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biochemical and haematological profile - Universitatea de Ştiinţe ...

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KERATOPATHIES IN CARNIVORES: CLINICAL SIGNS AND LOCAL<br />

PATHOLOGIC RESPONSES<br />

IOANA BURCOVEANU, I. BURTAN, ROXANA TOPALĂ,<br />

L.C. BURTAN, M. FÂNTÂNARIU<br />

University of Agricultural Sciences <strong>and</strong> Veterinary Medicine, Iasi<br />

ioana.burcoveanu@gmail.com<br />

The cornea is the perfectly transparent, avascular, anterior component of the fibrous,<br />

outer coat of the eye, along with the opaque, posterior sclera. Corneal pathology varies<br />

from congenital disor<strong>de</strong>rs to tumors, primary or by extension. Keratitis <strong>de</strong>fine the<br />

inflammation of the cornea, that may have numerous causes, like trauma, noninfectious<br />

(physical, chemical) or infectious (bacterial, viral, fungal, parasitic) agents, immune<br />

reactions. Acquired corneal pathology may be categorized as ulcerative or<br />

nonulcerative, infectious or noninfectious, or by cause, topography, <strong>de</strong>pth, etc.<br />

Clinical signs can also vary greatly. Generally, we observe blepharospasm, photophobia,<br />

hyperemic conjunctiva, epiphora, serous or mucopurulent discharge that clings to the<br />

ocular surface. Because of its compact construction, pathologic reactions in the cornea<br />

tend to evolve differently, regarding their speed of onset <strong>and</strong> recovery. The majority of<br />

clinically important keratopathies <strong>de</strong>velop one or more of the following local signs:<br />

e<strong>de</strong>ma, vascularisation, pigmentation, cellular infiltrates, accumulation of lipid or<br />

mineral material in the stroma <strong>and</strong> corneal fibrosis, with scar formation.<br />

Optimal aetiologic diagnosis <strong>and</strong> clinical management require knowledge of the clinical<br />

signs listed above.<br />

Key words: cornea, keratopathies, symptoms, carnivores<br />

The cornea is the perfectly transparent, anterior component of the eye, playing the role of a<br />

convex ‐concave lens. It has no blood vessels or pigments, its thickness varying in animals<br />

from 0,56 to 1 mm (0.5 – 0.8 mm) (5), becoming less thicker at the perifery in dogs <strong>and</strong> cats<br />

(4). The posterior part of the outer, fibrous coat of the eye is the sclera. The point at which the<br />

cornea <strong>and</strong> sclera merge is called the limbus (1, 3, 4, 5). The cornea plays many roles, such as:<br />

mechanical, optical, immunological <strong>and</strong> tissue healing. (4)<br />

From outsi<strong>de</strong> to insi<strong>de</strong>, the cornea has 5 layers: epithelium, its basement membrane<br />

(Bowman), stroma, Descemet’s membrane, endothelium (posterior epithelium). It is avascular<br />

<strong>and</strong> it has no pigments, but it has a sensitive innervation, provi<strong>de</strong>d by nasociliary nerves of the<br />

ophthalmic branch of the trigeminal nerve (cranial nerve V) (3, 5). The <strong>de</strong>nsity of terminal<br />

nerves is higher in the center <strong>and</strong> lesser at the periphery of the cornea.<br />

The cornea is the first barrier of the globe, being exposed to exogenous disor<strong>de</strong>rs (trauma),<br />

endogenous factors (corneal dystrophies, which are inherited) or to the extension from other<br />

ocular tissues (anterior lens luxation, uveitis, neoplasia).<br />

The present paper resumes the symptoms of clinically important keratopathies:<br />

blepharospasm, epiphora, conjunctival hyperaemia, as well as the major pathologic responses:<br />

corneal e<strong>de</strong>ma, vascularisation, fibrosis (scar formation), melanosis, accumulation of an<br />

abnormal substance within the cornea (lipid, mineral), stromal malacia.<br />

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