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Case Number: 69
A Case of Canine Glaucoma
Permission granted only for viewing on SEVPAC website
1Stephanie Shrader, 1Jennifer (Jey) Koehler, 2Roxanne Rodriguez, 2Phillip Moore
1Department of Pathobiology and 2Department of Clinical Sciences
Auburn University, College of Veterinary Medicine (AUCVM)
 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
Permission granted only for viewing on SEVPAC website
 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
Permission granted only for viewing on SEVPAC website
CORNEAL EDEMA
100-um
Permission granted only for viewing on SEVPAC website
20-um
H&E
H&E
CLOSED IRIDOCORNEAL ANGLE
Permission granted only for viewing on SEVPAC website
100-um
500-um
H&E
H&E
POSTERIOR SYNECHIAE
Permission granted only for viewing on SEVPAC website
100-um
20-um
H&E
H&E
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
Right globe: Lymphohistiocytic endophthalmitis,
multifocal, scant, subacute with iridocorneal
angle closure, posterior synechiae, retinal
degeneration and atrophy, and corneal stromal
edema
MORPHOLOGIC DIAGNOSIS
Permission granted only for viewing on SEVPAC website
http://blogs.edweek.org/edweek/the_startup_blog/2014/02/but_wait_theres_more_building_a_solution_to_users_actual_problems_edthena.html
Permission granted only for viewing on SEVPAC website
DESCEMET’S MEMBRANE
Permission granted only for viewing on SEVPAC website
20-um
H&E PAS
Right globe: Goniodysgenesis with minimal
lymphohistiocytic endophthalmitis, iridocorneal
angle closure, posterior synechiae, retinal
degeneration and atrophy, and corneal stromal
edema
FINAL
MORPHOLOGIC DIAGNOSIS
Permission granted only for viewing on SEVPAC website
 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
Permission granted only for viewing on SEVPAC website
 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
Permission granted only for viewing on SEVPAC website
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
Permission granted only for viewing on SEVPAC website
QUESTIONS??
http://galleryhip.com/tumblr-brown-eyes-collage.html
Permission granted only for viewing on SEVPAC website

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69-Shrader

  • 1. Case Number: 69 A Case of Canine Glaucoma Permission granted only for viewing on SEVPAC website 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 Permission granted only for viewing on SEVPAC website
  • 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 Permission granted only for viewing on SEVPAC website
  • 4. CORNEAL EDEMA 100-um Permission granted only for viewing on SEVPAC website 20-um H&E H&E
  • 5. CLOSED IRIDOCORNEAL ANGLE Permission granted only for viewing on SEVPAC website 100-um 500-um H&E H&E
  • 6. POSTERIOR SYNECHIAE Permission granted only for viewing on SEVPAC website 100-um 20-um H&E H&E
  • 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 Permission granted only for viewing on SEVPAC website
  • 10. DESCEMET’S MEMBRANE Permission granted only for viewing on SEVPAC website 20-um H&E PAS
  • 11. Right globe: Goniodysgenesis with minimal lymphohistiocytic endophthalmitis, iridocorneal angle closure, posterior synechiae, retinal degeneration and atrophy, and corneal stromal edema FINAL MORPHOLOGIC DIAGNOSIS Permission granted only for viewing on SEVPAC website
  • 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 Permission granted only for viewing on SEVPAC website
  • 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 Permission granted only for viewing on SEVPAC website
  • 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 Permission granted only for viewing on SEVPAC website