1:00 PM· 1.0 Hour
Management of Common Equine Corneal Conditions
Ocular-surface and intrastromal SCC (Haflinger and Belgian predisposition, biopsy to confirm, surgical excision plus adjunctive treatment). Corneal ulceration from simple superficial to melting: fluorescein depth assessment, cytology-guided topical selection (ofloxacin, ciprofloxacin, compounded 5.5% cefazolin, chloramphenicol), systemic flunixin at 1.1 mg/kg BID for reflex uveitis, atropine with colic monitoring, voriconazole 1% and fluconazole for fungal disease, autogenous serum for collagenase activity. Stromal abscess under intact epithelium (steroid-contraindicated). Iris prolapse, eosinophilic keratitis, and the three depths of immune-mediated keratitis. Referral triggers: >50% stromal depth, ruptured globe, nonresponse at 48 hours.
- Differentiate the presentations of equine corneal disease and choose appropriate diagnostics
- Select topical and systemic drug combinations based on cytology and clinical findings
- Manage melting ulcers, stromal abscesses, and immune-mediated keratitis medically
- Identify the cases that belong with a specialist and call the referral early
