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Publisher:

HANLEY & BELFUS, INC.

 

Medical Publishers

 

210 South 13th Street

 

Philadelphia, PA 19107

 

(215) 546-7293; 800-962-1892

 

FAX (215) 790-9330

 

Web site: http://www.hanleyandbelfus.com

Note to the reader: Although the information in this book has been carefully reviewed for correctness of dosage and indications, neither the authors nor the editor nor the publisher can accept any legal responsibility for any errors or omissions that may be made. Neither the publisher nor the editor makes any warranty, expressed or implied, with respect to the material contained herein. Before prescribing any drug, the reader must review the manufacturer's current product information (package inserts) for accepted indications, absolute dosage recommendations, and other information pertinent to the safe and effective use of the product described.

Library of Congress Cataloging-in-Publication Data

Small animal ophthalmology secrets / edited by Ronald C. Riis p. em. - (The Secrets Series®)

ISBN 1-56053-407-9 (alk. paper)

I.Veterinary ophthalmology - Examinations, questions, etc. I. Riis, Ronald C.

SF891 .S55 2001 636.7'08977-dc21

2001024761

SMALL ANIMAL OPHTHALMOLOGY SECRETS

ISBN 1-56053-407-9

©2002 by Hanley & Belfus, Inc. All rights reserved. No part of this book may be reproduced, reused, republished, or transmitted in any form, or stored in a data base or retrieval system, without written permission of the publisher.

Last digit is the print number: 9 8 7 6 5 4 3 2 I

CONTRIBUTORS

Kenneth L. Abrams, D.V.M., DACVO

Veterinary Ophthalmology Services, Inc., Warwick, Rhode Island

Gary L. Blanchard, D.V.M., M.S., DACVO

Veterinarian in Private Practice, Hoslett, Michigan

Dennis E. Brooks, D.V.M., Ph.D., DACVO

Professor of Ophthalmology, Department of Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, Florida

Jane O. Cho, D.V.M., DACVO

Staff Ophthalmologist, Veterinary Referral Centre, Little Falls, New Jersey

Michael G. Davidson, D.V.M., DACVO

Professor of Ophthalmology, Department of Clinical Sciences, North Carolina State University College of Veterinary Medicine, Raleigh, North Carolina

Alexander deLahunta, D.V.M., Ph.D., DACVIM

James Law Professor of Anatomy, Department of Biomedical Sciences, Cornell University College of Veterinary Medicine, Ithaca, New York

Thomas F. Evans, D.V.M., MRCVS

Ark Veterinary Centre, Lexden, Colchester, England

Jeanette S. Felix, Ph.D.

President, OptiGen, LLC, Ithaca, New York

Craig A. Fischer, D.V.M., DACVO

Animal Eye Clinics of Florida, Clearwater, Florida

James E. Gaarder, D.V.M., DACVO

Veterinarian in Private Practice, Anchorage, Alaska

Bruce H. Grahn, D.V.M., DACVO, DABVP

Professor of Ophthalmology, Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

M. Kohle Herrmann, D.V.M., DACVO

Gulf Coast Animal Eye Clinic, Houston, Texas

Amy M. Knollinger, D.V.M.

Animal Eye Associates, Maitland, Florida

Seth A. Koch, V.M.D., M.M.Sc., DACVO

Adjunct Assistant Professor of Veterinary Ophthalmology, Department of Clinical Studies, University of Pennsylvania School of Veterinary Medicine, Philadelphia, Pennsylvania; Animal Eye Clinic of Maryland, Silver Spring, Maryland; Animal Eye Clinic of Vermont, Shelburne, Vermont

x

Contributors

Ellis R. Loew, Ph.D.

Professor of Physiology, Department of Biomedical Sciences, Cornell University College of Veterinary Medicine, Ithaca, New York

Annajane B. Marlar, D.V.M., DACVO

Animal Ophthalmology Clinic, Dallas, Texas

Robert J. Munger, D.V.M., DACVO

Animal Ophthalmology Clinic, Dallas, Texas

Mary Lou Norman, B.S., HT(ASCP)

Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Ithaca, New York

Dennis K. Olivero, D.V.M., DACVO

Veterinary Ophthalmology Specialty Practice, Inc., Minneapolis, Minnesota

Robert L. Peiffer, Jr., D.V.M., Ph.D., DACVO

Professor, Departments of Ophthalmology and Pathology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; Staff Ophthalmologist, Animal Eye Care, WinstonSalem, North Carolina, and Hickory, North Carolina; Needham Animal Hospital, Wilmington, North Carolina; Animal Ophthalmology of North Carolina and Virginia, Durham, North Carolina; Peninsula Veterinary Emergency Medicine Hospital, Newport News, Virginia

Simon M. Petersen-Jones, DVetMed, Ph.D., DVOphthal, DECVO, MRCVS

Assistant Professor, Department of Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine, East Lansing, Michigan

Cynthia C. Powell, D.V.M., M.S., DACVO

Assistant Professor, Department of Clinical Sciences, Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, Colorado

