1. Case Number: 69
A Case of Canine Glaucoma
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1Stephanie Shrader, 1Jennifer (Jey) Koehler, 2Roxanne Rodriguez, 2Phillip Moore
1Department of Pathobiology and 2Department of Clinical Sciences
Auburn University, College of Veterinary Medicine (AUCVM)
2. 4-year-old, castrated male, Labrador retriever mix
One-week history of blepharospasm (OD)
Intraocular pressure (IOP): 50-mmHg
Normal: 12-mmHg to 25-mmHg
Placed on triple antibiotic ophthalmic ointment and
referred to the AUCVM
SIGNALMENT AND HISTORY
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3. Right eye: blepharospasm, buphthalmia, aqueous
flare, corneal edema, posterior synechiae, vascular
attenuation, cupped optic disc, IOP of 47-mmHg
Left eye: reportedly unremarkable
CBC and chemistry values: WNL
Treated with latanoprost and dorzolamide
(decrease IOP) and tramadol (pain relief)
Owners opted for enucleation of the right globe
OPHTHALMIC EXAMINATION
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7. Permission granted only for viewing on SEVPAC website
20-um
RETINAL DEGENERATION
Nerve fiber layer
Inner plexiform layer
Inner nuclear layer
Outer plexiform layer
Outer nuclear layer
Rods and conesH&E
H&E H&E
20-um
20-um
8. Right globe: Lymphohistiocytic endophthalmitis,
multifocal, scant, subacute with iridocorneal
angle closure, posterior synechiae, retinal
degeneration and atrophy, and corneal stromal
edema
MORPHOLOGIC DIAGNOSIS
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11. Right globe: Goniodysgenesis with minimal
lymphohistiocytic endophthalmitis, iridocorneal
angle closure, posterior synechiae, retinal
degeneration and atrophy, and corneal stromal
edema
FINAL
MORPHOLOGIC DIAGNOSIS
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12. Congenital anomaly of the iridocorneal angle
Abnormal intraocular fluid egress1
Risk factor for development of primary glaucoma
Associated with abnormal development of:
Pectinate ligament
Trabecular meshwork
Ciliary cleft
Absence of concurrent ocular or systemic disease2
GONIODYSGENESIS
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13. Hallmark histologic feature:
Solid sheet of iridal tissue extending to the distorted
terminus of Descemet’s membrane3
Although congenital, clinical signs in dogs manifest
at 4-8 years of age4,5
Following diagnosis in one eye, the contralateral
eye may also develop glaucoma
Clinical course can range from days to years
GONIODYSGENESIS
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14. 1. R. Sampaolesi, et al. Goniodysgenesis or Late Congenital Glaucoma.
Pigmentary Glaucoma. In: The Glaucomas. Vol. 1, Pediatric
Glaucomas. Berlin: Springer. 311-66. 2009.
2. "Read-Only Case Details Reviewed: May 2012." The Joint Pathology
Center, n.d. Web. 14 Apr. 2015.
<http://www.askjpc.org/vspo/show_page.php?id=713>.
3. R. Dubielzig, et al. Veterinary Ocular Pathology: A Comparative
Review. Edinburgh: Saunders/Elsevier. 45-46. 2010.
4. K Gelatt. The canine glaucomas. In: Veterinary Ophthalmology, 3rd
Ed. (ed. Gelatt KN) Lea & Febiger, Philadelphia, 701–754. 1999.
5. C Reilly, et al. Canine goniodysgenesis-related glaucoma: a
morphologic review of 100 cases looking at inflammation and pigment
dispersion. Veterinary Ophthalmology. 9(6):253-254. 2006.
REFERENCES
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