Equine ophthalmology Flashcards

(46 cards)

1
Q

What is the location of lacrimal punta in horses

A

Dorsal and ventral

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2
Q

Where do drained tears go

A

Through canaliculi into nasolacrimal duct and out nasal ostium (next to pigmented/unpigmented skin in nose)

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3
Q

What are vibrissae

A

Very sensitive hairs
3 or 4 found dorsomedial to the upper lid
8-12 found ventral to lower lid

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4
Q

What are corpora nigra

A

Proliferation of iris tissue
More so dorsally than centrally

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5
Q

What is different about examining the iridocorneal angle in horses than cats/dogs

A

Canbe examined directly rather that needing to use a gonioscope

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6
Q

Where do we block the frontal nerve

A

Supraorbital fossa

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7
Q

Where do we block the auriculopalpebral nerve

A

Zygomatic arch

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8
Q

What do we block for eyelid akinesia

A

Auriculopalpebral nerve CN VII at zygomatic arch

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9
Q

What do we block for upper eyelid desensitisation

A

Frontal nerve; branch of trigeminal nerve

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10
Q

Characteristics of equine fundus

A

Paurangiotic with many vessels emanating short distance from the optic nerve

Tapetum is dorsal and fibrous

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11
Q

What are stars of winslow

A

Dots seen in the fibrous tapetum of horses which are end on choroidal capillaries

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12
Q

Why do we percuss sinuses during equine opthalmology exam

A

To check for space occupying lesions altering normal percussion

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13
Q

features of the menace response

A

Learned reflex so not present < 2 weeks old
Sensory is optic nerve, motor is facial nerve
+ involves visual cortex

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14
Q

Which reflex is a true test of vision

A

Menace reflex

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15
Q

Pupillary light reflex components

A

SEnsory = optic (II)
Motor = oculomotor (III)
No visual cortex involvement

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16
Q

Dazzle reflex components

A

Sensory = optic (II)
Efferent = facial (VII)
Doesn’t involve visual cortex = subcortical reflex

Does test retinal function

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17
Q

Palpebral reflex components

A

Sensory is trigeminal (V)
Motor is facia (VII)

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18
Q

What do we use to achieve mydriasis for ophthalmic examination

A

Tropicamide 1% - takes 10-20 mins to work

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19
Q

How does indirect ophthalmoscopy work

A

One operator holds lens close to horses eye and other holds light source near examiner
They function as a unit

20
Q

Qualities of indirect ophthalmoscopy

A

Virtual image which is inverted and reversed
Larger field of view so easier detectino
Safer
Use 20D lens

21
Q

Monocular vs binocular indirect ophthalmoscopy

A

Binocular uses head mounted light source so have two eyes and can get depth perception

22
Q

Qualities of direct ophthalmoscopy

A

Upright image
Greater magnification

23
Q

What do concave vs convex lenses on a direct opthalmoscope do

A

Convex = +ve lenses; bring position of focus closer to you to look at more anterior things

Concave = -ve lenses; brings focus further away to look at more posterior things

24
Q

What dioptre setting do we use for distant direct ophthalmoscopy

25
What dioptre setting is the fundus in focus at
Between 0 and -2D
26
When to avoid tonometry
Fragile eyes e.g laceration, deep corneal ulcer due to risk of rupture
27
What type of tonometer is tonovet
REbound
28
What is a subpalpebral lavage system
Used to apply topical mediations to the eye in head shy horses or where frequent application needed and not easy to do Involves placement of a footplate under upper or lower eyelid
29
How to repair eyelid lacerations
Close in 2 layers; first deep subconjunctival layer then skin layer
30
What is the antidromic reflex
Trigeminal stimulation feedback no the uveal tract in uveitis See in corneal ulceration
31
What to use with complicated corneal ulcers
Antibiotics with good gram -ve cover which is bacteriocidal Anticollagenase if evidence of melting ulcer Atropine and NSAIDs
32
What mightmultifocal white epithelial opacities on a horse cornea be a sign of
Equine herpes virus keratitis due to EHV-2
33
What treatment do we use for EHV-2 keratitis
Topical antivirls e.g gangiclovir
34
What is eosinophilic keratitis
Immune mediated disease treat with topical corticosteroids
35
Where in the eye might we get squamous cell carcinoma
All components of exterior globe/eyelids i.e eyelids, conjunctiva, cornea, orbit
36
What is chorioretinal scarring
Depigmentation of the fundus related to previous inflammation e.g from equine recurent uveitis May present as bullet holes or butterfly lesions
37
What is anterior vs posterior vs panuvieitis
i) Anterior uveitis: iris, ciliary body, anterior chamber ii) Posterior uveitis: vitreous, retina, choroid iii) Panuveitis: all areas of uveal tract affected
38
Treatment of equine uveitis
Topical corticosteroids, NSAIDs, systemic NSAIDs Atropine May implant cyclosporin implants under choroid in recurrent cases
39
WHat is the end stage appearance of uveitis
small shrunken globe = phthisis bulbi
40
What is phthisis bulbi
Small shrunken bulb due to end stage uveitis
41
What is the most common cause of blindness in the horse
Equine recurrent uveitis
42
What is the aetiology of equine recurrent uveitis
Immune mediated ASsociation with leptospira infection, with systemic illness
43
Acute stage signs of uveitis
pain, lacrimation, blephrospasm, eyelid oedema, perilimbal corneal vascularisation, mioisis, inflammatory debris in anterior chamber (fibrin, pus i.e hypopyon), vitritis (clouding of vitreous), hypotony
44
Chronic stage signs of uveitis
less pain, darkened iris, corneal oedema, adhesions b/w iris and lens (= posterior synechiae), corpora nigra atrophy, corneal mineralisation (calcific band keratopathy), cataract, lens luxation/subluxation (fibres that hold it in place degrade), chorioretinal scarring, glaucoma
45
What cause of keratitis typically has a frosted appereance
Fungal keratitis
46
What can present as unilateral corneal odema, stromal fibrovasculariation
Immune medaited keratitis Treat with corticosteroids and cyclosporin