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Home / Equine Research Bank / Vet Ophthalmol / Diamond burr debridement of calcific band keratopathy in 24 ...
Veterinary ophthalmology2024; 27(6); 549-557; doi: 10.1111/vop.13212

Diamond burr debridement of calcific band keratopathy in 24 eyes of 22 horses.

Abstract: To evaluate the safety and effectiveness of diamond burr debridement (DBD) for the treatment of calcific band keratopathy (CBK) in horses. Methods: Medical records from horses with CBK were reviewed over a period of 4 years. Diagnosis of CBK was based on slit-lamp examination findings, and DBD was performed on standing sedated horses. Follow-up was obtained by clinical reevaluation of the treated eyes or a telephone survey with the referring veterinarian. Results: Twenty-two horses of different ages (median: 11 years; range: 5-23) representing 24 CBK-affected eyes (14 left eyes and 10 right eyes) were included in the study. The patients had a medical history of chronic and recurrent uveitis, which required repeated long-term treatments with various combinations of ophthalmic corticosteroids. DBD alone cleared the cornea in 22 affected eyes (92%), but it was combined with blade scraping in two cases with thick calcium plaques. The postoperative medication included a topical antibiotic, atropine drops, and oral flunixin meglumine. Corneal healing was achieved in 21 eyes (87%), 5-21 days (median time 13 days) postoperatively. The three remaining horses were lost to follow-up. Recurrence occurred in 5 of the 21 (24%) reexamined eyes, 3-12.5 weeks (median 8 weeks) postoperatively, and required a second DBD. Four of the 21 eyes ended up being enucleated due to sequelae of uveitis. The main limitations of the study include those inherent to all retrospective clinical data collections. Conclusions: Mechanical DBD can readily and safely clear the cornea in horses with CBK, but recurrence of calcium deposition is possible.
© 2024 American College of Veterinary Ophthalmologists.
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Publication Date: 2024-03-26 PubMed ID: 38529825DOI: 10.1111/vop.13212Google Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The research paper examines the safety and success of diamond burr debridement (DBD), a procedure used to treat calcific band keratopathy (CBK), a form of eye disease, in horses.

Research Methodology

  • The researchers analyzed the medical records of horses diagnosed with CBK over a period of four years. The diagnosis of CBK was based on findings from a slit-lamp examination.
  • The DBD treatment was performed on standing, sedated horses.
  • Follow-up was conducted through a clinical reevaluation of the treated eyes or a telephone survey with the referring veterinarian.

Study Participants

  • The study consisted of 22 horses of varying ages, with a total of 24 CBK-affected eyes.
  • These horses had a history of chronic and recurrent uveitis, an inflammation of the eye, which previously required long-term, repeated treatments with a range of ophthalmic corticosteroids.

Execution and Results

  • DBD alone was successful in clearing the cornea in 22 of the affected eyes.
  • In two cases with particularly thick calcium plaques, DBD was combined with blade scraping to achieve success.
  • After the operation, horses were given topical antibiotics, atropine drops, and oral flunixin meglumine.
  • Corneal healing was achieved in 21 eyes within a span of 5-21 days post-operatively.
  • Three horses were lost to follow-up, and recurrence of the condition was observed in five out of the remaining 21 eyes between 3-12.5 weeks post-operatively, necessitating a second DBD procedure.
  • Unfortunately, four eyes had to be enucleated due to complications from uveitis.

Conclusion

  • Despite the limitations of the study, such as being a retrospective clinical data collection, the study concludes that mechanical DBD is a safe and successful treatment for clearing the cornea in horses with CBK.
  • However, the study notes that the calcium deposition can potentially recur post-treatment.

Cite This Article

APA
Jugant S, Regnier A, Douet JY. (2024). Diamond burr debridement of calcific band keratopathy in 24 eyes of 22 horses. Vet Ophthalmol, 27(6), 549-557. https://doi.org/10.1111/vop.13212

Publication

Veterinary ophthalmology
ISSN: 1463-5224
NlmUniqueID: 100887377
Country: England
Language: English
Volume: 27
Issue: 6
Pages: 549-557

Researcher Affiliations

Jugant, Sophie
  • OphtoVet-Méditerranée, Nîmes, France.
Regnier, Alain
  • CHUVAC, Université de Toulouse, ENVT, Toulouse, France.
Douet, Jean-Yves
  • CHUVAC, Université de Toulouse, ENVT, Toulouse, France.
  • IHAP, Université de Toulouse, INRAE, ENVT, Toulouse, France.

MeSH Terms

  • Animals
  • Horses
  • Horse Diseases / surgery
  • Debridement / veterinary
  • Debridement / instrumentation
  • Female
  • Male
  • Retrospective Studies
  • Calcinosis / veterinary
  • Calcinosis / surgery
  • Corneal Dystrophies, Hereditary / veterinary
  • Corneal Dystrophies, Hereditary / surgery
  • Corneal Diseases / veterinary
  • Corneal Diseases / surgery
  • Treatment Outcome

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