Intraocular lens power calculation for the equine eye.

BACKGROUND: Phacoemulsification and intraocular lens (IOL) implantation during cataract surgery in horses occur with increasing frequency. To reduce the postoperative refractive error it is necessary to determine the proper IOL power. In the present study retinoscopy, keratometry and ultrasonographic biometry were performed on 98 healthy equine eyes from 49 horses. The refractive state, corneal curvature (keratometry) and the axial location of all optical interfaces (biometry) were measured. The influences of breed, height at the withers, gender and age on values obtained and the comparison between the left and right eye were evaluated statistically. Corresponding IOL power were calculated by use of Binkhorst and Retzlaff theoretical formulas. RESULTS: Mean ± SD refractive state of the horses was + 0.32 ± 0.66 D. Averaged corneal curvature for Haflinger, Friesian, Pony, Shetland pony and Warmblood were 21.30 ± 0.56 D, 20.02 ± 0.60 D, 22.61 ± 1.76 D, 23.77 ± 0.94 D and 20.76 ± 0.88 D, respectively. The estimated postoperative anterior chamber depth (C) was calculated by the formula C = anterior chamber depth (ACD)/0.73. This formula was determined by a different research group. C and axial length of the globe averaged for Haflinger 9.30 ± 0.54 mm and 39.43 ± 1.26 mm, for Friesian 10.12 ± 0.33 mm and 42.23 ± 1.00 mm, for Pony 8.68 ± 0.78 mm and 38.85 ± 3.13 mm, for Shetland pony 8.71 ± 0.81 mm and 37.21 ± 1.50 mm and for Warmblood 9.39 ± 0.51 mm and 40.65 ± 1.30 mm. IOL power was calculated with the Binkhorst and Retzlaff theoretical formulas. Calculated IOL power for the several breeds ranged from 18.03 D to 19.55 D. The mean value across all horses was 18.73 D determined with Binkhorst formula and 18.54 D determined with Retzlaff formula. CONCLUSIONS: Mean result of this study is: an 18.5 D IOL seemed to be the most appropriate to achieve emmetropia after IOL implantation in horses. Cataract surgery without IOL implantation results in hyperopic and visual compromised horses. Retinoscopy, keratometry and ultrasonographic biometry should be performed on every affected horse and postoperative visual outcome should be determined.

Calculation of posterior chamber intraocular lens (IOL) size and dioptric power for use in pet rabbits undergoing phacoemulsification.

OBJECTIVES: To calculate the size and dioptric power of a posterior chamber intraocular lens (IOL) to achieve emmetropia in adult rabbits and to compare the dioptric power calculation results using a proprietary predictive formula to a retinoscopy-based method. ANIMALS STUDIED: Three wild rabbit cadavers, seven pet rabbits with cataracts and ten healthy pet rabbits. MATERIALS AND METHODS: Implant size was calculated using a capsular tension ring (CTR) (Acrivet® , Berlin, Germany). Published and cadaveric biometric data were used in the predictive formula. An IOL power-escalation study compared the predicted values to the refraction results of one pet rabbit (P1) fitted with a + 41D canine IOL (Acrivet® ) and six pet rabbits (P2-P7) fitted with prototype IOLs (Acrivet® ). Retinoscopy of 10 healthy pet rabbits served as controls. RESULTS: A 13.5 mm CTR fitted in all rabbits and permitted the use of a 13 mm IOL. The predicted IOL power ranged between +24D and +25D. The +41D IOL resulted in a refraction error of +8D. Progressive recalculation through a calibration formula led to the insertion of three +49D IOLs in two pet rabbits and a refraction of +6D to +8D, followed by seven +58D IOLs in four pet rabbits and a refraction median of 0D (range: -1.5D to +1D). CONCLUSIONS: A 13 mm prototype IOL of +58D achieves emmetropia and is of adequate size for rabbits. The combined use of a CTR and retinoscopy is a useful method to calculate the size and refractive power of a new, species-specific, veterinary IOL.

Validation of a Model for Teaching Canine Fundoscopy.

