DL: The Red Eye

Question 1

Tx of desmetocoele

Answer 1

> REFER! do not sample for cytology or anything

Question 2

Medical tx of KCS?

Answer 2

• optimmune BID OU

- preservative free viscous tears

Question 3

Medicial tx of ulcers?

Answer 3

• topical Abx (Chloramphenicol TID OU)
• serum eye drops
• atropine eye drops (BID 2d)
• oral NSAID (carprofen, 2mg/kg for 5d)

Question 4

What side effects does atropine have in dogs, cats and horses?

Answer 4

• dry eye dog
• gut stasis horses
• hypersalivation and foaming in cats

Question 5

what may cause excessive mucous production in the eye?

Answer 5

• dry eye

- iritation stimulates the goblet cells

Question 6

WHat is neurogenic dry eye and what are the clinlical signs?

Answer 6

• dx of exclusion

- dry eye and dry nostril

Question 7

Qhat is ciclosporin lic for? How is ciclosporin tx effecteness judged?

Answer 7

• lic tx dry eye “Optimmune” ($$$)
• 2 months to assess efficacy
• 3/5 improvement aspects
  > redness/ keratitis/ tear production/ mucous/ comfort

Question 8

How does 1* immunne mediated KCS present?

Answer 8

• willl be bilateral evetually but initially assymmetric so may be unilateral initially

Question 9

Causes of ulcerative disease in young dogs

Answer 9

• ectopic cilium
• FB under TE
• entropion
• distichiasis
• trauma
• KCS
• 1* ulcers (SCCEDs)