Ocular Diseases in Veterinary Medicine

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Questions and Answers

What is the term for pupil constriction in ocular terms?

  • Miosis (correct)
  • Chemosis
  • Mydriasis
  • Blepharospasm

Which clinical sign is most likely associated with Epiphora?

  • Chemosis
  • Hyperemia
  • Watery eyes (correct)
  • Blepharitis

What anatomical feature is primarily affected in Entropion?

  • Cornea
  • Lacrimal glands
  • Eyelids (correct)
  • Sclera

Which breed is commonly associated with primary glaucoma due to inherited poor aqueous drainage?

<p>Cocker Spaniel (A)</p> Signup and view all the answers

What is the primary cause of secondary glaucoma?

<p>Obstruction of drainage angles (C)</p> Signup and view all the answers

Which condition is characterized by eyelids rolling outward, exposing the cornea?

<p>Ectropion (C)</p> Signup and view all the answers

What is the most common clinical sign of keratitis?

<p>Painful eye sensation (B)</p> Signup and view all the answers

What is the surgical treatment recommended for conditions like Cherry Eye?

<p>Nictitating membrane reduction (B)</p> Signup and view all the answers

Which best describes the nature of vision in animals suffering from chronic glaucoma?

<p>Complete blindness (A)</p> Signup and view all the answers

Which of the following is NOT a common cause of conjunctivitis in dogs?

<p>Chlamydia (A)</p> Signup and view all the answers

What is a common cause of uncomplicated corneal ulcers?

<p>Chemical exposure (D)</p> Signup and view all the answers

Which structure in the eye is primarily responsible for tear production?

<p>Lacrimal glands (C)</p> Signup and view all the answers

What is a significant consequence of untreated Keratoconjunctivitis Sicca (KCS)?

<p>Blindness (C)</p> Signup and view all the answers

Which of the following is NOT a sign of anterior uveitis?

<p>Increased tear production (A)</p> Signup and view all the answers

What is a treatment commonly used for uncomplicated cases of anterior uveitis?

<p>Topical atropine (C)</p> Signup and view all the answers

Which breed is commonly associated with progressive retinal atrophy?

<p>Cockers (B)</p> Signup and view all the answers

What condition may require the surgical removal of the cataract?

<p>Cataracts (B)</p> Signup and view all the answers

What is the most significant result of retinal thinning in progressive retinal atrophy?

<p>Loss of day vision (D)</p> Signup and view all the answers

Which of the following is a method to support the management of Keratoconjunctivitis Sicca?

<p>Topical cyclosporine (C)</p> Signup and view all the answers

What is a common underlying condition that can lead to prolonged cases of uncomplicated corneal ulcers?

<p>Entropion (A)</p> Signup and view all the answers

Which of the following conditions is associated with eyelids rolling inward against the cornea?

<p>Entropion (D)</p> Signup and view all the answers

What is the primary cause of epiphora in animals?

<p>Increased tear production (B)</p> Signup and view all the answers

What is the most likely outcome if Keratoconjunctivitis Sicca (KCS) is not treated appropriately?

<p>Progression to blindness (C)</p> Signup and view all the answers

Which clinical sign is NOT typically associated with chronic glaucoma?

<p>Heightened tear production (B)</p> Signup and view all the answers

Which of the following is a contributing factor to the formation of cataracts in animals?

<p>Inherited predisposition (C)</p> Signup and view all the answers

What is a common anatomical feature that contributes to the development of corneal ulcers?

<p>Irritation from lashes (B)</p> Signup and view all the answers

In which type of eye condition is topical atropine used to manage symptoms?

<p>Anterior Uveitis (D)</p> Signup and view all the answers

Which breed is particularly prone to secondary glaucoma due to obstruction of drainage angles?

<p>Chow Chow (B)</p> Signup and view all the answers

Which of the following signs is indicative of blepharospasm?

<p>Inability to keep the eye open (D)</p> Signup and view all the answers

Which clinical sign is commonly associated with anterior uveitis?

<p>Pain and chemosis (D)</p> Signup and view all the answers

What underlying condition is often linked to chronic cases of uncomplicated corneal ulcers?

<p>Entropion (B)</p> Signup and view all the answers

What anatomical structure primarily affects the condition known as cherry eye?

<p>Nictitating membrane (D)</p> Signup and view all the answers

Which condition is characterized by inflammation of the sclera?

<p>Scleritis (C)</p> Signup and view all the answers

What is a major symptom that patients with progressive retinal atrophy typically experience?

