Corneal Ulcer

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Corneal Ulcer

Corneal Ulcer Overview


A corneal ulcer is a painful open sore on the cornea of the horse's eye. It is a serious condition which requires early recognition and aggressive treatment from a veterinarian, no matter how small or superficial they may appear. They are a common occurrence in horses and the severity can range from minor, superficial abrasions in the outer layer of the cornea, to full-thickness corneal perforations with iris prolapse. It can cause significant pain and discomfort to the horse and is potentially a sight-threatening disease if left untreated.

Corneal ulcers can be caused by trauma or microtrauma, resulting from conjunctival foreign body (plant material, metal, glass, hay, and so on), chemical toxin, or environmental objects (fences, branches, stall components). The corneal epithelium of the horse serves as a barrier against invasion of potentially pathogenic bacteria or fungi normally present on the surface of the cornea and conjunctiva. A horse with a corneal ulceration can allow bacteria or fungi to potentially invade the cornea and cause a secondary infection.

Symptoms

Frequent squinting or closing of the eye lid
Eye redness
Eye discharge
Corneal clouding
Repeated rubbing of the eye
Swelling of the eye
Slight droopiness of the eyelashes of the upper eyelid

Diagnosis

  • History
  • Clinical signs
  • Eye exam
  • Ultrasound
  • Laboratory tests

Treatment

TherapiesDetails
Stall rest
NSAIDs
Topical steroids
Broad spectrum topical antibiotics
Atropine sulfate
Anti-collagenase
Surgery

Prognosis

Prognosis for vision after an eye injury depends on the type and severity of the injury and whether adequate treatment can be provided. A routine superficial ulcer will often heal within a week.

Scientific Research

General Overviews

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