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Transcorneal aspiration for management of primary iris cysts in the standing horse

Title: Transcorneal aspiration for management of primary iris cysts in the standing horse
Authors: Conduit, Stefanie; Bowen, Mark; Hallowell, Gayle; Pereira, Regina; Rapezzano, Guilia; Redpath, Adam
Publisher Information: Wiley Open Access
Publication Year: 2024
Collection: University of Nottingham: Repository@Nottingham
Subject Terms: equine; transcorneal aspiration; iris cyst; copra nigra; ophthalmology
Description: BackgroundEquine primary iris cysts are usually incidental findings but, if associated with clinical signs, may require intervention. The use of laser (Nd:Yag or diode) has been reported but requires specialised equipment. Transcorneal aspiration has not been previously evaluated in the standing horse.ObjectivesTo review outcomes of standing transcorneal aspiration of primary iris cysts (STAPIC) in horses.MethodsHorses were identified from electronic patient records from 2018 to 2024 across four collaborating centres. Clinical presentation and outcomes were identified and reported using descriptive statistics.ResultsEighteen horses were identified. Behavioural signs reported included ‘spooking’ and changes in rideability often associated with jumping. Single large unilateral cysts were present in 11 horses, bilateral cysts in three horses and multiple unilateral cysts in four horses. Following treatment, one horse developed uveitis and fibrin in the anterior chamber associated with needle contact with the iris stroma due to movement, and a second horse developed fibrin within the anterior chamber. Both conditions resolved with anti-inflammatory medication and administration of tissue plasminogen activator. No other adverse effects were reported. Follow-up was available from all horses (median: 6 months, interquartile range [IQR]: 4–11 months) with no recurrence, although one horse developed an iris cyst in the contralateral eye after 3 years. All owners reported improvement in clinical signs, with 61% reporting no further signs.ConclusionsSTAPIC is an effective and easily accessible alternative for treating iris cysts in horses rarely associated with complications.
Document Type: article in journal/newspaper
Language: English
Relation: https://nottingham-repository.worktribe.com/output/38100215; Veterinary Medicine and Science; Volume 10; Issue 5
DOI: 10.1002/vms3.1570
Availability: https://doi.org/10.1002/vms3.1570; https://nottingham-repository.worktribe.com/file/38100215/1/vms3.1570; https://nottingham-repository.worktribe.com/output/38100215
Rights: openAccess ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.1B08F9C8
Database: BASE