History of Endoscopic Cyclophotocoagulation at MedVet

Endoscopic Cyclophotocoagulation at MedVet In 2006 when we were introduced to endoscopic cyclophotocoagulation (endolaser, ECP).  At the time it was Drs. Dineli Bras, Milt Wyman, and me comprising the MedVet ophthalmology team.  We were all intrigued, excited, and apprehensive all at once about the potential therapy this laser might provide.  There were studies in people and certain MD ophthalmologists well versed in its utility, but how could we transfer it over to our patients? …

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Diagnosis and Treatment of Canine Glaucoma

When I was asked to write about a topic for the upcoming MedVet newsletter, I knew I wanted to write about Glaucoma because it occupies a lot of my time lately (more about that later).  Here I was, contemplating the current state of glaucoma, after a long day of glaucoma cases, sitting at an empty Word document, considering turning in a single page, with 54 font type, “Glaucoma, the story that always ends in blindness. The…

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Treatment Tips for Keratoconjunctivitis Sicca (KCS) in Dogs

Keratoconjunctivitis sicca, commonly referred to as dry eye, describes the changes in the cornea and conjunctiva which result from a tear deficiency. Below is information about this disease and treatment tips for keratoconjunctivitis sicca (KCS) in dogs. The tear film has three layers. The outer most layer is an oily layer supplied by the meibomian glands and it helps to prevent evaporation. The middle layer is the aqueous layer produced by the lacrimal gland. The…

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New Treatment for Corneal Ulcers

Corneal ulcers are a common eye problem for cats and dogs.  In addition to treating an ulcer with a topical antibiotic, artificial tear supplement and pain medication, adding a tetracycline drug can aid healing. Tetracycline drugs function as more than just an antibiotic. They also function as antiproteases and enhance the epithelialization of corneal ulcers. Tetracyclines (doxycycline, minocycline, oxytetracycline [Terramycin]) have anti-collagenase effects and anti-inflammatory effects on the ocular surface. Tetracyclines have been shown to…

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New Topical Therapy for Feline Eosinophilic Keratoconjunctivitis

Feline eosinophilic keratoconjunctivitis is an inflammatory condition that affects the cornea and/or conjunctiva.  It is characterized by mucopurulent discharge and pink/white raised plaques on the cornea or conjunctiva.  Eosinophils are often noted on corneal cytology which confirms the diagnosis. Treatment of eosinophilic keratoconjunctivitis is topical anti-inflammatory therapy with either cyclosporine, tacrolimus, or prednisolone acetate combined with a topical antiviral or oral therapy with megestrol acetate.  Side effects of topical therapy include corneal ulceration and bullous…

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