgical outcomes, which may aid future decision-making in treating horses with ocular diseases.

Cite This Article

APA
Wright K, Ireland JL, Rendle DI. (2017). A multicentre study of long-term follow-up and owner satisfaction following enucleation in horses. Equine Vet J, 50(2), 186-191. https://doi.org/10.1111/evj.12743

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 50
Issue: 2
Pages: 186-191

Researcher Affiliations

Wright, K
  • Minster Equine Practice, The Old Dairy, Galphay, Ripon, North Yorkshire, UK.
Ireland, J L
  • Institute of Veterinary Science, University of Liverpool, Neston, Cheshire, UK.
Rendle, D I
  • Rainbow Equine Hospital, Rainbow Farm, Old Malton, Malton, North Yorkshire, UK.

MeSH Terms

  • Animals
  • Cross-Sectional Studies
  • Data Collection
  • Eye Enucleation / veterinary
  • Female
  • Horse Diseases / surgery
  • Horses
  • Humans
  • Male
  • Ownership
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome
  • United Kingdom

Citations

This article has been cited 3 times.
  1. Biondi V, Pugliese M, Voslarova E, Landi A, Passantino A. Animal Welfare Considerations and Ethical Dilemmas Inherent in the Euthanasia of Blind Canine Patients. Animals (Basel) 2022 Apr 2;12(7).
    doi: 10.3390/ani12070913pubmed: 35405901google scholar: lookup
  2. Marzok M, Nazih MA, Almubarak AI, Al-Thnaian TA, Alkhodair KM, Tharwat M, El-Sherif MW. A modified supraorbital surgical approach for enucleation- exenteration in dromedary camels (camelus dromedarius): Clinical study. PLoS One 2024;19(8):e0306710.
    doi: 10.1371/journal.pone.0306710pubmed: 39208028google scholar: lookup
  3. Marzok M, Almubarak AI, Nazih M, Al-Thnaian TA, Alkhodair K, El-Sherif M. A novel enucleation- exenteration approach of the equine eye via the supraorbital fossa: an experimental and clinical study in donkeys (Equus asinus). Front Vet Sci 2024;11:1379151.
    doi: 10.3389/fvets.2024.1379151pubmed: 38948677google scholar: lookup