Glaucoma in dogs and cats - management with cyclocryotherapy

Background: The treatment of glaucoma often requires numerous therapeutic modalities to achieve the desired reduction in intraocular pressure (IOP). Cyclodestructive procedures or ciliary body destruction have been performed using techniques with considerable differences in efficacy and complication rates. Among these methods, cyclocryotherapy is non-invasive and simple for the management of uncontrolled glaucoma in dogs and cats. The objective of this case report is to describe the technique of carbon dioxide cyclocryotherapy to reduce intraocular pressure in dogs and cats with glaucoma. Cases: Nine canine patients and one cat with glaucoma were treated with cyclocryotherapy performed under general anaesthesia. Clinical signs patients included blepharospasm, ocular pain, episcleral congestion and ocular hypertension. The patients showed higher levels of IOP, higher than 30 mmHg. Surgical treatment with general anaesthesia was applied. The pre-anaesthesia protocol included acepromazine 0.05 mg/kg with methadone 0.2 mg/kg, followed by intravenous propofol and maintenance with isoflurane and oxygen. An ophthalmological cryocautery unit was used with carbon dioxide as the cryogenic agent and a retinal cryoprobe of 3.2 mm diameter tip for the procedure. The method used was a double cycle of freezing and thawing for 60 s in each site. The cryoprobe was centred approximately 5 mm posterior to the corneoscleral limbus over the ciliary body. The temperature of each cyclocryotherapy spot was between -60°C and -80°C and each site was maintained in place for 60 s; 4 to 6 spots of the double freeze-thaw cycle were made. This technique did not have any serious complications during or after the application of cryotherapy, but chemosis and hyperaemia of the bulbar conjunctiva developed. Subconjunctival anti-inflammatory steroids were injected to minimise swelling and patient discomfort. Satisfactory results were observed; in all cases, the intraocular pressure decreased, with the usual result being a cosmetic and painless eye. Discussion: Even with recent surgical and medical advances, pain and blindness are still common occurrences in glaucoma in human and veterinary practice. The cyclodestructive procedures included cyclodialysis, cyclodiathermy, cyclocryotherapy, and cyclophotocoagulation. The cryosurgery in veterinary ophthalmology has many indications for the treatment of ocular diseases and is effective at decreasing intraocular pressure in patients with persistent uncontrolled glaucoma. Cyclocryotherapy has been shown to reduce intraocular pressure in dogs, cats, rabbits and humans with normotensive and glaucomatous eyes. The application of a cryoprobe over the ciliary processes results in ablating ciliary tissue so that aqueous humour inflow is reduced to acceptable levels. In the clinical cases evaluated, there was a reduction in intraocular pressure reaching acceptable levels, with the usual result being cosmetic and painless eye. Medical therapy remains the predominant method for treating glaucoma in veterinary patients; therefore, cyclocryotherapy is an effective, simple way to lower IOP and is a reasonable treatment option for glaucoma management. Cyclocryotherapy has shown good results, with a low learning curve and it can also be repeated if necessary.

