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Veterinary anaesthesia and analgesia2018; 45(3); 278-284; doi: 10.1016/j.vaa.2017.12.002

Corneal abrasion and microbial contamination in horses following general anaesthesia for non-ocular surgery.

Abstract: To evaluate the incidence of corneal abrasions/ulceration and microbial contamination in horses undergoing general anaesthesia. Methods: Prospective, observational, clinical study. Methods: A total of 40 client-owned healthy horses scheduled for elective non-ophthalmic procedures. Methods: Conjunctival sac swabs were taken, fluorescein dye applied and digital images recorded from both eyes of the horses after preanaesthetic medication and 24 hours after recovery from general anaesthesia. A paraffin-based bland ophthalmic ointment was applied on the ocular surface intraoperatively following collection of a sample into a sterile container. All samples underwent aerobic, anaerobic and fungal culture. Subject demographics, chronology of ophthalmic ointment use, anaesthesia duration, recumbency after induction, during surgery and recovery, fluorescein uptake and culture results were recorded. Descriptive statistics were performed. Results: Complete data were collected from 34 horses; six (17.6%) developed mild unilateral generalized fluorescein uptake consistent with corneal abrasions. Recumbency on the operating table was the only risk factor significantly associated with corneal abrasions. A total of 11 bacterial species were identified; Staphylococcus spp. (15 eyes) and Micrococcus spp. (eight eyes) were the most frequently isolated bacteria. Two fungal species were isolated postoperatively (Aspergillus spp., Saccharomyces spp.) in two eyes. Ointment contamination was recorded in two cases (5%) but cross-contamination was not recognized. Unassigned: Incidence of corneal abrasion/ulceration in horses undergoing general anaesthesia and contamination rate of ophthalmic solutions are similar to those previously reported in dogs.
Publication Date: 2018-01-09 PubMed ID: 29409802DOI: 10.1016/j.vaa.2017.12.002Google Scholar: Lookup
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  • Journal Article

Summary

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The research focuses on determining the incidence of corneal abrasions and microbial contamination in horses that undergo general anaesthesia for non-eye surgeries. It was found that some instances of corneal abrasions occurred, with a certain bacteria species being frequently isolated from the eye samples. This outcome is similar to previous findings in research involving dogs.

Methodology

  • The study is a prospective, observational, clinical research involving 40 client-owned horses that were scheduled for elective non-eye surgeries.
  • The researchers took conjunctival sac swabs, applied fluorescein dye, and recorded digital images from the eyes of the horses after the pre-anaesthetic medication and 24 hours after recovery from general anaesthesia.
  • An ophthalmic ointment, based on paraffin, was applied to the ocular surface intraoperatively following the collection of a sample in a sterile container.
  • All samples were cultured for aerobic, anaerobic, and fungal organisms.
  • Data on subjects’ demographics, the chronology of the use of the ointment, the duration of anaesthesia, recumbency after and during surgery and recovery, and results for fluorescein uptake and culture were recorded.

Results

  • Complete data were collected from 34 horses out of the initial 40. Six of these horses, equivalent to 17.6%, developed mild unilateral generalized fluorescein uptake in line with corneal abrasions.
  • Recumbency on the operating table was found to be the only significant risk factor related to corneal abrasions.
  • In total, 11 bacterial species were identified in the samples, with Staphylococcus spp. (15 eyes) and Micrococcus spp. (eight eyes) being the most frequently isolated bacteria.
  • Two fungal species (Aspergillus spp., Saccharomyces spp.) were isolated postoperatively in two eyes.
  • Contamination of the ointment was recorded in two cases, representing 5%, but cross-contamination was ruled out.

Conclusion

  • The study concluded that the incidence of corneal abrasion and ulceration in horses undergoing general anaesthesia, and the contamination rate of ophthalmic solutions are similar to those previously reported in studies involving dogs.

Cite This Article

APA
Scarabelli S, Timofte D, Malalana F, Bardell D. (2018). Corneal abrasion and microbial contamination in horses following general anaesthesia for non-ocular surgery. Vet Anaesth Analg, 45(3), 278-284. https://doi.org/10.1016/j.vaa.2017.12.002

Publication

ISSN: 1467-2995
NlmUniqueID: 100956422
Country: United States
Language: English
Volume: 45
Issue: 3
Pages: 278-284

Researcher Affiliations

Scarabelli, Stefania
  • Phillip Leverhulme Equine Hospital, Institute of Veterinary Science, University of Liverpool, Liverpool, UK. Electronic address: scara@liverpool.ac.uk.
Timofte, Dorina
  • Veterinary Pathology and Public Health Department, Institute of Veterinary Science, University of Liverpool, Liverpool, UK; Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Malalana, Fernando
  • Phillip Leverhulme Equine Hospital, Institute of Veterinary Science, University of Liverpool, Liverpool, UK.
Bardell, David
  • Phillip Leverhulme Equine Hospital, Institute of Veterinary Science, University of Liverpool, Liverpool, UK; Institute of Aging and Chronic Disease, University of Liverpool, Liverpool, UK.

MeSH Terms

  • Anesthesia, General / adverse effects
  • Anesthesia, General / veterinary
  • Animals
  • Aspergillus
  • Cornea / microbiology
  • Corneal Injuries / etiology
  • Corneal Injuries / microbiology
  • Corneal Injuries / veterinary
  • Corneal Ulcer / etiology
  • Corneal Ulcer / microbiology
  • Corneal Ulcer / veterinary
  • Female
  • Horse Diseases / etiology
  • Horse Diseases / surgery
  • Horses / surgery
  • Male
  • Micrococcus
  • Ophthalmic Solutions / adverse effects
  • Saccharomyces
  • Staphylococcus

Citations

This article has been cited 1 times.
  1. Gozalo-Marcilla M, Ringer SK. Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature. Animals (Basel) 2021 Jun 14;11(6).
    doi: 10.3390/ani11061777pubmed: 34198637google scholar: lookup