Page 1143 - Cote clinical veterinary advisor dogs and cats 4th

568.e2 Keratoconjunctivitis: Eosinophilic, Cats

monitor at 3-6 month intervals, depending on • Treatment with megestrol acetate is recom- SUGGESTED READING
stability of remission. mended by some, but the risk of systemic Stiles J: Feline ophthalmology. In Gelatt K, et al,
VetBooks.ir PROGNOSIS & OUTCOME cat is very difficult to treat, oral prednisolone IA, 2013, Wiley-Blackwell.
side effects outweighs this drug’s benefits. If a
editors: Veterinary ophthalmology, ed 5, Ames,
may be used and tapered to the lowest effec-
This condition cannot be cured, only con-
trolled. Even the worst cases often respond tive dose while working with the cat so that ADDITIONAL SUGGESTED
it will accept ocular medications.
READING
well to therapy, and vision can be regained Dean E, et al: Feline eosinophilic keratoconjunctivitis:
and maintained. Technician Tips a retrospective study of 45 cases (56 eyes). J Feline
Fluorescein uptake on the surface and in the Med Surg 15:661, 2013.
PEARLS & CONSIDERATIONS crevices of an eosinophilic keratitis plaque or
in the granular discharge does not indicate a RELATED CLIENT EDUCATION
Comments corneal ulcer.
• Eosinophilic keratitis is by far the most SHEET
common proliferative corneal lesion in the Client Education How to Administer Eye Medications
cat. Neoplasia would be exceedingly rare. Clients can play a vital role in monitoring
Confirm the diagnosis of any proliferative eosinophilic keratitis. Observation of return AUTHOR: Diane V. H. Hendrix, DVM, DACVO
corneal lesion in a cat before considering of active vascular ingrowth can trigger prompt EDITOR: Leah A. Cohn, DVM, PhD, DACVIM
enucleation. re-evaluation and treatment.

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