Coloboma eyelid in cats - treatment with carbon dioxide cryosurgery

Background: Eyelid colobomas are congenital and developmental disorders. Generally, they affect the temporal portion of the upper eyelids of cats, bilaterally. This ocular defect is accompanied by trichiasis associated with pain and ulcerative keratitis. Any breed can be affected and it has been reported in Domestic Shorthair, Persian, Burmese, Mongrel cats and captive felids. The objective of this case report is to describe the technique of dioxide carbon cryosurgery for the treatment of eyelid coloboma in felines. Cases: Seven mongrel cats (14 eyes) with bilateral eyelid coloboma were included in this study, 5 females and 2 males, with a median age of 5 months (range 6-8 months). The patients presented with blepharospasm, bilateral mucopurulent ocular discharge and eyelid coloboma extension of 30-50% in the upper eyelid, resulting in severe trichiasis of both eyes. In 5 cats, 1 or both eyes were diagnosed with keratitis and superficial corneal ulcers. Surgical treatment with general anaesthesia was applied. The pre anaesthesia protocol included acepromazine 0.05 mg/kg with methadone 0.2 mg/kg, followed by intravenous propofol and maintenance with isoflurane and oxygen. An ophthalmological cryocautery unit was utilised with carbon dioxide as the cryogenic agent and a retinal cryoprobe of 3.2 mm diameter tip, reaching -50ºC for the procedure. The method used was a double cycle of freezing and thawing for 60 s in the margins of eyelid agenesis. Epilation of hairs was made after freezing with eyelash tweezers. Immediately after the surgical procedure, an Elizabethan collar was placed to safeguard the area and anti-inflammatory therapy with meloxicam 0.1 mg/kg once daily for 3 days was prescribed. Antibiotic ointment every 6 h (chloramphenicol and associations) was also prescribed for topical application. Two weeks post-operatively, hyperaemia, oedema and skin wounds at the margins were observed. After 30 days these clinical signs were minimal. No signs of pain were observed post-operatively. The follow-up was 90 days and the trichiasis was resolved in all cats. Discussion: Usually, young cats are affected with eyelid colobomas. The age of the patients in this study was between 6-8 months. Eyelid colobomas are repaired with a variety of blepharoplastic procedures and the choice depends on the size and position of the defect. Generally, larger defects require more extensive reconstructive procedures. All techniques can have post-operative complications. Suture dehiscence, skin flap necrosis and facial deformation can occur with traditional surgical techniques. Furthermore, posterior hair growth in the margins can lead to new trichiasis. Cryosurgery was chosen and performed as the temperature of -20°C is sufficient to destroy hair follicles, without surgical incisions, avoiding scar formation. Hence, sutures are not necessary in cryosurgery procedures. Carbon dioxide is a good cryogenic agent for the purpose of this procedure. In the cases described, no recurrence of hair growth was observed in the follow-up period of 90 days. Nevertheless, a good aesthetic appearance was maintained. Therefore, the use of carbon dioxide cryosurgery is an effective and safe alternative for treatment of eyelid coloboma in cats. To our knowledge, no paper has described the use of carbon dioxide cryosurgery for the correction of palpebral agenesis in felines and other species as a single treatment. This technique is easy to perform, has good aesthetic and functional results and can be considered a treatment option for this congenital condition.

Cryosurgery using dimethyl ether in the treatment of pigmentary keratitis in pug dogs / Criocirurgia usando o dimethyl ether no tratamento da ceratite pigmentar em cães da raça Pug

Corneal pigmentation and vascularization eventually result in blindness in dogs. Pigmentary keratitis describes a relatively common presentation comprising the deposition of melanin in the cornea and conjunctival surface associated with chronic inflammation. Cryosurgery is indicated as a treatment for pigmentary keratitis in dogs. Due to melanocytes sensitivity to cold, cryosurgery is a viable treatment for severe refractory corneal pigmentation. The aim of this work was to evaluate the use of dimethyl ether in the treatment of pigmentary keratitis in 14 eyes of seven Pug dogs. Follow-up occurred after 30 days in four animals and six months in three animals. In all treated animals, there was a reduction in corneal pigmentation. Cryosurgery causes intracellular and extracellular ice crystal formation and other mechanisms that result in rupture and death of the melanocytes. The technique used was easy to perform, has a low cryogen cost and has few undesirable or serious side effects. However, after 30 days repigmentation occured in treated patients. Cryosurgery shows good results in the first four weeks, but partial recurrence occurred in all cases.

