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Equine recurrent uveitis (moon blindness)

Known as the leading cause of blindness in horses, equine recurrent uveitis (ERU) is characterized by several attacks of intra-ocular inflammation alternated with variable periods of clinical quiescence. Although many factors have been related to ERU it seems that Leptospira interrogans and the microfilaria of Onchocerca cervicalis play an important role in the pathogenesis through an immune-mediated mechanism. Clinical findings in the acute phase include variable degrees of epifora, blepharospasm, photophobia, conjunctival hyperemia, miosis, corneal opacity, aqueous flare, hyphema, and hypopyon. Clinical findings consistent with chronic phase include synechiae, changes in shape and pigmentation of the lens, cataract and lens luxation or subluxation. The principal goals of treatment are reduction of uveal inflammation, preservation of pupil's motility, and prevention of blindness. Therapy consists mainly of antiinflamatory and mydriatics/cycloplegic drugs. The prognosis for preservation of vision varies with severity and frequency of recurrencies, and the success of the treatment.

uveitis; iridocyclitis; ophtalmia; blindness; equine


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