Peer-reviewed veterinary case report
Horse with eye ulcer and unusual growth on eyelid - what was done?
By Gornik, Kara R et al.·Published in Journal of the American Veterinary Medical Association·2015·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Unilateral choristoma of the nictitating membrane in a horse.
- Species:
- horse
Plain-English summary
A 2-year-old Morgan mare was brought in because she had a corneal ulcer in her left eye. The vet found an unusual growth on the nictitating membrane (the third eyelid) that had hair follicles touching the cornea, which likely contributed to the ulcer. After putting the mare under general anesthesia, the vet removed the affected tissue and performed a graft to repair the area. Six weeks later, the mare was doing well with no signs of discomfort or vision loss, and the hair growth did not return.
People also search for: horse eye problems · corneal ulcer treatment in horses · nictitating membrane issues in horses
Abstract
CASE DESCRIPTION: A 2-year-old Morgan mare was evaluated because of a corneal ulceration. CLINICAL FINDINGS: An irregular, deep stromal corneal ulcer in an area of malacia was noted in the left eye. Hypopyon was present in the ventral portion of the anterior chamber with moderate aqueous flare. The nictitating membrane of the left eye had hairs originating from its leading edge that contacted the corneal surface. TREATMENT AND OUTCOME: General anesthesia was induced, and a bulbar pedicle conjunctival graft was performed. The conjunctiva at the leading edge of the nictitating membrane, including the aberrant hair follicles, was excised. Microscopically, a nonkeratinized stratified squamous epithelium, sebaceous glands, and hair shafts were present, confirming a choristoma of pilosebaceous origin at the leading edge of the nictitating membrane. Six weeks after surgery, the horse had no signs of discomfort, with no regrowth of the hairs; no loss of vision was evident. CLINICAL RELEVANCE: Ocular choristomas develop secondary to defective fetal cellular differentiation and are rarely reported in the equine literature. The choristoma in this horse contained ectopic hair follicles with hair growth as well as sebaceous glands. This finding emphasizes the importance of a thorough adnexal examination in horses with corneal disease.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/25554940/