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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: Stefanie Conduit; Mark Bowen; Gayle Hallowell; Regina Pereira; Guilia Rapezzano; Adam Redpath
Source: Veterinary Medicine and Science, Vol 10, Iss 5, Pp n/a-n/a (2024)
Publisher Information: Wiley
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: copra nigra; equine; iris cyst; ophthalmology; transcorneal aspiration; Veterinary medicine; SF600-1100
Description: Background Equine 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. Objectives To review outcomes of standing transcorneal aspiration of primary iris cysts (STAPIC) in horses. Methods Horses 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. Results Eighteen 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. Conclusions STAPIC 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://doi.org/10.1002/vms3.1570; https://doaj.org/toc/2053-1095; https://doaj.org/article/03522a5d397f437cbd3efd26ce7f1ccb
DOI: 10.1002/vms3.1570
Availability: https://doi.org/10.1002/vms3.1570; https://doaj.org/article/03522a5d397f437cbd3efd26ce7f1ccb
Accession Number: edsbas.D57119C
Database: BASE