Sapienza J.S., Simó F.J., Prades-Sapienza A.
Long Island Veterinary Specialists, 163 South Service Road, Plainview, NY 11803, USA; Via Augusta 361, 08017, Barcelona, Spain.
Vet Ophthalmol. 2000;3(4):241-246. doi: 10.1046/j.1463-5224.2000.00151.x.
To document the presenting ocular signs and the clinical course of Golden Retriever dogs with a progressive anterior uveitis, often associated with the histologic presence of iridociliary cysts. Animals studied Seventy-five Golden Retriever dogs (142 affected eyes) referred to a private practice referral ophthalmology clinic between 1994 and 1999. Procedures Complete ophthalmic evaluation with slit-lamp biomicroscopy, indirect ophthalmoscopy, applanation tonometry, and gonioscopy. Hematology, serum biochemical evaluations, and serologic titers for endemic infectious agents were also used in selected cases. RESULTS: The age range of affected dogs was 4.5-14.5 years, with a mean age of 8.6 +/- 2.1 years. The majority of the dogs (n = 66) were affected in both eyes at first presentation. The sex distribution included 4 intact males, 32 neutered males, and 39 spayed females. Hematology, serum biochemical evaluations, and serologic titers for endemic infectious agents failed to demonstrate any underlying disorder. The ophthalmic hallmark of this syndrome was the appearance of pigment on the anterior lens capsule, often in a radial orientation. This capsular pigment was seen both with and without associated uveal cysts. Although single to multiple iridociliary cysts were noted clinically in only 13.3% of the cases, cysts were common on histopathology of advanced glaucomatous, blind eyes. Fibrin was observed in the anterior chamber of 37% of the cases, and often was a precursor for glaucoma. Cataract formation (37%) and glaucoma (46%) were frequent sequelae to the uveitis. Posterior synechiae formation occurred in 50% of the cases. Histopathologic analysis of four enucleated eyes and the eviscerated specimens from 14 glaucomatous eyes demonstrated thin-walled iridociliary epithelial cysts in 3/4 and 12/14 cases, respectively. Microscopically, little to no uveal inflammatory infiltration was commonly noted. Conclusion The overall prognosis for this progressive uveitis in Golden Retriever dogs is guarded, with 46% of the eyes becoming blind due to glaucoma. Iridociliary cysts in Golden Retriever dogs may lead to the development of glaucoma in this breed.
记录患有进行性前葡萄膜炎的金毛寻回犬的眼部体征及临床病程,该病常伴有虹膜睫状体囊肿的组织学表现。研究动物 1994 年至 1999 年间转诊至一家私人转诊眼科诊所的 75 只金毛寻回犬(142 只患眼)。程序 采用裂隙灯生物显微镜检查、间接检眼镜检查、压平眼压测量法和前房角镜检查进行全面眼科评估。部分病例还进行了血液学、血清生化评估以及地方性感染病原体的血清学滴度检测。结果:患犬年龄范围为 4.5 - 14.5 岁,平均年龄为 8.6 ± 2.1 岁。大多数犬(n = 66)初诊时双眼均患病。性别分布包括 4 只未绝育雄性、32 只绝育雄性和 39 只绝育雌性。血液学、血清生化评估以及地方性感染病原体的血清学滴度检测均未显示任何潜在疾病。该综合征的眼科特征是前囊膜上出现色素,通常呈放射状排列。有无相关葡萄膜囊肿时均可看到这种囊膜色素。虽然临床上仅 13.3%的病例发现单个至多个虹膜睫状体囊肿,但在晚期青光眼盲眼的组织病理学检查中囊肿很常见。37%的病例前房内观察到纤维蛋白,且常常是青光眼的先兆。白内障形成(37%)和青光眼(46%)是葡萄膜炎常见的后遗症。50%的病例发生了后粘连。对 4 只摘除眼球和 14 只青光眼眼球的去脏标本进行组织病理学分析,分别在 3/4 和 12/14 的病例中发现薄壁虹膜睫状体上皮囊肿。显微镜下,通常很少或没有葡萄膜炎症浸润。结论 金毛寻回犬这种进行性葡萄膜炎的总体预后不佳,46%的患眼因青光眼而失明。金毛寻回犬的虹膜睫状体囊肿可能导致该品种青光眼的发生。