Pictures Flashcards
8 YO MC horse for prepurcahe
Sqamous cell carcinoma, 3rd eyelid growth
tx: surgery, adjunctive therapy
see horse back within week to 2-3 weeks
11 YO MC cocker spaniel, owner has noticed cloudiness for 3 years
Diagnosis: hypermature cataract, white opacity covering /3rd of the pupil. Mydriatic pupil. Resorbing, glittery appeareance with lens capsule wrinkling.
Treament: topical antiinflammatories (diclofenac), topical steroid, systemic streroids/antiinflamm, atropine (stabilize blood aqeous barrier)
RC:
6YO Jack russel terirer, routing vaccination exam (you have already dilated the eye)
Vitreal degeneration or cataract.
- lense equator is visible, which it shouldnt be } afacic crescent
- this is indicative of lens luxation- it is out of place
6Mo F DSH for routine vaccination after adoption yesterday
Description: Hazy anterior chamber (OU), uveitis, FIBRIN!!! FIV/FeLV/FIP
treatment: No treatment, cuase he has FIP
9 YO Husky, owners notices blindness over the past week
Decription- MIld conjunctival hyperemia, mature cataract. Water cleft marks. Iris atrophy, rubiosis ititis, episcleral injetoin, 2 focal areas of hemorrage within the anterior chamber. Uveitis LENS INDUCED UVEITIS 1st diagnostic test to run on this animal- blood glucose test
Treatment: anti-inflammatores systemic and topical, atropine if no glaucoma. Huskies are prone to primary glaucoma.
recheck: 1 week, 3 months after that
How does secondary glaucoma start?
- crap ton of inflammation within the eye
inflammation is causing decrease flow, so the drain (irocorneal angle) is closing due to fibro vascular pattern. Pre-irido-fibro vascularization membrane
Cospot does
decreases the amount of outflow so to decrease the pressure within the eye
17 yo dutch warmbookd, owner noticed cloudy eye for one week, has been treating wiht ointment from tack trunk
Description/diagnosis: Serum ventrally, white opacity within the cornea, corneal edema diffuse, deep vascularization, mucoid discharge.
: melting corneal ulcer with cellular infiltrate
treatment: culture/cytology, vorconazole, fluroquiniolone, flunixin, serum/edta, muro 128, atropine
recheck: 3-5 days
6YO FS cocker panel, owners come home from dinner to a cloudy eye
Diagnosis/description: severe conjunctival hyperemia-scleral injection, Mydriatic eye, generalized corneal edema, fuzy cornea, keratic preciptients KP’s, primary Glaucoma
treatment: cosopt (timolol & dorzolamide (carbonic anhydrase inhibitor) reduces aqeuous fluid, (Q8 to start) or , latanaprost (Q15 minutes until we see a change and after that BID) (this is another stronger glacoma medications).
recheck: 5-7 days
Chornic uveitis
Synechia, KPs, aqeous flare,, small pupil, lens degeneration which manifests as cataracts
Primary vs secondary glaucoma
- gonioscopy} specific lens where we look at the unaffected eye.
Gonoiodegensis} iridioconreal angle is not formed properly
} generally one eye is affected first
7 YO MC Lab, progressive vision loss over the past 6 months
Diagnosis: Progressive retinal atrophy- middle aged labrador is why it is PRA. Vascuature is attenuating. Optic disc is pale. Recessed optic disc due to black line around it. Teh optic disc is smaller. non reversible. Venules very small and you cannot see arterioles
treatment: there are no medicatoins, just keep an eye on intraocular enviroment which could cause cataracts
recheck: check 1-2 a year.
Usually a symmetrical/bilatteral
What does red in the corneas mean?
Vascularization
What do you see in the picture, what is the dx and tx?
Description: vascularization, corneal edema, stormal melting ulcer, injected
ddx: stromal melting ulcer
Tx: oflaxacin and torbamcin, edta, voriconazole, banamine
11 YO MC Boxer, corneal ulcer 3 week duration treated by another DVM with Gentamicin ointment and atropine
DDx: indolent ulcer, conjunctival hypermedia, epithelial lip, pulling away and not adhering to stromal layer
Tx: diamond burr- promotes growth factors, roughening area so cells can stick to area or grid kerratopathy, NSAID: diclofenac
6 YOP Shih tzu presents for evaluation of infected eyes noted by the owner last week
Corneal edema, superficial /deep vascularization, cellular infiltrate, mucous discharge, chronic inflammation/irritation
DD; dry eye
tx: cyclosporine, and gentel, tacrylymus, should respond by 4-6 weeks but lifetime treatment
What do you see, diagnosis and treatment?
Severe corneal edema, microbullae, cornea can only handle so much fluid, microblusters
tx: Munro 128, flap, thermos era- cautery tiny tots on cornea surface
cospot (dorzolamide & timolol), latanaprost
6 MC QH present for acute onset change of the color of the iris and squinting
Hyperpigmentation, pathologic heterchromia, chronic inflammation rubiosis-irritants
DDX: ERU
Treatment: steroids!!, banamine, atropine
What do you see, diagnosis and treatment?
Hypopion, cellular infiltrate, malaria, hyphens, deep lines and deep center = fungus furrow/.
- fungal keratitis - ulcerated
TX: vorconazole, edta, serum, oflaxacin and tobra, atropine, flunixin or conjunctival flap
2 YO FS DSH presents for squinting of 2 day duration
Dendritic ulcers (herpes) raised and irritated 3rd eyelid, mydriatic - Eosinophilic keratitis
to: Lysine, cidofovir, famyclovir- antivirals
eosinophilic keratitis- steroid, immunosuppressive (cyclosporine)
antiviral, antibiotic, immunomodulator
Diagnosis, treatment ect
Chemosis, and severe conjunctival hypermedia, edema, white soft ring (malaria)-desmecole,
treatment: conjunctival flap
Diagnosis, treatment ect
Edema, 5-6 mm white oval opacity, deep vascularization, dark iris, posterior synechia
ddX: chronic inflammation
ERU and possible glaucoma
Diagnosis, treatment ect.
Increase in discharge, fibrosis-whisky, superficial vasculature, blunt corpra nigra
DDX: immune mediated keratitsi
tx: cyclosporine, steroids, subconjunctival cyclosproine
Description, diagnosis, treatment ect.
Diffuse edema, deep vascularization, hyphema, deep stromal ulcer with cellular infiltrate, complicated ulcer & uveitis
antibiotics, antibfungals, flunixin, serum, atropine
Shiny white glittery diamonds, mineralizations
corneal dystophy/degeneration
superficial vasculaization
managment: EDTA prevent sloughening off
Description, diagnosis, treatment
Deep and superficial vascularization, cellular infiltrate, iris prolapse due to penetration of the ulcer
ddx: iris prolapse
tx: flunixin, systemic antibiotic