Daniel R. Priehs, D.V.M., DACVO

Animal Eye Associates, Maitland, Florida

David T. Ramsey, D.V.M., DACVO

Associate Professor of Comparative Ophthalmology, Department of Small Animal Clinical Sciences, Michigan State University College of Veterinary Medicine; Michigan State University Veterinary Clinical Center, East Lansing, Michigan

Ronald C. Riis, D.V.M., M.S., DACVO

Associate Professor of Comparative Ophthalmology, Department of Clinical Sciences, Cornell University College of Veterinary Medicine; Cornell University Hospital for Animals, Ithaca, New York

Jeffrey S. Smith, BVSc, FACVSc, DACVO

Visiting Lecturer, Department of Veterinary Clinical Studies, University of Sydney; Animal Referral Hospital, Eye Clinic for Animals, Sydney, Australia

James F. Swanson, D.V.M., M.S., DACVO

Gulf Coast Animal Eye Clinic, Houston, Texas

Contributors

xi

John Sykes, D.V.M.

University of Pennsylvania School of Veterinary Medicine, Philadelphia, Pennsylvania

Samuel J. Vainisi, D.V.M., DACVO

Professor of Comparative Ophthalmology in Veterinary Medicine, Department of Ophthalmology, University of Illinois at Chicago, Chicago, Illinois; Animal Eye Associates, Wheeling, Illinois

Alexandra van der Woerdt, D.V.M., M.S., DACVO, DECVO

The Animal Medical Center, New York, New York

David A. Wilkie, D.V.M., M.S., DACVO

Associate Professor and Head, Comparative Ophthalmology, Department of Veterinary Clinical Sciences, Ohio State University College of Veterinary Medicine, Columbus, Ohio

A. Michelle Willis, D.V.M., DACVO

Staff Ophthalmologist, Rowley Memorial Animal Hospital, Springfield, Massachusetts

PREFACE

Veterinary ophthalmology has no deficiency of textbooks or atlases, and the available titles are all very good. However, Small Animal Ophthalmology Secrets is different from the other textbooks in the field. The format of The Secrets Series® relies on the authors to pose a question that is commonly asked on exams or in the clinic and then follows up with an answer that is founded on years of the authors' experience. The goal of this text is not to be all-inclusive; the standard texts serve that purpose. The format and the content of this text provide key information in a way that will save readers time and energy concerning topics that they need to know.

It is my hope that The Secret Series® will expand to include other veterinary ophthalmology titles, such as large animal species and exotic species, because ophthalmology still turns me on. It has been enjoyable working with my colleagues to complete this text, and their contributions are much appreciated. In addition, we are all indebted to our animal patients, clients, students, interns, residents, and, last but certainly not least, veterinary technicians.

Ronald C. Riis, DVM, MS, DACVO

xiii

FIGURE I.

Dog nictitans. Diagnosis: follicular hyperplasia.

FIGURE 2.

Pigeon iris. Diagnosis: normal "eye sign."

FIGURE 3.

Dog iris with focal pigmentation. Diagnosis: iris nevus.

FIGURE 4.

Cat cornea with central pigment and neovascularization. Diagnosis: sequestrum.

FIGURE 5. Dog eye with lens opacity. Diagnosis: cortical and perinuclear cataract.

FIGURE 6. Dog iris bulging pigemented tumor. Diagnosis: anterior uveal melanoma.

FIGURE 7. Cat cornea with neovascularization infiltrate. Diagnosis: stromal abscess.

FIGURE 8. Cat iris. unusual shape. Diagnosis: typical iris coloboma.

FIGURE 9. Cat iris with stromal rarification. Diagnosis: senile iris atrophy.

FIGURE 10. Dog cornea with extensive neovascularization. Diagnosis: keratoconjunctivitis sicca.

FIGURE 11. Dog iris. swollen and disfigured. Diagnosis: ocular manifestation of lymphoma.

FIGURE 12. Dog lens opacity. Diagnosis: congenital inherent cataracts.

FIGURE 13. Chocolate Labrador retriever fundus. Normal variation. Note choroidal vessels (*) and small tapetal islands (**).

FIGURE 14. Tri-collie fundus. Diagnosis: small optic disc coloboma (*).

FIGURE 15. Dog fundus. Diagnosis: uveitis associated with pyometra (*).

FIGURE 16. Dog fundus with hemorrhage. Diagnosis: hemorrhage secondary to thrombocytopenia. Note: hemorrhage is located in the intraretinal and photoreceptor layers, vitreal haziness over disc secondary to plasmoid effusion.

FIGURE 17. Merle collie fundus. Diagnosis: subalbinotic with small optic disc coloboma (*) and choroidal hypoplasia (**).

FIGURE 18. Golden retriever. Diagnosis: normal variant. Note excessive myelination of optic disc (*) (pseudopapilledema).

FIGURE 19. Cat fundus with large areas of altered reflectivity (*). Diagnosis: chorioretinal scars. Rule out toxoplasmosis.

FIGURE 20. Cat fundus with linear scars (*). Diagnosis: ophthalmomyiasis (larvae tracks).