A validated teaching model for canine fundoscopic examination was developed to improve Day One fundoscopy skills while at the same time reducing use of teaching dogs. This novel eye model was created from a hollow plastic ball with a cutout for the pupil, a suspended 20-diopter lens, and paint and paper simulation of relevant eye structures. This eye model was mounted on a wooden stand with canine head landmarks useful in performing fundoscopy. Veterinary educators performed fundoscopy using this model and completed a survey to establish face and content validity. Subsequently, veterinary students were randomly assigned to pre-laboratory training with or without the use of this teaching model. After completion of an ophthalmology laboratory on teaching dogs, student outcome was assessed by measuring students' ability to see a symbol inserted on the simulated retina in the model. Students also completed a survey regarding their experience with the model and the laboratory. Overall, veterinary educators agreed that this eye model was well constructed and useful in teaching good fundoscopic technique. Student performance of fundoscopy was not negatively impacted by the use of the model. This novel canine model shows promise as a teaching and assessment tool for fundoscopy.

A retinoscopic survey of 333 horses and ponies in the UK.

INTRODUCTION: Ophthalmic examination in the horse is generally limited to crude assessment of vision and screening for ocular lesions. The refractive state of equine eyes and the potential impact on vision and performance requires further investigation. OBJECTIVE: To assess the refractive state of a large, mixed-breed sample of horses and ponies in the United Kingdom (UK). PROCEDURE: The refractive state of both eyes of 333 horses and ponies was determined by streak retinoscopy, and the effect of age, height, gender, breed and management regime on the refractive state assessed. RESULTS: Emmetropia was found in 557 of 666 (83.63%) of eyes; 228/333 (68.5%) of the horses/ponies were emmetropic in both eyes. Refractive errors of greater than 1.50 D (in either direction) were found in 2.7% of the eyes tested. Ametropic eyes included hyperopia (54%) and myopia (46%). Anisometropia was found in 30.3% of horses and ponies. Breed of horse/pony was the only factor that affected refractive state (in the left eye only, P < 0.05) with Thoroughbred crosses having a tendency toward myopia and Warmbloods/Shires toward hyperopia. DISCUSSION AND CONCLUSION: The retinoscopic survey found emmetropia to be the predominant refractive state of the equine eye with no evidence of an overall trend toward myopia or hyperopia. However, individual and breed-related differences were found. Such factors should be considered in the selection of horses for sport and leisure, and when evaluating their performance potential. More comprehensive visual testing would be valuable in identifying underlying causes of behavioral problems.

Refractive state of the Spanish Thoroughbred horse: a comparison with the Crossbred horse.

OBJECTIVE: To assess the refractive state of the equine eye utilizing retinoscopy. To compare the refractive state of Spanish Thoroughbred horses with the refractive state of Crossbred horses. PROCEDURES: The refractive state of 135 horses (264 eyes) was assessed utilizing streak retinoscopy. Two perpendicular meridians were examined in order to assess astigmatism at a working distance of approximately 67 cm. A group of 81 Spanish Thoroughbred horses was compared with a group of 54 Crossbred horses. Cyclopentolate ophthalmic solution was instilled in the eyes of a group of 18 horses to determine if accommodation has any influence on the assessment of the refractive state. RESULTS: Mean ± SE refractive state of all horses examined was -0.17 ± 0.04 D. The mean refractive state of the Spanish Thoroughbred was -0.28 ± 0.06 D while that of the Crossbred was -0.01 ± 0.05 D. The refractive state of the Spanish Thoroughbred was found to be statistically different to that of the Crossbred. The most prevalent refractive state was emmetropia in all cases, followed by hyperopia for the Crossbred, and myopia for the Spanish Thoroughbred. Astigmatism ≥0.50 D present in both eyes from the same individual was found in 21.7% of all horses examined. Anisometropia ≥1.00 D was diagnosed in 4 out of 129 horses with both visual eyes. Cycloplegia did not statistically affect the refractive state of the evaluated eyes. CONCLUSIONS: The equine eye has a refractive state close to emmetropia. Myopia is higher among Spanish Thoroughbred horses than among Crossbred horses.