A pigmentação e a vascularização da córnea eventualmente resultam em cegueira em cães. A ceratite pigmentar é descrita com uma apresentação relativamente comum que compreende a deposição de melanina na córnea e na superfície conjuntival associada à inflamação crônica. A criocirurgia é indicada como tratamento para ceratite pigmentar em cães. Devido à sensibilidade dos melanócitos ao frio, a criocirurgia é um tratamento viável para pigmentação corneana refratária grave. O objetivo deste trabalho foi avaliar o uso do éter dimetílico no tratamento da ceratite pigmentar em 14 olhos de sete cães da raça Pug. O acompanhamento foi de 30 dias em quatro animais e seis meses em três animais. Em todos os animais tratados, houve redução da pigmentação da córnea. A criocirurgia causa a formação de cristais de gelo intracelular e extracelular e outros mecanismos que resultam na ruptura e morte dos melanócitos. A técnica utilizada foi de fácil execução, baixo custo de criogenia e poucos efeitos colaterais indesejáveis ou graves. No entanto, após 30 dias, ocorreu repigmentação nos pacientes tratados. A criocirurgia apresenta bons resultados nas primeiras quatro semanas, mas ocorreu recidiva parcial em todos os casos.

Morphology of endothelial cells from different regions of the cornea of dogs / Morfologia das células endoteliais de diferentes regiões da córnea de cães

The aim of this study was to evaluate the morphology of endothelial cells from different areas of the cornea of dogs. Twenty healthy eyes from 10 dogs, females or males, of different ages were studied. Corneal endothelium morphology of superior, inferior, central, nasal and temporal areas was assessed by 0.2% alizarin red staining using an optic microscope. One hundred endothelial cells from each corneal area were analyzed. In all areas of the cornea studied were found endothelial cells with four sides, five sides, six sides and seven sides. There was no significant difference regarding endothelial cell morphology in all corneal regions evaluated. Thus, the morphology of the central cornea area represents the entire endothelial mosaic and may be applied to peripheral areas. Therefore, analysis of the central area is sufficient to estimate the shape of endothelial cells of peripheral areas of healthy dog corneas.(AU)

Objetivou-se avaliar a morfologia das células endoteliais de diferentes regiões da córnea de cães. Vinte olhos saudáveis de 10 cães, fêmeas ou machos, de diferentes idades foram estudados. A morfologia do endotélio corneano das regiões superior, inferior, central, nasal e temporal foi avaliada pela coloração vermelho de alizarina 0,2% com microscópio óptico. Foram analisadas 100 células endoteliais de cada região da córnea. Em todas as regiões da córnea estudadas foram encontradas células endoteliais com quatro lados, cinco lados, seis lados e sete lados. Não houve diferença significativa em relação à morfologia de células endoteliais da córnea em todos as regiões estudadas. Assim, a morfologia da região central da córnea representa todo o mosaico endotelial e pode ser aplicada em áreas periféricas. Portanto, a análise da área central é suficiente para estimar a forma das células endoteliais das áreas periféricas de córneas de cães saudáveis.(AU)

Evaluation of equine corneal endothelium after exposure to 0.5% indocyanine green - in vitro study / Avaliação do endotélio corneano de equinos após exposição à indocianina verde 0.5% - estudo in vitro

The purpose of the study was to investigate whether indocyanine green (ICG) dye damages the corneal endothelium of horses. Twenty-four corneas of 12 healthy equines, males or females, of different ages were used in this study. Only eyes with no ocular findings were used. Randomly, one eye was included in the treatment group and one in the control group. The eyes of the treatment group were exposed for 1 minute to dye ICG 0.5%. After that the endothelium of all eyes was stained with trypan blue and alizarin red S and analyzed and photographed under an optical microscope. Areas with damaged endothelial cells were manually measured and quantified using software for morphometric analysis and expressed as a percentage of cell damage. In all eyes examined areas of cell damage were observed in both corneas of the control group and the treatment group. The mean endothelial damage was 0.8 ± 0.37% in the treatment group and 0.97 ± 0.39% in the control. The Qui-square test stated that treatment and control group were not different. The ICG 0.5% did not cause acute damage to equine corneal endothelium.

