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UPDATE!! Eye Prosthetic Question

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  • UPDATE!! Eye Prosthetic Question

    My horse has a prosthetic eye, which was implanted a few years ago. The eye was removed, and the prosthetic placed into the eye socket, and his eyelid was sewn shut over the implant. This year he developed an irritation of the skin that covered the implant, and when the scab fell off, so did all of the skin. Now the implant is exposed.

    My vet is researching options for potential repair. The concern is that with the implant exposed, dirt and bacteria can enter the eye socket and cause other problems. Without performing surgery, we will not know how much skin remains around the implant and if it can be stretched over a new implant (I don't care about another implant at all), or even over the eye socket.

    However, I just received information about the prosthetic that says many of their users never covered it to begin with, that it is fine exposed as is.

    Has anyone experienced anything like this, particularly with a Jardon silicone prosthetic eye?

    I want what is best for my horse. He is older but in great health, and I want to keep it that way for a long time.

    Thanks!
    Last edited by FarmerBrown; Aug. 26, 2014, 02:55 PM.

  • #2
    Awww, that is so nice of you to take care of your old horse. Haven't had a horse who lost an eye, but when a cat had to have an eye removed, the vet just sewed the are shut without an implant. slight depression where the eye was removed but never a problem for the rest of the cat's 18 yr life.

    Contact the University of Florida vet school. They vets there are specialists on equine eyes. They were doing corneal transplants there a few years ago.

    There was a QH years ago who was showing and lost an eye. His owner bought a prothetic eye and used it for showing. And of course, many people have prosthetic eyes. But with a horse, yes, there can be issues with dirt an dust getting into the socket. And while it's hard to find a thrown shoe in a pasture, it would be even harder to find a lost prosthetic eye in a pasture.

    Comment


    • #3
      Do you have to have a prosthetic? Removing the prosthetic may solve the problem for good.

      Comment

      • Original Poster

        #4
        WWW, this horse is still going strong at 20 and I don't want anything to change that. I am not sure why his previous owner put in the implant, since they sewed the eyelid shut anyway. It creeped me out at first, but now I am used to it.

        I will recommend that my vet speak to Univ. of FL.

        Thanks!

        Comment

        • Original Poster

          #5
          Grace, no, I do not have to have the prosthetic. Just concerned there will be enough skin to cover the open socket.

          Comment


          • #6
            I could see that being a concern, re; the skin. I was always taught that the implants are painful and unnecessary, fwiw.
            "You can't really debate with someone who has a prescient invisible friend"
            carolprudm

            Comment

            • Original Poster

              #7
              He has had it for quite some time and it has never bothered him. The only time that 'eye' bothered him was when the skin got irritated.

              Comment


              • #8
                Hmmm my guy has had a silicone implant for about 3 years now and I have had no issues. How did he get the irritation? I was never told to do anything extra just brush or wipe with a damp cloth?
                Looking at Bruins, I think that there would not be much skin left to cover another implant. I would have them remove it and just close it up.

                Comment


                • #9
                  Maybe it is time to remove the implant? I have a friend with mare with one eye and although the eye socket gets "weepy" sometimes the mare has always been 100% without a prosthetic (went to breed shows, including Devon, without one, too).
                  Proud member of the Colbert Dressage Nation

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                  • #10
                    Originally posted by Jacqui View Post
                    Hmmm my guy has had a silicone implant for about 3 years now and I have had no issues. How did he get the irritation? I was never told to do anything extra just brush or wipe with a damp cloth?
                    Looking at Bruins, I think that there would not be much skin left to cover another implant. I would have them remove it and just close it up.
                    Jacqui, Sorry if my memory is going, but weren't our horses together at the Rehab farm after their surgeries? Sturbridge, MA. ??????
                    MnToBe Twinkle Star: "Twinkie"
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                    Comment


                    • #11
                      I had my mare's right eye removed because of Uveitis. I opted to not have an implant due to a greater risk of infection.

                      IMO, I'd take out the implant, and hope there is enough skin to sew over the socket. Can a skin graft be done on a horse? Could that be an option?
                      MnToBe Twinkle Star: "Twinkie"
                      http://i236.photobucket.com/albums/f...wo/009_17A.jpg

                      Proud member of the "Don't rush to kill wildlife" clique!

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                      • #12
                        Huntertwo -we were! Hope all is well Bruin did end up having his eye removed after 3 months of treatment but he is doing great. Hope your girl is doing OK too!

