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Treatment of Equine
Ocular Disease
Frequent topical medical
therapy is required
Poor compliance
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Equine Ocular Lavage Systems
First described: 1967
2 categories:
Indwelling nasolacrimal lavage system
Subpalpebral ocular lavage (SPL)
system
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Equine Ocular Lavage Systems
Advantages
Safety, comfort, less medication
wastage
Disadvantages
Indwelling nasolacrimal system
Subpalpebral lavage (SPL) system
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Placement of ISPL tubes
It’s Easy!
Minimal equipment necessary
Will substantially improve ability to
treat equine ocular disease
May save owner expense and time of
a referral
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Required Equipment
Not shown:
•IV sedation
•Lidocaine
•Tape
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Step 1: Systemic Sedation
Step 2: Lid Block
Step 3: Numb the
inferonasal conjunctival cul
de sac using topical
anesthesia (proparacaine)
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Step 5: Pass trochar through
the lower, medial eyelid.
(Thimbal, Needle holders)
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Step 6 continued: once ½
threaded, remove
the trochar from lower
eyelid by pulling ventrally.
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Step 7: Ensure proper
placement of footplate between
lower & 3rd eyelid.
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Step 8
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Step 8: Seal distal end of tube.
Hint: Check patency PRIOR to
suturing entire tube in place.
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Results
92 ISPL systems were placed in 86 horses
over a 31 month study period
Medications administered:
19 different suspensions and solutions (mydriatic,
antimicrobial, and anti-inflammatory drugs)
Up to 5 different medications administered once per hour
Natamycin – 6 times per day in 15 horses without tube
obstruction
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Results
Tube complications:
59% (53 tubes) – no complications reported
Non-ocular complications – 38%
18% (16 tubes) – displacement from the conjunctival
fornix
14% (13 tubes) – resuturing of the tabs to the horse’s
head
6% (5 tubes) – leakage from or loss of the injection
port
Ocular complications – 3%
3% (3 tubes) – minor inferior eyelid swelling
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Benefits of the ISPL tube
Less mobility of the lower eyelid
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Conclusions
The ISPL system is economical & easily
and safely placed.
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Reference
Giuliano EA, Maggs DJ, Moore CP,
Boland LA, Champagne ES, Galle LE.
Inferomedial placement of a single-
entry subpalpebral lavage tube for
treatment of equine eye diseases. Vet
Ophthal 3: 153-156, 2000.
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Thank you for your attention
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Questions?
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