Evaluation of healthy equine eyes by use of retinoscopy, keratometry, and ultrasonographic biometry.

OBJECTIVE: To assess natural variations in degree of refraction, corneal curvature, corneal astigmatism, corneal radius, and intraocular distance of healthy equine eyes. ANIMALS: 159 horses with healthy eyes that were admitted to a veterinary teaching hospital for nonophthalmic surgeries. PROCEDURES: Eyes of horses were examined with a retinoscope prior to anesthesia and with a keratograph and A- and B-scan ultrasonographic biometers during surgery. In addition, manual caliper measurements of horizontal and vertical corneal radii were obtained. RESULTS: Mean +/- SD degree of refraction in the horizontal meridian of eyes was -0.06 +/- 0.68 diopters (D). Vitreous body length and horse age correlated negatively with refraction values. The horizontal corneal radius (15.96 +/- 1.28 mm) was larger than the vertical corneal radius (15.02 +/- 1.09 mm). Accordingly, the vertical corneal curvature (21.56 +/- 1.68 D) was greater than the horizontal corneal curvature (22.89 +/- 1.65 D). Axial globe length (40.52 +/- 2.67 mm), anterior chamber depth (6.35 +/- 0.59 mm), lens thickness (12.30 +/- 0.83 mm), and vitreous body length (21.87 +/- 1.85 mm) were positively correlated with body weight, height, and age. Results of keratograph and caliper measurements correlated well for horizontal corneal diameter but poorly for vertical corneal diameter. Results of A- and B-scan ultrasonography differed by < or = 1 mm in 64% of measured eyes. CONCLUSIONS AND CLINICAL RELEVANCE: Results of keratometry and ultrasonographic biometry varied widely. Additional research is needed to validate the keratograph used in our study for measurements in equine eyes.

The ophthalmic health and refractive state of working dogs in South Brazil.

Background: Working dogs, such as police dogs and guide dogs, have important roles in the contemporary society by performing specific and demanding jobs. Ocular health and the maintenance of good visual acuity are imperative to strong work performance and thus human safety. Aim: The aim of this study was to assess ophthalmic abnormalities and refractive errors in police and guide dogs in Brazil. Methods: A total of 71 dogs (141 eyes) were evaluated. Ten were guide dogs and 61 were police dogs. The work performance was assessed by a questionnaire to each dog's handler/owner. All the dogs underwent a complete ocular examination, and abnormalities were classified by condition, if they were active or inactive and if they were located within the visual axis. In addition, 62 dogs were evaluated by streak retinoscopy for refractive errors. Results: Ophthalmic abnormalities were detected in 38 (54%) dogs, of which 23 were considered inherited, 25 were considered active, and 10 were located within the visual axis. Incipient cataracts were the most prevalent abnormality. No guide dog had an abnormality within the visual axis. The most common refractive error was myopia with the median and interquartile range of -0.75 ± 0.75 diopters; among these, police dogs had -1.0 ± 0.5 diopters, whereas guide dogs +0.38 ± 0.75 diopters. Police dogs tended to be slightly myopic and guide dogs were emmetropic. Conclusion: Despite finding a considerable number of ophthalmic abnormalities and refractive error, work performance was good with no signs of visual impairment in any dog. Regular ophthalmic examinations are advised for working dogs, and an exclusion of severely affected dogs from breeding programs is recommended.

Refractive states of eyes and association between ametropia and breed in dogs.