O objetivo do estudo foi investigar se indocianina verde (ICG) induz dano nas células do endotélio da cَrnea de equinos. Vinte e quatro cَrneas de 12 equinos saudلveis, machos ou fêmeas, de diferentes idades foram estudadas. Somente olhos hيgidos foram utilizados. Aleatoriamente, um olho foi incluيdo no grupo controle e outro no grupo tratamento. Os olhos do grupo tratamento foram expostos durante um minuto à indocianina verde a 0,5%. Posteriormente, o endotélio da cَrnea foi corado com azul de tripano e vermelho de alizarina, analisado e fotografado usando microscَpio َptico. As لreas com células endoteliais danificadas foram aferidas e quantificadas utilizando um software para anلlise morfométrica. Os valores encontrados foram expressos como percentual de perda celular. Em todos os olhos examinados foram observadas لreas de dano celular, tanto no grupo controle quanto no grupo tratamento. A perda celular endotelial média foi de 0,8±0,37% no grupo tratamento e 0,97 ± 0,39% no grupo controle. O teste Qui-quadrado confirmou que os grupos tratamento e controle nمo diferiram. Foi possيvel concluir que a ICG 0,5% nمo causou dano agudo nas células do endotélio da cَrnea de equinos.

Conjunctival melanoma in a horse treated by tumor resection and cryotherapy

Background: Ocular melanoma is very rare compared to cutaneous melanoma in horses. Definitive diagnosis is made through histopathological examination and treatment options include surgical excision associated with cryotherapy, radiation therapy, and chemotherapy. In this report, we describe a case of conjunctival melanoma in a horse that has been treated successfully with surgical excision associated with cryotherapy.Case: A 15-year-old male Percheron male was referred to the Ophthalmology Veterinary Section of the Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, with a history of a pigmented mass located on the lower eyelid of the left eye. Ophthalmologic examination revealed ocular discomfort, secretion and a pigmented mass in the left inferior bulbar conjunctiva. The dermatological examination revealed other melanomas in the perineal region. Complete blood count and serum chemistry profile were within normal ranges and prior to surgery the horse was treated with flunixin meglumine (1.1 mg/kg, IV, q 12 h). Sedation was performed with xylazine (0.4 mg/kg, IV) and detomidine hydrochloride (0.01 mg/kg, IV) and then the animal was placed in a retention trunk. The conjunctival mass was resected with a margin of safety. Liquid nitrogen was applied to the tumor site and the adjacent conjunctiva with a copper cryoprobe with one unit of liquid nitrogen. Histopathological examination revealed neoplastic cells containing pigmented melanocytes in the conjunctival submucosa, confirming the diagnosis of conjunctival melanoma. Postoperative treatment was performed with flunixin meglumine (1.1 mg/kg, IV, q 12 h) for 3 days and topical ophthalmic ointment containing neomycin, polymyxin B sulfate and dexamethasone twice daily for one week. Seven days after surgery, the lesion was healed. The patient was followed for 24 months after excision and there was no evidence of recurrence.[...]

Evaluation of equine corneal endothelium after exposure to 0.5% indocyanine green - in vitro study / Avaliação do endotélio corneano de equinos após exposição à indocianina verde 0.5% - estudo in vitro

The purpose of the study was to investigate whether indocyanine green (ICG) dye damages the corneal endothelium of horses. Twenty-four corneas of 12 healthy equines, males or females, of different ages were used in this study. Only eyes with no ocular findings were used. Randomly, one eye was included in the treatment group and one in the control group. The eyes of the treatment group were exposed for 1 minute to dye ICG 0.5%. After that the endothelium of all eyes was stained with trypan blue and alizarin red S and analyzed and photographed under an optical microscope. Areas with damaged endothelial cells were manually measured and quantified using software for morphometric analysis and expressed as a percentage of cell damage. In all eyes examined areas of cell damage were observed in both corneas of the control group and the treatment group. The mean endothelial damage was 0.8 ± 0.37% in the treatment group and 0.97 ± 0.39% in the control. The Qui-square test stated that treatment and control group were not different. The ICG 0.5% did not cause acute damage to equine corneal endothelium.(AU)

