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Indolent Corneal Ulcer

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  • #41
    Bruin's remaining eye has a pretty big scar but for some reason it does not impair his sight (too much) I think that he has a constant blood supply so if anything were to happen we don't have to wait for the blood vessels to grow into the cornea (does that make sense?)After the flap surgery his surgeon told me his eye was "stronger" now. Knock on wood I have not had anything else happen to his eye. I freaked the other day because I took of his mask and he had tears running a bit but it was because he was shedding so bad a few hairs got on his eye. We called his vet anyway and she said to give him 500lbs of Banamine. He look comfortable but my daughter thought his scar look funny, lumpy. The vet check him and said he look fine but also thought the scar looked different. If anything was going on it is fine now.
    When it comes to ulcers the problem is that the eye is not vascular and you have to wait so long for vessels to grow into the defect to help heal it. I wish I could post a picture for you.

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    • #42
      Caryledee and Nashfad - Just checking in to see how your guys are doing? Mine is hanging in there but not healing as well as i would expect by this point. Our appointment isnt until Friday, its going to be a long week!

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      • #43
        My guy has improved a bit over the weekend. I am not getting too excited over this, as he has had improvements a couple of times in the past and then it opened up again. But he is definitely less painful right now. I am wondering if this is a seasonal/allergy type thing, with the changes of the season? I wish there was some way to tell.

        Keeping my fingers crossed for your guy!

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        • #44
          Originally posted by Jacqui View Post
          Bruin's remaining eye has a pretty big scar but for some reason it does not impair his sight (too much) I think that he has a constant blood supply so if anything were to happen we don't have to wait for the blood vessels to grow into the cornea (does that make sense?)After the flap surgery his surgeon told me his eye was "stronger" now. Knock on wood I have not had anything else happen to his eye. I freaked the other day because I took of his mask and he had tears running a bit but it was because he was shedding so bad a few hairs got on his eye. We called his vet anyway and she said to give him 500lbs of Banamine. He look comfortable but my daughter thought his scar look funny, lumpy. The vet check him and said he look fine but also thought the scar looked different. If anything was going on it is fine now.
          When it comes to ulcers the problem is that the eye is not vascular and you have to wait so long for vessels to grow into the defect to help heal it. I wish I could post a picture for you.
          I am glad your guy is doing so well! If I could be assured that the remaining eye would grow stronger and not be suseptible to ulcers, I think I would just enucleate this eye.

          One of my guy's problems seem to be that vessels either do not grow into the cornea or they don't do it at a normal rate. So I understand what you are saying about this. The first vet I used made a comment about this but I don't think there is much they can do to change it. Even the keratectomy the first time didn't seem to change this.

          Comment


          • #45
            UPDATE

            Vet was out today and eye is no longer taking up stain!! Still has some edema in there, but it is so much better!

            I am convinced this is some sort of allergy. When the weather changed, the healing rate was dramatic. I need to figure out an answer to this before next spring!!

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            • #46
              Congratulations! Happy day!

              I've been following your travails - my gelding had an indolent ulcer this summer that took 5 weeks to heal (multiple debridements, no vascular growth ever, serum is what seemed to make the difference), and I thought that was bad, but jeez.

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              • #47
                Yes, happy day!! Now maybe I can get some riding in before the snow flies!

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                • #48
                  GREAT !!!! HAPPY FOR ALL !!

                  GREAT !!! HAPPY ~ ENJOY !!!

                  Originally posted by caryledee1 View Post
                  Yes, happy day!! Now maybe I can get some riding in before the snow flies!
                  Zu Zu Bailey " IT'S A WONDERFUL LIFE ! "

                  Comment


                  • #49
                    Just saw this very recent article re: corneal ulcers in The Horse:

                    http://www.thehorse.com/ViewArticle.aspx?ID=20736
                    Nothing with horses is ever easy or cheap. And if it is, you're doing it wrong. They always rip out part of your soul when they leave. I guess that's how they find us later.

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                    • #50
                      I have been reading this thread as my horse's corneal ulcer is just not healing. He has been diagnosed with corneal herpes in that eye some years back and I have meds but apparently did not have enough in a few weeks ago so he rubbed it and ulcered. I have been treating with antibiotics and the herpes meds but the eye continues to be itchy and running and painful. Ulcer had started to get smaller now big again. He's getting banamine every day for the pain. I am just at a loss and have no trailer anymore to haul him off to a specialist.

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                      • #51
                        I went through this ordeal with my late mare, Chutney, who lived to be almost 32. She developed an indolent corneal ulcer in the last couple of years of her life. We tried everything - debriding, contact lens, fungal drops, etc. The keretectomy seemed to help for a while, but it would flare up on an almost monthly basis. The opthamologist determined that she had developed uveitis secondary to the ulcer. The serum seemed to help best with the flareups. Best of luck. I know how frustrating it can be.
                        In loving memory of Chutney (1977 - 2008)

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                        • #52
                          Mine came back. My vet is now consulting with Dr. Brooks, who was quoted in the Horse article. Apparently he is THE guy to go to with corneal issues. His advice is to try oral doxycycline and maybe culture for anaerobic bacteria that might not have appeared on the original culture. He also suggested debriding it several times every couple of days to help it to heal.

                          This is the most frustrating thing that I have ever dealt with as a horse owner!

                          Hannahsmom, I am going to send you a PM.

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                          • #53
                            <<He also suggested debriding it several times every couple of days to help it to heal.>>

                            We did this also. I am so sorry. It really is frustrating and upsetting. I totally understand what you are going through.

