Equine corneal ulcer with keratomalacia : medical management
"Rodeo" is an 8-year-old thoroughbred stallion that presented to the Emergency service at Cornell for treatment of a melting corneal ulcer. Rodeo had sustained a traumatic injury to the left eye three days prior to presentation. The referring veterinarian had begun treatment with topical neomycin-polymixin-bacitracin ointment and topical tobramycin alternating every two hours throughout the day. Oral flunixin meglumine and topical atropine were given for management of secondary uveitis and no treatments were performed at night. On presentation at Cornell, Rodeo was excited, alert, and responsive. Except for his left eye, physical exam was unremarkable. Rodeo was sedated and the auriculopalpebral and supraorbital nerves were blocked, and a complete ophthalmic exam was performed. His left eye was found to have an axial, deep stromal melting ulcer approximately 2cm in diameter. The most central 4mm was much deeper with only about 1/5 of corneal stromal thickness remaining. Due to insurance concerns medical management was elected. A subpalpebral lavage system was placed to facilitate hourly application of topical medications. Rodeo was treated with several different antibiotics as well as anticollagenases to control the keratomalacia (melting). Atropine was used at varying frequencies to control the secondary uveitis. After much time and dedication the eye healed well with minimal scarring.
Includes bibliographical references (leaf (10)).