O objetivo do estudo foi investigar se indocianina verde (ICG) induz dano nas células do endotélio da cَrnea de equinos. Vinte e quatro cَrneas de 12 equinos saudلveis, machos ou fêmeas, de diferentes idades foram estudadas. Somente olhos hيgidos foram utilizados. Aleatoriamente, um olho foi incluيdo no grupo controle e outro no grupo tratamento. Os olhos do grupo tratamento foram expostos durante um minuto à indocianina verde a 0,5%. Posteriormente, o endotélio da cَrnea foi corado com azul de tripano e vermelho de alizarina, analisado e fotografado usando microscَpio َptico. As لreas com células endoteliais danificadas foram aferidas e quantificadas utilizando um software para anلlise morfométrica. Os valores encontrados foram expressos como percentual de perda celular. Em todos os olhos examinados foram observadas لreas de dano celular, tanto no grupo controle quanto no grupo tratamento. A perda celular endotelial média foi de 0,8±0,37% no grupo tratamento e 0,97 ± 0,39% no grupo controle. O teste Qui-quadrado confirmou que os grupos tratamento e controle nمo diferiram. Foi possيvel concluir que a ICG 0,5% nمo causou dano agudo nas células do endotélio da cَrnea de equinos.(AU)

Conjunctival melanoma in a horse treated by tumor resection and cryotherapy

Background: Ocular melanoma is very rare compared to cutaneous melanoma in horses. Definitive diagnosis is made through histopathological examination and treatment options include surgical excision associated with cryotherapy, radiation therapy, and chemotherapy. In this report, we describe a case of conjunctival melanoma in a horse that has been treated successfully with surgical excision associated with cryotherapy.Case: A 15-year-old male Percheron male was referred to the Ophthalmology Veterinary Section of the Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, with a history of a pigmented mass located on the lower eyelid of the left eye. Ophthalmologic examination revealed ocular discomfort, secretion and a pigmented mass in the left inferior bulbar conjunctiva. The dermatological examination revealed other melanomas in the perineal region. Complete blood count and serum chemistry profile were within normal ranges and prior to surgery the horse was treated with flunixin meglumine (1.1 mg/kg, IV, q 12 h). Sedation was performed with xylazine (0.4 mg/kg, IV) and detomidine hydrochloride (0.01 mg/kg, IV) and then the animal was placed in a retention trunk. The conjunctival mass was resected with a margin of safety. Liquid nitrogen was applied to the tumor site and the adjacent conjunctiva with a copper cryoprobe with one unit of liquid nitrogen. Histopathological examination revealed neoplastic cells containing pigmented melanocytes in the conjunctival submucosa, confirming the diagnosis of conjunctival melanoma. Postoperative treatment was performed with flunixin meglumine (1.1 mg/kg, IV, q 12 h) for 3 days and topical ophthalmic ointment containing neomycin, polymyxin B sulfate and dexamethasone twice daily for one week. Seven days after surgery, the lesion was healed. The patient was followed for 24 months after excision and there was no evidence of recurrence.[...](AU)

Morphology of endothelial cells from different regions of the equine cornea / Morfologia das células do endotélio de diferentes regiões da córnea de equinos

The objective of this study was to evaluate the morphology of different regions of the equine cornea using optical microscopy. Both healthy eyes of eight horses, male or female, of different ages were evaluated. Corneas were stained with alizarin red vital dye and subsequently examined and photographed using optical microscopy. Corneal endothelial morphology of central, superior, inferior, temporal and nasal areas was assessed. One hundred endothelial cells from each corneal area were analyzed. The shape of the corneal endothelial cells of each corneal region was analyzed. Statistical data analysis was conducted using the Student's t test. Values of P<0.01 were considered significant. Regarding morphological analysis, no statistically significant differences were reported between the equine corneal regions analyzed. The present research suggested that there are no morphological differences between regions of the equine cornea. The values obtained in any region of the equine cornea can be extrapolated to other regions of the cornea and are representative of the cell morphology present in all regions of the cornea.(AU)

