Successful management of a unilateral persistent epithelial defect secondary to meibomian gland dysfunction in an Irish Sports Horse using a multi-modal treatment plan

Susie K. Armstrong*, Benjamin Blacklock, John Keen, Fraser S. Peck

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A novel equine multi-modal protocol was implemented for management of unilateral equine dry eye disease and worsening persistent epithelial defects in a clinically well Irish Sports Horse. Utilising knowledge directly from human ophthalmic medicine for meibomian gland dysfunction, the meibomian glands were first mechanically debrided and expressed.
Then a four-point treatment protocol was instigated. The protocol comprised hot compressing, artificial tears, autologous serum and a topical azithromycin
regimen, resulting in a significant improvement in persistent epithelial defects and
clinical signs. This case highlights the benefits of a treatment plan containing both nonpharmacological and pharmacological therapies targeting the lipid component of the tear film matrix in horses with dry eye disease.
Original languageEnglish
Article numbere496
Pages (from-to)1-7
Number of pages7
JournalVet Record Case Reports
Volume10
Issue number4
Early online date21 Sep 2022
DOIs
Publication statusPublished - Dec 2022

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