OBJECTIVE: To assess the refractive state of eyes in various breeds of dogs to identify breeds susceptible to ametropias. ANIMALS: 1,440 dogs representing 90 breeds. PROCEDURES: In each dog, 1 drop of 1% cyclopentolate or 1% tropicamide was applied to each eye, and a Canine Eye Registration Foundation examination was performed. Approximately 30 minutes after drops were administered, the refractive state of each eye was assessed via streak retinoscopy. Dogs were considered ametropic (myopic or hyperopic) when the mean refractive state (the resting focus of the eye at rest relative to visual infinity) exceeded +/- 0.5 diopter (D). Anisometropia was diagnosed when the refractive error of each eye in a pair differed by > 1 D. RESULTS: Mean +/- SD refractive state of all eyes examined was -0.05 +/- 1.36 D (emmetropia). Breeds in which the mean refractive state was myopic (< or = -0.5 D) included Rottweiler, Collie, Miniature Schnauzer, and Toy Poodle. Degree of myopia increased with increasing age across all breeds. Breeds in which the mean refractive state was hyperopic (> or = +0.5 D) included Australian Shepherd, Alaskan Malamute, and Bouvier des Flandres. Astigmatism was detected in 1% (14/1,440) of adult (> or = 1 year of age) dogs; prevalence of astigmatism among German Shepherd Dogs was 3.3% (3/90). Anisometropia was detected in 6% (87/1,440) of all dogs and in 8.9% (8/90) of German Shepherd Dogs. CONCLUSIONS AND CLINICAL RELEVANCE: Refractive states of canine eyes varied widely and were influenced by breed and age. In dogs expected to have high visual function (eg, performance dogs), determination of refractive state is recommended prior to intensive training.

Effect of refractive error on visual evoked potentials with pattern stimulation in dogs.

The purpose of this study was to investigate the effects of refractive error on canine visual evoked potentials with pattern stimulation (P-VEP). Six normal beagle dogs were used. The refractive power of the recorded eyes was measured by skiascopy. The refractive power was corrected to -4 diopters (D) to +2 D using contact lens. P-VEP was recorded at each refractive power. The stimulus pattern size and distance were 50.3 arc-min and 50 cm. The P100 appeared at almost 100 msec at -2 D (at which the stimulus monitor was in focus). There was significant prolongation of the P100 implicit time at -4, -3, 0 and +1 D compared with -2 D, respectively. We concluded that the refractive power of the eye affected the P100 implicit time in canine P-VEP recording.

Evaluation of refractive value by skiascopy in healthy Beagles.

We examined the refractive value in healthy Beagles by skiascopy. The mean refractive value of 54 eyes of 27 Beagles was 0.08 ± 0.87 (mean ± SD) diopters (D). The numbers of eyes defined as having emmetropia, myopia and hyperopia were 34, 8 and 12, respectively. Anisometropia was detected in 4 dogs. The mean refractive values in the 3-6-year-old and 8-9-year-old groups were 0.26 ± 0.84 and -0.29 ± 0.82 D, respectively, with a significant difference between the two groups (P<0.05).

Análise da fórmula SRK/T no cálculo de lente intra-ocular em cães portadores de catarata / Analysis of the SRK/T formula for calculation of intra-ocular lens in dogs carrying cataract

Foram utilizados 20 cães de raças e idades variadas, machos e fêmeas, portadores de catarata e não diabéticos, os quais foram submetidos ao exame oftálmico. Posteriormente, realizaram-se mensurações oculares empregando-se um ecobiômetro ultra-sônico (ultra-sonografia modo-A) para o cálculo do poder dióptrico da lente intra-ocular por meio da fórmula SRK/T. O comprimento axial médio foi de 19,94±1,12mm. Todos os animais foram submetidos à facoemulsificação extracapsular. A lente calculada foi implantada no transoperatório da cirurgia de catarata, obtendo-se média de 37,33±3,05D. A avaliação pós-cirúrgica do erro refracional aos 60 dias de pós-operatório, pela retinoscopia, com a utilização da esquiascopia, foi de 5,57±1,59D. A fórmula SRK/T não ofereceu bons resultados.

Twenty males and females non-diabetic dogs of different breeds and ages underwent ophthalmic examination because they presented catarats. Ocular measurements were performed by echobiometry (A-scan ultrasound) for intraocular lens power calculation using the SRK/T formula. The obtained mean axial length was 19.94±1.12mm. All animals were submitted to extracapsular phacoemulsification; the mean intraocular lens power implanted was 37.33±3.05. At 60 days postoperative, the refractional error assessed via retinoscopy was 5.57±1.59 D. The SRK/T formula did not offer good results.