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The Veterinary clinics of North America. Equine practice2017; 33(3); 439-463; doi: 10.1016/j.cveq.2017.07.002

Corneal Response to Injury and Infection in the Horse.

Abstract: This article describes the natural responses of the immune system and the cornea to injury and infection. The process of reepithelialization and reformation of stromal collagen is discussed, as are the clinical signs and manifestations of the effects of the healing response when it is routine and when it is pathologic. Excessive inflammatory or immune responses by host tissues can cause further damage that may be present from the antecedent injury or the effect of a pathogen. The clinical signs and manifestations of wound healing as well as potential therapeutic interventions are described.
Publication Date: 2017-10-03 PubMed ID: 28985985DOI: 10.1016/j.cveq.2017.07.002Google Scholar: Lookup
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Summary

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The research article, “Corneal Response to Injury and Infection in the Horse”, examines the natural reactions of the immune system and cornea amid injuries and infections in horses, explaining key processes and potential treatments involved in wound healing.

Immune System and Cornea Response

The article reviews how the immune system and the cornea react to damages and infections. These responses are primarily aimed at protecting the horse from further harm and initiating repair processes. Key among these is:

  • The reepithelialization process: this involves the restoration of the epithelial tissue, which is the outer layer of the cornea that usually absorbs much of the impact from injuries or infections.
  • The reformation of stromal collagen: this process is integral to the repair of the cornea since stromal collagen constitutes a substantial part of the corneal structure.

Pathological Versus Routine Healing Response

The paper proceeds to differentiate the symptoms and effects resulting from a routine healing response versus a pathological healing response. The routine healing response is the standard reaction that initially preserves the organism from further damage and initiates the repair process. This includes inflammation, which isn’t damaging in its normal capacity. Conversely, a pathological healing response is when these protective reactions become excessive, resulting in further harm. This might be due to overly intense inflammatory or immune responses to the initial injury or the effects of an infectious agent.

Clinical Signs and Potential Therapies

The research paper describes the observable symptoms associated with wound healing in horses. Certain signs can help a veterinarian determine the stage of healing and whether a healing response is routine or pathological, such as inflammation, redness, or eye discharge. The article also discusses potential therapeutic interventions to manage excessive healing responses and promote better outcomes for the horse. These could include anti-inflammatory medications to control excessive inflammation or therapeutics that specifically target and mitigate the effects of infectious agents.

Cite This Article

APA
Plummer CE. (2017). Corneal Response to Injury and Infection in the Horse. Vet Clin North Am Equine Pract, 33(3), 439-463. https://doi.org/10.1016/j.cveq.2017.07.002

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 33
Issue: 3
Pages: 439-463

Researcher Affiliations

Plummer, Caryn E
  • Comparative Ophthalmology, Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, PO Box 100101, 2015 Southwest 16th Avenue, Gainesville, FL 32610, USA; Comparative Ophthalmology, Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, PO Box 100101, 2015 Southwest 16th Avenue, Gainesville, FL 32610, USA. Electronic address: PlummerC@ufl.edu.

MeSH Terms

  • Animals
  • Cornea / immunology
  • Cornea / microbiology
  • Cornea / pathology
  • Corneal Injuries / immunology
  • Corneal Injuries / microbiology
  • Corneal Injuries / pathology
  • Corneal Injuries / veterinary
  • Horse Diseases / immunology
  • Horse Diseases / microbiology
  • Horse Diseases / pathology
  • Horses
  • Wound Healing / physiology

Citations

This article has been cited 6 times.
  1. Zhang C, Li J, Shen X, Wang J. Fabrication of nanozyme thixotropic anionic hydrogel for treating fungal keratitis by Dectin-1/p38 pathway. Appl Microbiol Biotechnol 2025 Jun 26;109(1):153.
    doi: 10.1007/s00253-025-13529-8pubmed: 40569312google scholar: lookup
  2. Preston JF, Mustikka MP, Priestnall SL, Dunkel B, Fischer MC. Clinical features and outcomes of horses presenting with presumed equine immune mediated keratitis to two veterinary hospitals in the United Kingdom and Finland: 94 cases (2009-2021). Equine Vet J 2025 May;57(3):598-610.
    doi: 10.1111/evj.14213pubmed: 39183684google scholar: lookup
  3. Meissner JM, Chmielińska A, Ofri R, Cisło-Sankowska A, Marycz K. Extracellular Vesicles Isolated from Equine Adipose-Derived Stromal Stem Cells (ASCs) Mitigate Tunicamycin-Induced ER Stress in Equine Corneal Stromal Stem Cells (CSSCs). Curr Issues Mol Biol 2024 Apr 9;46(4):3251-3277.
    doi: 10.3390/cimb46040204pubmed: 38666934google scholar: lookup
  4. Peyrecave-Capo X, Saulnier N, Maddens S, Gremillet B, Desjardins I. Equine Umbilical Cord Serum Composition and Its Healing Effects in Equine Corneal Ulceration. Front Vet Sci 2022;9:843744.
    doi: 10.3389/fvets.2022.843744pubmed: 35372560google scholar: lookup
  5. Tahoun A, Elnafarawy HK, El-Sharkawy H, Rizk AM, Alorabi M, El-Shehawi AM, Youssef MA, Ibrahim HMM, El-Khodery S. The Prevalence and Molecular Biology of Staphylococcus aureus Isolated from Healthy and Diseased Equine Eyes in Egypt. Antibiotics (Basel) 2022 Feb 10;11(2).
    doi: 10.3390/antibiotics11020221pubmed: 35203823google scholar: lookup
  6. Mustikka MP, Grönthal TSC, Pietilä EM. Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles. Vet Ophthalmol 2020 Jan;23(1):148-159.
    doi: 10.1111/vop.12701pubmed: 31364808google scholar: lookup