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Equine infectious keratitis.

R E Hamor1, N C Whelan

  • 1Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, USA. hamor@uiuc.edu

The Veterinary Clinics of North America. Equine Practice
|December 10, 1999
PubMed
Summary
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Prompt equine corneal ulcer treatment focuses on aggressive infection control and anti-inflammatory management. Avoid corticosteroids unless infection is ruled out to prevent worsening equine eye disease.

Area of Science:

  • Veterinary Ophthalmology
  • Equine Medicine

Background:

  • Corneal ulcers are a frequent cause of ocular disease in horses.
  • Prompt diagnosis and treatment are crucial for favorable outcomes.
  • Ocular inflammation requires aggressive management, especially in complicated cases.

Purpose of the Study:

  • To outline optimal diagnostic and treatment strategies for equine corneal ulcers.
  • To emphasize the risks associated with corticosteroid use in infectious equine eye conditions.
  • To promote rational, evidence-based approaches to managing equine corneal disease.

Main Methods:

  • Review of current diagnostic techniques for corneal ulcers.
  • Analysis of appropriate therapeutic regimens, including NSAIDs and antimicrobials.
  • Discussion of contraindications for corticosteroid and combination antibiotic-corticosteroid use.

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Main Results:

  • Aggressive management of inflammation with systemic NSAIDs is recommended for complicated ulcers.
  • Infectious agents must be prioritized for removal.
  • Corticosteroid use should be strictly limited to non-infectious or definitively treated infectious corneal conditions.

Conclusions:

  • A clear treatment plan with objective monitoring criteria is essential.
  • Combination corticosteroid-antibiotic preparations require careful consideration to avoid adverse effects.
  • Early referral to a veterinary ophthalmologist is advised for complex cases.