O objetivo deste estudo foi o de avaliar a morfologia das diferentes regiões da córnea equina usando microscopia óptica. Foram avaliados ambos os olhos saudáveis de oito equinos, machos ou fêmeas, de diferentes idades. As córneas foram coradas com corante vital vermelho de alizarina, examinadas com microscópio óptico e fotografadas. A morfologia endotélio corneano de áreas centrais, superior, inferior, temporal e nasal foi avaliada. Foram analisadas células endoteliais da córnea de cada área. A forma das células endoteliais da córnea de cada região da córnea foi analisada. Análise estatística dos dados foi realizada por meio do teste t. Valores de P<0.01 foram considerados significativos. Em relação à análise morfológica estatisticamente significativa, não foram encontradas diferenças entre as regiões da córnea equina analisadas. O presente trabalho sugere que não houve diferença entre a morfologia das regiões da córnea de equino. Os valores obtidos em qualquer região da córnea equina podem ser extrapolados para outras regiões da córnea e são representativos da morfologia celular em todas as regiões da córnea.(AU)

Lip twitch restraint on rebound tonometry in horses / Contenção com cachimbo na tonometria de rebote em cavalos

The purpose of this study was to verify the effect of the upper lip twitch restraint on intraocular pressure (IOP) of healthy horses. In this study, forty five Criollo horses, aged between two to 20 years (male or female) were evaluated with rebound tonometer, with and without upper lip twitch restraint. A previous ophthalmic examination was performed with Schirmer tear test, fluorescein test, slit lamp biomicroscopy and direct ophthalmoscopy in all horses. Only healthy animals with no ocular findings were used. The order of the IOP measurements (with or without twitch) and order of the eye (right or left) were randomized. Three measurements of each eye were made and the mean was calculated. Head position was kept above the heart level and no pressure was made over eyelids. At least 10 minutes passed between the evaluations of the same horse. Measurements were made between 3:30 and 5:30pm to avoid circadian fluctuation of intraocular pressure. Statistical analysis was performed with SAS 9.2 software. A Split plot factorial design was used where horses were considered blocks. The mean intraocular pressure values obtained with lip twitch restraint (34.68±6.47mmHg) were significantly higher (P<0.05) than those obtained without (29.35±4.08mmHg). There was no relevant statistical difference between right and left eyes. The restraint of horses with upper lip twitch increased equine intraocular pressure measured with the rebound tonometry.(AU)

O objetivo deste estudo foi avaliar o efeito da contenção pelo cachimbo na aferição da pressão intraocular em equinos hígidos. Neste trabalho, 45 cavalos Crioulos, com idade entre dois e 20 anos, machos ou fêmeas, foram avaliados utilizando tonometria de rebote, com e sem contenção, com cachimbo no lábio superior. Exame oftálmico prévio foi realizado, incluindo Teste Lacrimal de Schirmer, prova da fluoresceína, biomicroscopia com lâmpada de fenda e oftalmoscopia direta em todos os cavalos. Somente animais sadios com olhos hígidos foram utilizados. A ordem das tonometrias (com ou sem cachimbo) e a ordem dos olhos (direito e esquerdo) foram randomizadas. Três aferições de cada olho foram realizadas e a média calculada. A posição da cabeça dos cavalos foi mantida acima do nível do coração e nenhuma pressão foi feita sobre as pálpebras. Ao menos 10 minutos se passaram entre as aferições do mesmo cavalo. As medidas foram realizadas entre as 15h30min e 17h30min do mesmo dia, para evitar flutuações relacionadas ao ritmo circadiano da pressão intraocular. A análise estatística foi realizada com o programa SAS 9.2. Foi realizada análise de variância de parcela subdividida, onde o cavalo foi considerado bloco. A pressão intraocular média obtida com cachimbo (34,68±6,47mmHg) foi significativamente maior (P<0,05) que a obtida sem (29,35±4,08mmHg). Não foi encontrada diferença significativa entre olhos direito e esquerdo. A contenção de equinos com o cachimbo aumentou significativamente a pressão intraocular aferida com tonômetro de rebote.(AU)