<p>Loss of night vision (D)</p> Signup and view all the answers

What treatment is essential for managing Keratoconjunctivitis Sicca (KCS)?

<p>Topical cyclosporine (B)</p> Signup and view all the answers

What is the typical treatment approach for entropion in dogs?

<p>Surgical correction (A)</p> Signup and view all the answers

Which of the following best describes a potential consequence of untreated conjunctivitis in cats?

<p>Corneal ulcers (A)</p> Signup and view all the answers

Which factor is NOT a common cause of cataract formation?

<p>Bacterial infections (D)</p> Signup and view all the answers

What is a potential consequence of not treating anterior uveitis effectively?

<p>Permanent vision loss (B)</p> Signup and view all the answers

What is the main function of tears in maintaining eye health?

<p>To clean, lubricate, and nourish the cornea (D)</p> Signup and view all the answers

Flashcards

Miosis

Pupil constriction.

Mydriasis

Pupil dilation.

Conjunctivitis

Inflammation of the conjunctiva, the thin membrane lining the eye.

Epiphora

Watery eyes, excessive tear production.

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Entropion

Eyelid rolls inward, touching the cornea.

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Ectropion

Eyelid rolls outward, exposing the cornea.

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Cherry eye

Hypertrophy of the nictitating gland (third eyelid).

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Glaucoma

Increased intraocular pressure (IOP) causing retinal damage.

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Corneal Ulcer

Sore/ulcer in the cornea.

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Intraocular pressure (IOP)

Pressure inside the eye.

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Corneal Epithelium Loss

Complete loss of the corneal epithelium, exposing the underlying stroma. This can be caused by trauma, chemicals, foreign objects, dry eye (KCS), or herpes virus.

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KCS

Keratoconjunctivitis Sicca, or dry eye, occurs when there is insufficient tear production and distribution, leading to a dry, uncomfortable eye.

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Lacrimal Glands

Glands that produce tears. In dogs and cats, these glands are located in the lateral superior orbit (70% of tears) and at the base of the third eyelid (30% of tears).

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Cataracts

A clouding of the lens in the eye, which can cause progressive vision loss.

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Uveitis

Inflammation of the uvea, the middle layer of the eye that includes the iris, ciliary body, and choroid.

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Anterior Uveitis Signs

Symptoms of anterior uveitis include pain, prolapsed third eyelid, vision defects, chemosis (swelling of the conjunctiva), and scleral injection (redness of the white part of the eye).

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Progressive Retinal Atrophy (PRA)

A group of inherited retinal disorders that cause retinal thinning, nerve atrophy, and vascular narrowing, leading to progressive vision loss.

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PRA Cause in Cats

In cats, PRA can be caused by a deficiency in taurine, an amino acid essential for vision.

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PRA Common Breeds

PRA is commonly seen in toy breeds, poodles, retrievers, setters, schnauzers, cockers, and collies.

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Treatment for Corneal Ulcers

Treatment involves addressing the underlying cause, providing pain relief, and promoting healing. This often includes topical antibiotics, pain medications, and eye lubrication.

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Blepharospasm

Uncontrolled blinking, making it difficult to open the eye.

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Chemosis

Swollen conjunctiva, the membrane lining the eye.

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Hyperemia

Bloodshot eyes due to dilated blood vessels.

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Keratitis

Inflammation of the cornea, the transparent front part of the eye.

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Photophobia

Sensitivity to light, causing discomfort.

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Scleritis

Inflammation of the sclera, the white part of the eye.

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Dacryocystitis

Inflammation of the lacrimal sac, which collects tears before they drain.

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What is a corneal ulcer?

A sore or lesion on the cornea, the clear outer layer of the eye. It can happen due to trauma, chemical exposure, foreign bodies, dry eyes, or infections like herpes.

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Pain, red eye, watery eyes, blinking excessively are signs of what?

A corneal ulcer, which is a sore or lesion on the cornea, the clear outer layer of the eye.

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Keratoconjunctivitis sicca (KCS)

Dry eye, a condition where the eyes don't produce enough tears to keep them healthy, leading to dryness, discomfort, and potential vision loss.

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What are the main causes of KCS?

Loss of lacrimal glands, which are responsible for tear production. This loss can be due to age, disease, or genetics.

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What is a cataract?

A clouding of the lens in the eye, blocking light and causing vision loss. It often develops gradually and can be inherited or caused by other medical conditions.

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What is uveitis?

Inflammation of the uvea, the middle layer of the eye that includes the iris, ciliary body, and choroid. It can lead to pain, redness, and vision problems.

