Grinninger Petra, Sanchez Rick, Kraijer-Huver Ingrid M G, Kitslaar Willem-Jan P, Schoemaker Nico J, Grinwis Guy C M, Boevé Michael H
Ophthalmology section, Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Vet Ophthalmol. 2012 Jan;15(1):59-65. doi: 10.1111/j.1463-5224.2011.00920.x. Epub 2011 Aug 8.
The purpose of this case report is to describe the clinical course and cytologic findings, treatment, and outcome of eosinophilic keratoconjunctivitis in two rabbits. Ophthalmic examination revealed ocular discharge, dacryocystitis, blepharitis, conjunctivitis, white conjunctival and corneal plaques, corneal vascularization, and stromal infiltration with different degrees of severity in each case. In case 2 there was also ulcerative disease of the cornea. Computerized tomography scan of the head, corneal biopsy for histopathologic examination with additional Luna and Giemsa stain were performed in case 2 and conjunctival as well as corneal specimens were obtained for bacteriologic culture and cytologic examination in case 1. Based on test results, a diagnosis of eosinophilic keratoconjunctivitis was made in case 2 and a tentative diagnosis of eosinophilic keratoconjunctivitis was made in case 1. Response to treatment with a topical steroid and topical cyclosporin was supportive of the diagnosis in both cases and shared many similarities with the response to treatment previously described in cats. Eosinophilic keratitis should be considered as part of a differential diagnosis list in rabbits with a history of keratitis.
本病例报告的目的是描述两只兔子嗜酸性粒细胞性角膜结膜炎的临床病程、细胞学检查结果、治疗方法及预后。眼科检查发现,每只兔子均有不同程度的眼部分泌物、泪囊炎、睑缘炎、结膜炎、白色结膜和角膜斑块、角膜血管化及基质浸润。病例2还存在角膜溃疡性病变。对病例2进行了头部计算机断层扫描、角膜活检以进行组织病理学检查并额外进行卢娜染色和吉姆萨染色,对病例1获取了结膜及角膜标本进行细菌培养和细胞学检查。根据检测结果,病例2诊断为嗜酸性粒细胞性角膜结膜炎,病例1初步诊断为嗜酸性粒细胞性角膜结膜炎。局部使用类固醇和环孢素治疗后的反应支持了这两个病例的诊断,且与先前描述的猫的治疗反应有许多相似之处。对于有角膜炎病史的兔子,嗜酸性粒细胞性角膜炎应被列入鉴别诊断清单。