Abcesso estromal fúngico em potra Quarto de Milha: relato de caso / Fungal stromal abscess in a foal Quarter Horse - case report / Absceso estromal fúngica en potro Cuarto de Milla - reporte de un caso

Foi atendido no Hospital Veterinário Jockey (HVJ) , localizado no Jockey Clube do Rio Grande do Sul, um equino da raça Quarto de Milha, 4 meses de idade, apresentando dor ocular, lacrimejamento, blefaroespasmo e ausência de resposta a estímulos visuais. Além disso, o animal apresentava uma placa de coloração amarelada sobre a córnea do olho esquerdo. O início do tratamento foi realizado na propriedade com o uso tópico de pomada antifúngica e uso sistêmico de anti-inflamatório. Devida ausência de progressão do quadro, foi encaminhada para o hospital, onde foi realizado o tratamento cirúrgico - flap conjuntival unipediculado. Após a cirurgia o animal recebeu terapia anti-inflamatória e antifúngica. Recebeu alta após um mês de tratamento tendo retorno da visão.(AU)

It was attended in the Jockey Veterinary Hospital situated in Jockey Club of Rio Grande do Sul, one foal of the quarter horse breed of four months of life showing pain ocular, tearing, blepharospasm, of color yellowish corneal abscess in the left eye, and did not respond to visual stimulation. The beginning of treatment was performed on the property with antifungal and anti-inflammatory ointment. However, no progression of the condition was referred to the hospital for surgical treatment - conjunctival flap unipediculado. After the surgery still received anti-inflammatory and antifungal therapy. He was discharged after a month of treatment with vision feedback.(AU)

Fue atendido en el Hospital Veterinario Jockey, situado en el Jockey Clube del Rio Grande do Sul, una potra de raza Cuarto de Milla de 4 meses presentando dolor ocular, lagrimeo, blefaroespasmo, abceso corneal de color amarillento en el ojo izquierdo, sin respuesta a estímulos visuales. El comienzo del tratamiento fue realizado en la propiedad con la terapia antifúngica y antiinflamatoria. Sin mejora clínica, fue llevada al hospital para el tratamiento de cirugía - flap conjuntival unipediculado. Después de la cirugía, el tratamiento se continuó con antiinflamatoria y antifúngica. Recibió alta después de un mes de tratamiento, teniendo retorno de la visión.(AU)

Abcesso estromal fúngico em potra Quarto de Milha: relato de caso / Fungal stromal abscess in a foal Quarter Horse - case report / Absceso estromal fúngica en potro Cuarto de Milla - reporte de un caso

Foi atendido no Hospital Veterinário Jockey (HVJ) , localizado no Jockey Clube do Rio Grande do Sul, um equino da raça Quarto de Milha, 4 meses de idade, apresentando dor ocular, lacrimejamento, blefaroespasmo e ausência de resposta a estímulos visuais. Além disso, o animal apresentava uma placa de coloração amarelada sobre a córnea do olho esquerdo. O início do tratamento foi realizado na propriedade com o uso tópico de pomada antifúngica e uso sistêmico de anti-inflamatório. Devida ausência de progressão do quadro, foi encaminhada para o hospital, onde foi realizado o tratamento cirúrgico - flap conjuntival unipediculado. Após a cirurgia o animal recebeu terapia anti-inflamatória e antifúngica. Recebeu alta após um mês de tratamento tendo retorno da visão.

It was attended in the Jockey Veterinary Hospital situated in Jockey Club of Rio Grande do Sul, one foal of the quarter horse breed of four months of life showing pain ocular, tearing, blepharospasm, of color yellowish corneal abscess in the left eye, and did not respond to visual stimulation. The beginning of treatment was performed on the property with antifungal and anti-inflammatory ointment. However, no progression of the condition was referred to the hospital for surgical treatment - conjunctival flap unipediculado. After the surgery still received anti-inflammatory and antifungal therapy. He was discharged after a month of treatment with vision feedback.

