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Post traumatic keratouveitis in horses

C P Moore1, R M Halenda, V L Grevan

  • 1Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia 65211, USA.

Equine Veterinary Journal
|October 3, 1998
PubMed
Summary
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Topical corticosteroids delay healing in horses with traumatic keratouveitis. Avoiding these treatments promotes faster corneal recovery and resolves associated anterior uveitis.

Area of Science:

  • Veterinary Ophthalmology
  • Equine Medicine
  • Corneal Disease

Background:

  • Traumatic keratouveitis in horses presents as unilateral, aseptic, vascularizing keratitis with anterior uveitis.
  • Current treatments aim to control uveitis while promoting corneal healing.

Observation:

  • A series of 9 equine cases with traumatic keratouveitis were treated.
  • Nonsteroidal drugs and atropine were used for anterior uveitis management.
  • Six eyes treated with prior local corticosteroids showed delayed resolution.

Findings:

  • Local corticosteroid administration significantly prolonged healing time in equine traumatic keratouveitis.
  • Corticosteroids were found to inhibit corneal stromal healing.
  • Prolonged keratitis due to corticosteroids perpetuated anterior uveitis.

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Implications:

  • Avoid topical corticosteroids in equine traumatic keratouveitis cases to ensure optimal healing.
  • Findings suggest a re-evaluation of corticosteroid use in equine corneal injuries.
  • Understanding this interaction is crucial for effective equine ophthalmology practice.