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What are some signs of anterior uveitis?

Signs include pain, prolapsed third eyelid, vision problems, swelling of the conjunctiva (chemosis), and redness of the white part of the eye (scleral injection).

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What is Progressive Retinal Atrophy (PRA)?

A group of inherited eye diseases that cause progressive loss of vision due to degeneration of the retina, the light-sensitive tissue at the back of the eye.

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What is a common cause of PRA in cats?

Taurine deficiency, an essential amino acid required for healthy vision. It's important to ensure cats get enough taurine in their diet

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What breeds are commonly affected by PRA?

Toy breeds, poodles, retrievers, setters, schnauzers, cockers, and collies are known to be predisposed to PRA.

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Study Notes

Ocular Diseases

  • Visual disorders are common in veterinary medicine
  • Early diagnosis is crucial to prevent sight loss
  • Eye diagnostics include pupil size (miosis/mydriasis), eyelid inflammation (blepharitis), eye swelling (chemosis), and watery eyes (epiphora)
  • Eye problems are often secondary to other issues, like infections or environmental factors
  • Eyelids can roll inward (entropion) or outward (ectropion)
  • Conditions like glaucoma, inflammation of the conjunctiva (conjunctivitis), and corneal inflammation (keratitis)
  • Corneal damage has multiple layers that can be affected
  • Inflammation of the nictitating membrane (cherry eye)
  • Eyelids can protect the eyes, but issues like entropion and ectropion require treatment

Anatomy of the Eye

  • Fibrous layer (sclera and cornea)
  • Vascular layer (choroid, ciliary body, and iris)
  • Nerve layer (retina)
  • Tapetum lucidum (reflective area aiding night vision)
  • Accessory structures (eyelids, tear ducts, third eyelid)

Overview & Terminology

  • Miosis: Pupil constriction
  • Mydriasis: Pupil dilation
  • Blepharospasm: Involuntary blinking
  • Blepharitis: Inflammation around the eyelids
  • Chemosis: Eye swelling
  • Hyperemia: Bloodshot eyes
  • Epiphora: Watery eyes
  • Keratitis: Inflammation of the cornea
  • Photophobia: Light sensitivity
  • Scleritis: Inflammation of the sclera
  • Conjunctivitis: Inflammation of the conjunctiva

Infectious Ocular Diseases (Often Cats)

  • Herpes
  • Calicivirus
  • Chlamydia

Non-Infectious Ocular Diseases (Often Dogs)

  • Bacterial infections
  • Immune-mediated diseases
  • Allergies
  • Injuries
  • Foreign bodies
  • Decreased tear production

Clinical Signs of Ocular Disease

  • Pain
  • Chemosis
  • Blepharospasm
  • Epiphora (Watery Eyes)
  • Discharge
  • Discomfort
  • Squinting
  • Discolored facial hair
  • Faulty tear drainage
  • Underlying causes

Treatments and Management

  • Ocular antibiotics
  • Nursing care
  • Flushing
  • Topical medications
  • Surgery (if needed)

Specific Eye Conditions

Epiphora

  • Causes: Overproduction of tears, irritation
  • Clinical signs: Wet facial hair, rubbing eyes
  • Treatment: Treat underlying cause

Entropion

  • Eyelids roll inwards, exposing the cornea
  • Signs: Eye irritation, discomfort
  • Treatment: Surgery

Ectropion

  • Eyelids roll outwards
  • Signs: Watery eyes, exposure keratitis
  • Treatment: Surgery

Conjunctivitis

  • Inflammation of the conjunctiva
  • Often secondary to other diseases

Keratoconjunctivitis Sicca (KCS)

  • "Dry eye"
  • Tears are inadequate to maintain healthy eyes
  • Treatment: Treat underlying condition and topical supplements

Cataracts

  • Opaque lens
  • Progressive loss of vision
  • Eye condition affecting lens clarity

Glaucoma

  • Increased intraocular pressure damage to retinal cells
  • Inherited or secondary to other conditions
  • Treatment: Reduce pressure (surgery or drops)

Anterior Uveitis

  • Inflammation of uvea (iris, ciliary body, choroid)
  • Must treat promptly to prevent blindness
  • Treatment: Treat underlying cause and reduce inflammation

Progressive Retinal Atrophy (PRA)

  • Hereditary retinal disorder
  • Causes retinal thinning, nerve atrophy, and vascular narrowing
  • Loss of low-light vision, eventual blindness
  • No effective treatment

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