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Equine Ophthalmic Emergencies

October 05, 2023

Eyelid trauma

Trauma to the eyelids is usually proceeded by swelling of the eyelids, which can be severe. The eye should always be evaluated in the case of eyelid swelling due to the increased occurrence of corneal ulcers and other diseases of the eye. Eyelid lacerations should be evaluated and sutured if possible to preserve the structure and function of the eyelids.

Equine recurrent uveitis (moonblindness)

Equine recurrent uveitis (ERU) causes inflammation within the eye and is the leading cause of permanent blindness in horses. The cause is not well understood, but most ophthalmologists agree there is an autoimmune component, where the immune system attacks healthy structures in the eye. The genetic basis of ERU is well documented in the Appaloosa breed, but ERU can occur in any breed or age group. Treatment of ERU is centered around reducing the inflammation and getting the horse comfortable. ERU can be complicated by corneal ulcers due to self-trauma (rubbing/scratching at the eye). Because of this, use of specialized fly masks or eye cups are sometimes recommended to reduce the risk of corneal ulceration.

If you suspect an eye injury, contact your veterinarian immediately. Early intervention can preserve vision, which is the ultimate goal when dealing with an ophthalmic emergency.

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