                            On the positive side, my mare went on to live two more good years despite the ulcer and her advanced age (over 30). She passed away from colic in the end.
                            In loving memory of Chutney (1977 - 2008)

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                            • #54
                              I'm still dealing with mine....and it's getting old, FAST! I spoke with the vet 2 days ago and was told to put another medication in. If no good, she needs to come out again. I'm trying to hold off for another week as the vet is due out for something else. Rather not pay the barn call 2x if I can avoid it.
                              Kristen

                              Kiwayu & Figiso Pictures:
                              http://community.webshots.com/user/kiwayu

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                              • #55
                                Has anyone had experience in applying iodine to the eye when its being debrided? My guy actually went to the clinic today to get his eye taken out but he appeared to have improved from last Fridays check. We held off on the surgery and will try the iodine tomorrow. I know its fairly new with not a ton of research but at this point i feel its worth a try?

                                Comment


                                • #56
                                  [QUOTE=caryledee1;6600265]Mine came back. My vet is now consulting with Dr. Brooks, who was quoted in the Horse article. Apparently he is THE guy to go to with corneal issues. His advice is to try oral doxycycline and maybe culture for anaerobic bacteria that might not have appeared on the original culture. He also suggested debriding it several times every couple of days to help it to heal.

                                  This is the most frustrating thing that I have ever dealt with as a horse owner!

                                  Caryledee, I am so sorry! We put Bruin on the oral doxy as well(make sure you add a probiotic). Do you have a lavage system in place? Is he rubbing? I put on the Guardian Mask so when he tried to rub his eye he couldn't damage it more.
                                  Have you talk to you vet about the flap surgery?
                                  You are in my thoughts and prayers.
                                  You can see our timeline on Facebook-Help Support Bruin.

                                  Comment


                                  • #57
                                    [QUOTE=Jacqui;6601947]
                                    Originally posted by caryledee1 View Post
                                    Mine came back. My vet is now consulting with Dr. Brooks, who was quoted in the Horse article. Apparently he is THE guy to go to with corneal issues. His advice is to try oral doxycycline and maybe culture for anaerobic bacteria that might not have appeared on the original culture. He also suggested debriding it several times every couple of days to help it to heal.

                                    This is the most frustrating thing that I have ever dealt with as a horse owner!

                                    Caryledee, I am so sorry! We put Bruin on the oral doxy as well(make sure you add a probiotic). Do you have a lavage system in place? Is he rubbing? I put on the Guardian Mask so when he tried to rub his eye he couldn't damage it more.
                                    Have you talk to you vet about the flap surgery?
                                    You are in my thoughts and prayers.
                                    You can see our timeline on Facebook-Help Support Bruin.
                                    Thanks Jacqui! I am sorry for what you went through as well. I have not talked about the flap surgery yet. I really don't know how I could afford that. If this new treatment doesn't work, I may have to look into that. Thanks for the tip about the probiotics...I hadn't thought of that. I did start him on Pop Rocks. We started the doxy and a new antibiotic that Dr. Brooks recommended along with debriding again with stronger iodine and she will debride again Monday. She said it still doesn't look infected at all. I bought an eye saver mask a while ago that covers the eye entirely with a cup, so he cannot be rubbing it.

                                    We haven't done a lavage; he is good about letting me treat it. He is boarded at a self care barn and no one is there most of the time, so I would be afraid to put a lavage in...I think he would rub it out.

                                    Due to the debriding, we are basically starting from scratch again. Maybe this time we'll get it!

                                    Comment


                                    • #58
                                      Originally posted by Kelony View Post
                                      Has anyone had experience in applying iodine to the eye when its being debrided? My guy actually went to the clinic today to get his eye taken out but he appeared to have improved from last Fridays check. We held off on the surgery and will try the iodine tomorrow. I know its fairly new with not a ton of research but at this point i feel its worth a try?
                                      Yes. We did the debriding with iodine twice before. She used a weaker solution though. Dr. Brooks told her to do this again with a stronger solution, so we did it again this morning and will do a second time on Monday. I hate that I am causing this horse so much pain, but the conservative approach just hasn't worked and there are not a ton of options on a limited budget. I agree; it is worth a try!

                                      Comment


                                      • #59
                                        I recently had my young Clydesdale's eye removed because of a fungal and staph infection that started with a corneal ulcer. Unfortunately, the prothesis the put in did not work out, so now I am dealing with the whole sunken eye thing. He was treated every two hours via lavage for about a month, had lots and lots of debriding and trimming sessions. Ran up a bill of about $15,000 in the end. And he was turning into a horse I did not like, because the treatment was so constant and invasive. I always like to think I did everthing I could for my horses, but have to wonder if I waited too long to "give up." When the surgeon took the eye out he deemed it "ruined" and even if we got rid of the fungus, his vision would be greatly impaired or non-existent. He does not seem to miss the eye greatly and seems happy. Just something to think about...I wish I had thought about it earlier. And good luck to all of you working so hard to heal your beloved horses.

                                        Comment


                                        • #60
                                          Thanks for sharing! The only good thing about my horse's ulcers is that they have not gotten infected (knock on wood!) I think if my guy got a fungal ulcer, I would be thinking long and hard about enucleating right away, due to the stories I have read from both you and Jacqui. But even though he has a fairly large ulcer, it has stayed superficial.

                                          Don't second guess yourself...we do what we think is right at the time, not knowing what the future holds. If I had known 3 months ago that this ulcer would still be an issue, I would definitely have started with a more aggressive approach. But there was just no way to know that from the start.

                                          I am glad your horse is doing well!

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