Page 990 - The Veterinary Care of the Horse
P. 990

Allergic conjunctivitis responds to topical corticosteroids and removing the horse from the

        source of the problem if it can be identified.
  VetBooks.ir  Parasitic disease requires systemic treatment with moxidectin or ivermectin.

        Habronema lesions are surgically removed.

        Foreign bodies are removed and any resultant infection or inflammation is treated.

        Tumours are identified from the biopsy results and treatment depends on their type.



        The first step is to flush the conjunctival sacs with saline to remove accumulated exudate and
        debris. Flushing of the nasolacrimal duct may also be beneficial and the procedure will detect

        if it is partially or totally obstructed.
             In all cases, protection from physical irritants such as dust, wind and flies is an important

        part of the treatment.




        CATARACTS




        A  cataract  is  any  opacity  of  the  lens or  its capsule.  It may  be small  and  non-progressive,
        causing little, if any, impairment of vision. Other cataracts are progressive. They affect the
        horse’s sight and eventually lead to blindness.




        Causes

        Cataracts may be:

        •    congenital  (i.e.  present  at  birth),  possibly  due  to  problems  such  as  infection,  poor
             nutrition  or  exposure  to  toxins  while  the  foal  was  developing  in  the  uterus  (Figure

             21.13a)
        •    hereditary: in some breeds these may be present at birth or develop by three years of age

        •    acquired as a result of injury or disease (Figure 21.13b),

        •    the result of ageing changes

        •    unilateral (affecting one eye) or bilateral (both eyes).
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