Feline and Miscellaneous conditions- eye stuff Flashcards
Describe the presenting signs of eosinophilic keratitis
“Cottage cheese deposits”: white to pale pink elevated spots on cornea – may coalesce into a raised plaque
Describe the presenting signs of corneal sequestrum
Varies from amber corneal discolouration to dark brown plaque
Describe the presenting signs of Feline diffuse iris melanoma (FDIM)
Hyperpigmented iris spot(s), usually progressing to diffuse hyperpigmentation of whole iris +/- abnormalities in pupil shape +/- uveitis/glaucoma
Describe the aetiology of Eosinophilic keratitis
Immune-mediated, possible connection with FHV-1
Describe the diagnosis of Eosinophilic keratitis
Clinical appearance/cytology: mixed cellular infiltrate
describe how to treat Eosinophilic keratitis
Topical corticosteroid (or ciclosporin) successful in most cases
Treatment may induce reactivation of latent FHV-1 infection
Describe the aetiology of Corneal sequestrum
Cause remains unknown, chronic irritation may predispose e.g. brachycephalic conformation, entropion, grid keratotomy
Describe how to diagnose Corneal sequestrum
Characterisitc clinical appearance
Describe how to treat Corneal sequestrum
Ideally keratectomy +/- graft placement (may require referral); sometimes lesions will slough over time
Describe how to diagnose Feline diffuse iris melanoma (FDIM)
Suspect from clinical appearance
Histopathology for definitive diagnosis
describe how to treat Feline diffuse iris melanoma (FDIM)
Enucleation with histopathology if high index of suspicion
Guarded prognosis due to significant risk of metastasis
List 4 signs that can suggest FDIM
Pigmented spots with raised surface
Pupil abnormalities – anisocoria, dyscoria
Progression of hyperpigmentation
Secondary uveitis/glaucoma
When should we enucleate
If masses growing rapidly
cells in anterior chamber
secondary glaucoma
infiltrating drainage angle
Describe the appearance of iris melanoma in the dog
Usually a discrete, focal pigmented mass
describe the treatment of iris melanoma in a dog
Monitoring/enucleation if painful/worrying owner