Diagnostics and clinical characteristics uveitis in dogs

D. Sarbash, К. Sinyagovskay, D. Slusarenko
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Abstract

One of the most common diseases of the organ of vision is uveitis of various etiologies, characterized by a violation of the blood-ophthalmic barrier, and, as a result, the development of destructive and often irreversible processes in the iris, choroid, retina and vitreous body, which negatively affects the quality of vision and may lead to its complete loss.  The article presents data on clinical cases of uveitis of exogenous and endogenous origin in dogs. A set of general and special diagnostic measures – ophthalmic and biomicroscopy of the eye, biochemical studies, diagnostic criteria for assessing the state of the vascular tract were carried out. Based on the data obtained, a complex of therapeutic measures in dogs with uveitis was carried out and their effectiveness was evaluated.  The research indicates that all dogs are prone to the disease, regardless of breed or age. The causes of uveitis were traumatic factors – purulent keratitis, open injuries and ulcers of the cornea (exogenous uveitis); and uveitis on the background of internal diseases – renal failure, hepatitis or pancreatitis (endogenous uveitis). Clinical studies diagnosed a mild, moderate and severe degree of development of the disease, which in all cases were characterized by blepharospasm, photophobia, lacrimation, corneal edema and conjunctiva of the eye. Specific clinical signs of the disease have also been identified. In all cases, a pain response, miosis, iris edema, Tyndall effect, pericorneal injection of blood vessels were recorded. With the development of severe endogenous uveitis, clouding of the vitreous body was found in 22,2% of cases. Hyphema, precipitates, hypopion, fibrin accumulation in the anterior chamber of the eye were diagnosed in 33,3% of dogs with severe illness, both endogenous and exogenous in origin. With exogenous mild to moderate uveitis, changes in the deep structures of the eye were absent.  The influence of systemic diseases of the body (hepatorenal syndrome, renal failure) on the development of endogenous uveitis is based on changes in the blood serum of such indicators as ALT, AST, alkaline phosphatase, urea and creatinine.  All dogs underwent complex treatment taking into account the peculiarities of the course of uveitis. The use of uveitis mydriatic (atropine 1%), steroidal and non-steroidal anti-inflammatory drugs (Dexamethasone 0,1% and Diftal 0,1%), antibiotics (novocaine-antibiotic retrobulbar blockade, Phloxal 0,3%), immunostimulants (Cycloflora) in the drug therapy regimen) and antioxidants (Ascarutin) made it possible to achieve disease remission in 83,3% of dogs.
犬葡萄膜炎的诊断与临床特点
视觉器官最常见的疾病之一是各种病因的葡萄膜炎,其特征是血眼屏障被破坏,结果在虹膜、脉络膜、视网膜和玻璃体中发生破坏性的、往往是不可逆的过程,对视力质量产生负面影响,并可能导致视力完全丧失。本文介绍的数据在临床病例葡萄膜炎的外源性和内源性起源的狗。一套一般和特殊的诊断措施-眼科和生物显微镜的眼睛,生化研究,诊断标准评估血管束的状态进行了。根据所获得的数据,对葡萄膜炎犬进行了综合治疗措施,并对其有效性进行了评估。研究表明,所有的狗都容易患上这种疾病,无论品种或年龄。葡萄膜炎的病因是外伤性因素——化脓性角膜炎、开放性损伤和角膜溃疡(外源性葡萄膜炎);而葡萄膜炎的背景是内部疾病-肾衰竭,肝炎或胰腺炎(内源性葡萄膜炎)。临床研究诊断为轻度、中度和重度的疾病发展,所有病例的特征都是眼睑痉挛、畏光、流泪、角膜水肿和眼结膜。该疾病的特殊临床症状也已确定。所有病例均记录疼痛反应、瞳孔缩小、虹膜水肿、廷德尔效应、角膜周围血管注射。随着内源性葡萄膜炎的发展,22.2%的病例可见玻璃体混浊。在患有内源性和外源性严重疾病的狗中,有33.3%的狗被诊断为前房积血、沉淀、垂体功能减退、纤维蛋白积聚。外源性轻度至中度葡萄膜炎,眼深部结构无变化。机体全身性疾病(肝肾综合征、肾功能衰竭)对内源性葡萄膜炎发展的影响是基于血清中ALT、AST、碱性磷酸酶、尿素、肌酐等指标的变化。考虑到葡萄膜炎病程的特殊性,所有的狗都接受了复杂的治疗。使用葡萄膜炎(阿托品1%)、甾体和非甾体抗炎药(地塞米松0.1%和地土达尔0.1%)、抗生素(诺佛卡因-抗生素球后阻断剂,Phloxal 0.3%)、免疫刺激剂(Cycloflora)在药物治疗方案中)和抗氧化剂(Ascarutin)使83.3%的狗有可能实现疾病缓解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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