                        Comment


                        • #13
                          Originally posted by Jacqui View Post
                          Huntertwo -we were! Hope all is well Bruin did end up having his eye removed after 3 months of treatment but he is doing great. Hope your girl is doing OK too!
                          Thanks for the update on Bruin. I recall you having a long bout trying to treat his eye, but after the eye was removed you were back and riding again. Was it a fungus infection?

                          Twink is doing well. She was at the Rehab Farm with Bruin after she had the Cyclosporine Implant in the left eye. Then about a year later, we had her right eye removed due to Uveitis, as I couldn't keep the inflammation down.

                          Glad to hear Bruin is doing well.
                          MnToBe Twinkle Star: "Twinkie"
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                          Proud member of the "Don't rush to kill wildlife" clique!

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                          • #14
                            Huntertwo has always stayed right on top of Twinkle's eye issues. Glad she is doing well now.

                            Comment


                            • #15
                              Originally posted by cloudyandcallie View Post
                              Huntertwo has always stayed right on top of Twinkle's eye issues. Glad she is doing well now.
                              Thank you C&C ! That was very kind of you. We are still trying to sell our home in hopes of finding a small horse property where I can bring her home. I imagine, she'll eventually go blind and I want her with me if that happens.

                              Right now she still trail rides like a champ. Nothing bothers her.

                              Hope you're getting some riding time in as well...
                              MnToBe Twinkle Star: "Twinkie"
                              http://i236.photobucket.com/albums/f...wo/009_17A.jpg

                              Proud member of the "Don't rush to kill wildlife" clique!

                              Comment

                              • Original Poster

                                #16
                                So while I was weighing the options on fixing the fake eye mess, the small hole in the eyelid got a just a tiny bit bigger, but still held all in place. I was told by the vet that did the original surgery that the scar tissue was actually holding the prosthetic in place and all should by okay until I could get him to the university for the removal.

                                WRONG!!

                                The prosthetic eye FELL OUT overnight one night. Imagine my thoughts when I saw a small black ball on the stall floor at 6 AM, still half asleep, and feeding ponies. I actually argued with myself about whether or not I would/could look under the fly mask. Of course I was going to, but still had that half-asleep argument anyway. And I had to pick up that black ball so that my puppy wouldn't grab it.

                                I was pleasantly surprised at what I found under the fly mask - the same small hole that was there before, no bigger/no smaller, but with tissue granulation behind it. No blood, no oozing. So bizarre. Vet came out and said it actually looked really good, and let's see if the body would heal itself with a bit of help. This includes antibiotics and twice daily flushing of the open wound.

                                The healing is going very well. Now he just looks like a horse without an eye. The remaining skin is growing and closing up the hole, which is now just the size of an eraser on the end of a pencil. The skin is flat in the eye socket and doesn't look bad at all. Still no oozing or blood, and my horse seems fine with all of this.

                                While the sight of the prosthetic on the stall floor totally freaked me out, I am very thankful that it happened this way. No surgery means no general anesthesia on a 20 year old horse and no surgery bill for me.

                                Whoo hoo on so many levels!

                                Comment


                                • #17
                                  Happy for both of you!
                                  "You can't really debate with someone who has a prescient invisible friend"
                                  carolprudm

                                  Comment


                                  • #18
                                    Sounds like a really good resolution!
                                    ~Veronica
                                    "The Son Dee Times" "Sustained" "Somerset" "Franklin Square"
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                                    Comment


                                    • #19
                                      Mine just had her eye removed a few months ago, she has the implant that is flat on one side and round (to go into the socket). Her eyelid is sewn shut (it's flat doesnt cave in. She's not a show horse so we decided on this option. So far so good.

                                      That must have been freaky to find the black ball in the stall. I am glad he's doing ok
                                      One of a Kind Studio
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                                      New convert to the cow horse world.. love my QH mare.

                                      Comment


                                      • #20
                                        A horse at my barn just had his eye removed due to an ulcer that wouldn't heal. When the owner was going over options with the UF vet team, they recommended the implant for the reason that the pressure it provides to the inside of the eye socket makes the horse feel more normal. When you think about it, your eyeball has weight and pressure, and removing it would create a awkward sensation of loss that would be more traumatic for the horse. I think the standard in the past was just to leave the empty socket but these days the implant is a way better option for almost all horses. Also, a prosthetic eye (the kind that is visible/not sewn over) would have to be removed everyday for cleaning. Anyway, it sounds like you had a great resolution to the problem!! :]

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