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Discussion on Glaucoma

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Dawn Kimball
New Member
Username: dawn1

Post Number: 1
Registered: 2-2008
Posted on Monday, Feb 18, 2008 - 12:03 am:   Edit PostPrint Post

Hello,
I have a welsh mountain pony that has cushings and glaucoma in the left eye. I have been told by the equine opthamologist that surgery is my best option. She said I could try laser, my other options would leave her blind in that eye but more comfortable. The other options were eye removal and sewing up the void, prostethetic eye, or using an injection that would deaden the inside of they eye but leave the eye intact. Does anyone have any experience in this area that they could share? I am trying to figure out the best way to treat her, and I can't afford a lot on costly treatments that don't work. I would appreciate any guidance or advice.
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 20101
Registered: 1-1997
Posted on Monday, Feb 18, 2008 - 6:48 am:   Edit PostPrint Post

Welcome Dawn,
An important question is whether it is known why your pony has glaucoma? Is it a primary problem or secondary to another disease and is so what is the prognosis of the primary problem.

The article on glaucoma is quite clear about the prognosis with surgery and when the prognosis is not good, enucleation (removal of the eye) is a well tolerated procedure and condition in the horse.
DrO
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Dawn Kimball
New Member
Username: dawn1

Post Number: 2
Registered: 2-2008
Posted on Tuesday, Feb 19, 2008 - 8:15 am:   Edit PostPrint Post

Hi Dr. O
Thank you for your reply. Her glaucoma is primary. I am debating between the procedure where they inject the eye and deaden it inside, and enucleation. My regular vet told me that the injection is painful, until the eye dies and that infection, scratches etc can be an issue. If funds allow, I think I am going to go for enucleation. I was wondering what you think of the injection? Also, this may seem stupid, but with enucleation, does the horse continuously try to open the sutured eye? I would think that would be torture to her. Thank you so much.
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 20108
Registered: 1-1997
Posted on Wednesday, Feb 20, 2008 - 8:20 am:   Edit PostPrint Post

Enucleation would be my choice as this way the complications your veterinarian are no longer an issue. No, the sutured eyelids are not a problem to the horse.
DrO
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