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Peer-reviewed veterinary case report

Horse treated with phacofragmentation for morgagnian cataract

By Hardman, C et al.·Published in Veterinary ophthalmology·2001·Animal Eye Care, Australia·View original on PubMed

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Original publication title: Phacofragmentation for morgagnian cataract in a horse.

Species:
horse

Plain-English summary

A 3-year-old Paint gelding suddenly developed a cataract in his right eye. After a thorough eye exam, the vet found that the cataract was mature and recommended surgery called phacofragmentation, along with medication to help with inflammation. Five months later, the horse underwent the surgery, which successfully removed the cataract and debris from the eye. After the procedure, the horse was comfortable and regained useful vision, continuing to do well seven months later.

People also search for: horse cataract treatment · Paint horse eye problems · phacofragmentation for horses

Abstract

A 3-year-old Paint gelding was presented for sudden onset of cataract affecting the right eye. Ophthalmic examination revealed subtle to mild microphthalmia and a mature cataract affecting the right globe. The right eye was treated with an antibiotic-corticosteroid ophthalmic ointment and phacofragmentation was recommended. On re-examination 5 months later, resorption of the cortex of the right lens and a morgagnian cataract were evident. The nucleus was positioned ventronasally in the lens capsule. The right eye had light perception, and a menace response was present. Examination of the right fundus via binocular indirect ophthalmoscopy was not possible. Ophthalmic ultrasonography revealed that the right globe was 4 mm shorter in axial length when compared with the left globe. There was a marked reduction in the size of the right lens vs. the left lens, and the presence of a moderate amount of hyperechoic debris was identified within the vitreal compartment of the right globe. Phacofragmentation, irrigation and aspiration of the morgagnian cataract and an anterior vitrectomy were performed. On postoperative examination, the eye was comfortable and a menace response was present. The horse regained useful vision and continues to have a comfortable, visual eye 7 months postoperatively.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/11722788/