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DISEASES CORNEAL

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(1)

CORNEAL

DISEASES

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FELINE HERPETIC KERATITIS

 Feline Herpesvirus Type 1 (FHV-1)

 FHV-1 affects the corneal epithelium or stroma

 Epithelial replication results in severe ulcerative keratitis

 Herpetic keratitis and conjunctivitis are resistant to treatment.  Antivirals, antibiotics, oral lysine administration

 Corticosteroids and cyclosporines are contraindicated.

FELINE EOSINOPHILIC KERATOCONJUNCTIVITIS

 Single or multiple focal, raised, pink plaques like granulation tissue  Unilateral or bilateral

 Typically lateral cornea is involved, sometimes entire cornea may be affected.

 Third eyelid and conjunctiva may be involved too

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FELINE EOSINOPHILIC KERATOCONJUNCTIVITIS

 The cause is unknown but the condition appears to be due to an immune response.

 Topical corticosteroids  Recurrence is common

 Evaluate the possibility of herpesvirus

CORNEAL SEQUESTRATION

 Feline corneal necrosis, corneal mummification, keratitis nigrum  In cats, especially Persian, Burmese, Himalayan, Siamese

 Cause is unknown but it is usually occurs after chronic ulceration  FHV can be detected

 A focal black, usually central corneal plaque surrounded by an ulcer  Corneal vascularization, edema and cell infiltration are often seen due

to a foreign body reaction stimulated by the necrotic tissue  Pain, blepharospasm, epiphora are the clinical signs.

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BULLOUS KERATOPATHY

 The formation of small vesicles in the epithelium and stroma of an edematous cornea.

 Risk of rupture

 Treatment is associated with underlying conditions

 Hyperosmotic sodium chloride ointment or solutions may reduce the corneal edema

 Topical antibiotics

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INFECTIOUS BOVINE KERATOCONJUNCTIVITIS (IBK)

 Pink eye or New Forest eye

 M. bovis (primary), adenoviruses, M. bovoculi, BHV-1

 Organisms adhere to corneal epithelium and secrete their toxins. These toxins cause necrosis of epithelium and stroma.

 Young animals are severely affected.

 Severe, ulcerative keratoconjunctivitis with complaints of epiphora, blepharospasm, corneal edema.

 Usually central corneal opacity associated with cell infiltration  Reflex uveitis

 Ulceration progress to the stroma, descemetocele may occur.  Corneal perforation and panoftalmitis may occur.

 Affected animals should be segregated from herd if possible  Systemic procaine penicillin G

 Florfenicol

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INFECTIOUS CANINE HEPATITIS

 Blue eye

 Canine adenovirus type 1

 Severe corneal edema, sometimes anterior uveitis

 Viral replication results in endothelial cell death or dysfunction  Corticosteroids

 Regular control of intraocular pressure  Sometimes permanent corneal edema

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LIMBAL NEOPLASIA

 Limbus is a common site for neoplasms  Limbus has a high mitotic activity

 Most commonly seen tumors are hemangiosarcoma, hemangioma, limbal melanoma, squamous cell carcinoma

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