Fue atendido en el Hospital Veterinario Jockey, situado en el Jockey Clube del Rio Grande do Sul, una potra de raza Cuarto de Milla de 4 meses presentando dolor ocular, lagrimeo, blefaroespasmo, abceso corneal de color amarillento en el ojo izquierdo, sin respuesta a estímulos visuales. El comienzo del tratamiento fue realizado en la propiedad con la terapia antifúngica y antiinflamatoria. Sin mejora clínica, fue llevada al hospital para el tratamiento de cirugía - flap conjuntival unipediculado. Después de la cirugía, el tratamiento se continuó con antiinflamatoria y antifúngica. Recibió alta después de un mes de tratamiento, teniendo retorno de la visión.

Utilization of enbucrylate adhesive in the treatment of a corneal ulcer in a horse

Background: Ulcerative keratitis is a common condition in horses, and may leading to vision loss. The high incidence of corneal ulceration in horses is a consequence of several factors, including the large, prominent, laterally positioned eyes, naturally aggressive physical activity, and ubiquitous exposure to bacterial and fungal pathogens. Many surgical techniques have been proposed for the repair of corneal perforation, including conjunctival flaps, keratoplastic procedures, xenografts and biological grafts. In addition, cyanoacrylate adhesives may be used for the treatment of corneal ulcers up to 3 mm in diameter. Cyanoacrylate adhesives have been used to treat small partial corneal lacerations, descemetoceles, deep stromal corneal ulcers, and recurrent corneal erosions, in both human and veterinary ophthalmology. These adhesives allow not only corneal re-epithelialization, with complete sloughing of the glue, but also negative fluorescein retention. In this report, we describe a case of a deep corneal ulcer in a horse that was treated successfully with cyanoacrylate tissue adhesive. Case: A two-month-old female Quarter Horse was referred to the Ophthalmology Section of the Veterinary Clinics Hospital of the Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil, presenting a deep corneal ulcer. The ophthalmic examination revealed ocular discomfort, epiphora, conjunctival hyperemia and a corneal ulcer measuring 3 mm in the left eye of the animal. Surgical repair was performed using an n-butyl-2-cyanoacrylate tissue adhesive. The patient allowed the procedure to be carried out under topical anesthesia alone. The postoperative treatment involved broadspectrum antibiotic (ciprofl oxacin chloridrate 0.35%) and a non-steroidal anti-inflammatory solution (sodium diclofenac 0.1%), administered six times a day for two weeks. In addition, atropine sulphate 1% was applied once a day for five days to induce pupillary dilation. After three weeks of follow-up, the cyanoacrylate adhesive became dislodged from the corneal bed. A fluorescein test was carried out to evaluate the presence of the corneal defect and there was no evidence of the ulcer. The time required for total resolution of the vascularization, which typically leaves a small leukoma, was six weeks. Discussion: The objectives of the treatment included prevention of structural loss, which would compromise globe integrity, resolution of any underlying causes and contributory infectious diseases, improving the patient's comfort by minimizing the development of scar tissue, and maximizing corneal clarity. Although many corneal ulcers are superficial and may heal quickly, a progressive or deep ulcer requires more aggressive therapy. In general, corneal ulcers that involve one-half to two-thirds of the depth of the corneal stroma should be repaired surgically because of the risk of perforation. However, the application of cyanoacrylate adhesives aids corneal healing, by establishing an artificial barrier against polymorphonuclear leucocytes and their enzymes, decreasing stromal melting, and having a bacteriostatic effect on Gram-positive organisms. The choice of surgical method was based on the fact that the adhesive can be applied with topical anesthesia, in its indication for deep ulcers up to 3 mm in diameter, and its advantages in the re-epithelization of the cornea in humans and other animals. In the present case, the use of n-2-butyl-cyanioacrylate offered an effective alternative for the management of a deep corneal defect.