Final Exam - Food Animal Ophthalmology Flashcards

1
Q

if you see scleral infection present in a very sick cow, what should you be thinking about?

A

sepsis is suspected

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2
Q

what lesion is shown here? what is it associated with?

A

episcleral hemorrhage - secondary to calving trauma

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3
Q

what congenital lesion is shown here?

A

dermoid

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4
Q

what are some teratogens that cause congenital ocular lesions in cattle?

A

BVD

blue tongue virus

veratrum californicum

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5
Q

what congenital ocular lesions are seen with BVD?

A

blindness, cataracts, nystagmus, microphthalmos, corneal lesions, etc

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6
Q

what congenital ocular lesions are seen with blue tongue virus?

A

blindness, chorioretinitis, & retinal dysplasia

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7
Q

what congenital ocular lesions are seen with veratrum californicum?

A

anophthalmia, cyclopia, & synophthalmos

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8
Q

what congenital lesion is shown here? what clinical signs are associated with it? what animals are commonly affected by it?

A

entropion - skin/hairs irritate the eye, usually from the lower lid

squinting, tearing, ulceration, & blindness

common in sheep - genetic condition (no breeding) or congenital/early onset

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9
Q

what are some other names for infectious bovine keratoconjunctivitis?

A

pinkeye & IBK

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10
Q

what lesion is shown in the photo? what causes it?

A

infectious bovine keratoconjunctivitis

moraxella bovis - gram negative coccobacillus that contains hemolysin, necrotizing factor, & leukocidin

can also be caused by other moraxella spp, mycoplasma spp, & respiratory viruses

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11
Q

how is infectious bovine keratoconjunctivitis spread?

A

shed in nasal & ocular secretions - direct contact, aerosols, fomites, mechanical vectors, introduction of new animals, & recent infections

highly infectious!!!

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12
Q

what animals are severely affected by infectious bovine keratoconjunctivitis?

A

high morbidity in 3-12 month old calves/immunologically naive

beef cattle more susceptible than dairy!!!

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13
Q

how does IBK affect economics?

A

decreased yield (less weight gain, decreased milk yield, lower calf value), cost of treatment, & sale loss of damaged eyes!

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14
Q

what is the pathophysiology of infectious bovine keratoconjunctivitis?

A

corneal damage -> epiphora -> flies -> spread of disease!!!!!

pili bind to the cornea & the enzyme allows entrance to the stroma -> corneal perforation

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15
Q

what clinical signs are seen in early disease of infectious bovine keratoconjunctivitis?

A

lacrimation, blepharospasm, photophobia, & conjunctival hyperemia

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16
Q

what clinical signs are seen in midstage disease of infectious bovine keratoconjunctivitis?

A

central ulceration & uveitis

17
Q

what clinical signs are seen in late disease of infectious bovine keratoconjunctivitis?

A

vessel invasion, necrosis of the stroma, & granulation of the corneal defect

18
Q

what sequelae are associated with infectious bovine keratoconjunctivitis?

A

corneal scarring, corneal perforation, glaucoma, & phthisis bulbi

19
Q

how is infectious bovine keratoconjunctivitis diagnosed?

A

history, signalment, ocular exam

culture for moraxella

PCR for IBR & mycoplasma

20
Q

what treatment is used for infectious bovine keratoconjunctivitis?

A

decrease exposure - eye patch, 3rd eyelid flap

injectables - antibiotics & NSAIDS

topicals - abx, atropine, & steroids

subconjunctival injections - bulbar or palpebral

21
Q

how is infectious bovine keratoconjunctivitis controlled/prevented?

A

must control the spread of disease!!!!!

fly control, shade, mow pastures, dust/pollen control, & vaccines

22
Q

what causes keratoconjunctivitis in sheep/goats? what treatment is used?

A

similar to cattle

mycoplasma conjunctivae, chlamydia psittaci, branhamella ovis, & coxiella burnetti

same as cattle for treatment but no vaccine available!

23
Q

what is exenteration? when is it done?

A

removal of all contents in the orbit - done for extensive lesions

use the auriculopalpebral block, retrobulbar block, & maybe peterson eye block

24
Q

what lesion is shown here?

A

ocular squamous cell carcinoma

25
what are the predisposing risks for a cow getting ocular squamous cell carcinoma?
7-8 years old associated with no pigment UV light exposure, environment, genetics, & concurrent viral infection (papilloma)
26
what stages are seen in bovine ocular squamous cell carcinoma?
precancerous - epidermal plaques, papillomas, & keratosis of the eyelid carcinoma in situ invasive squamous cell carcinoma
27
where are the most common locations for ocular squamous cell carcinomas in cows? is metastasis common?
corneoscleral junction (lateral limbus is common) lower eyelid margin third eyelid metastasis is not common!!!!
28
when can radiofrequency hyperthermia be used for treating ocular SCC in a cow?
only when the lesion is < 5 mm
29
what are you two main options for treatment for ocular SCC in cows?
either cull them or treat them!
30
what treatment is available for ocular SCC in cows?
surgical resection, radiofrequency hyperthermia, cryotherapy, & immunotherapy
31
how is ocular SCC diagnosed in cows?
visual inspection & histopathology!
32
what is this lesion?
hypopyon
33
this agent causes infectious bovine keratoconjunctivitis - what is it?
moraxella bovis!
34
what lesion is shown here?
epidermal plaque at the lateral limbus of the eye