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The Veterinary clinics of North America. Equine practice2026; S0749-0739(25)00069-0; doi: 10.1016/j.cveq.2025.12.001

Ocular Causes for Undesired Behaviors in the Horse.

Abstract: Numerous ocular diseases cause visual impairment and induce ocular pain that may be associated with undesired behaviors in horses. Horses with ocular pain, indicated by the presence of blepharospasm, blepharoedema, ocular discharge or rubbing the eye, should be rested from work to avoid worsening the ocular disease and to avoid undesired behaviors associated with pain or vision impairment. Horses with ocular disease are frequently head shy. Some stoic horses may not have obvious outward clinical signs despite significant visual impairment, and as such, undesired behaviors such as spooking, balking, headshaking, or rearing may be indications of an ocular problem.
Publication Date: 2026-01-28 PubMed ID: 41611578DOI: 10.1016/j.cveq.2025.12.001Google Scholar: Lookup
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Summary

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Overview

  • This article discusses how eye diseases in horses can lead to vision problems and pain, which may cause unwanted behaviors.
  • It emphasizes the importance of recognizing ocular issues to manage these behaviors effectively and ensure the horse’s well-being.

Detailed Explanation

Ocular Diseases and Their Effects

  • Various ocular diseases in horses can impair vision or cause ocular pain.
  • Symptoms of ocular pain include:
    • Blepharospasm (involuntary blinking or eye closure)
    • Blepharoedema (swelling of the eyelids)
    • Ocular discharge (eye secretions)
    • Rubbing the eye frequently
  • These symptoms negatively impact the horse’s visual clarity and comfort.

Connection Between Ocular Issues and Undesired Behaviors

  • Horses experiencing eye pain or vision problems often exhibit undesired behaviors due to discomfort or impaired perception.
  • Common behaviors linked to ocular problems include:
    • Spooking (sudden fear reactions)
    • Balking (refusal to move forward)
    • Headshaking (frequent shaking of the head)
    • Rearing (raising front legs off the ground)
  • Some horses may become head shy, possibly as a response to ocular pain or sensitivity.

Importance of Rest and Early Identification

  • Horses showing signs of ocular pain should be rested and removed from work to prevent worsening of the eye condition.
  • A rest period helps to:
    • Reduce ocular inflammation or discomfort
    • Minimize risk of more severe vision impairment
    • Decrease behaviors related to pain and poor vision

Challenges in Diagnosis

  • Stoic horses may not display obvious outward signs of eye disease despite significant vision loss.
  • In such cases, undesired behaviors might be the only indication of an ocular problem.
  • Careful observation and examination by a veterinarian are crucial to identify visual impairments.

Summary

  • Ocular diseases can cause both physical pain and visual impairment in horses, leading to behavioral changes that may complicate handling and training.
  • Recognizing the signs of eye discomfort and impairment is important to provide adequate treatment and prevent further complications.
  • Proper management includes resting the horse and seeking veterinary care to address the underlying ocular conditions.

Cite This Article

APA
Knickelbein KE. (2026). Ocular Causes for Undesired Behaviors in the Horse. Vet Clin North Am Equine Pract, S0749-0739(25)00069-0. https://doi.org/10.1016/j.cveq.2025.12.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
PII: S0749-0739(25)00069-0

Researcher Affiliations

Knickelbein, Kelly E
  • Department of Clinical Sciences, Cornell University College of Veterinary Medicine, 930 Campus Road, Ithaca, NY 14853, USA. Electronic address: kek248@cornell.edu.

Conflict of Interest Statement

Disclosure The author has no competing interests to disclose.

Citations

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