Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, West Lafayette, IN, USA.
Department of Veterinary Administration, Purdue University College of Veterinary Medicine, West Lafayette, IN, USA.
Vet Ophthalmol. 2020 Nov;23(6):1001-1008. doi: 10.1111/vop.12841. Epub 2020 Nov 2.
In previous reports, almost half of Golden Retrievers with Pigmentary Uveitis (GRPU) have lost vision in an eye within a year of diagnosis. The purpose of this study was to determine the proportion of GRPU affected dogs with vision loss, risk factors for the development of glaucoma, and effect of treatment on disease progression.
Client owned Golden Retrievers.
Two complete ophthalmic examinations were performed at least 6 months apart. Visual status, presence of glaucoma, GRPU score, and treatment were recorded. A proportional odds (ordinal logistic) model was fitted to determine whether the use of topical steroidal or non-steroidal (NSAID) ophthalmic preparations was associated with a change in GRPU scores.
Twenty-nine Golden Retrievers, 58 eyes, were included. One eye was enucleated after the first examination. On first examination, 57/58 (98.3%) eyes and 29/29 (100%) dogs were visual. At the second examination, 48/57 (84.2%) eyes and 25/29 (86.2%) dogs were visual. Vision loss in 7/9 (77.8%) eyes was secondary to glaucoma. Posterior synechia and fibrinous material in the anterior chamber were significant risk factors for the development of glaucoma (P < .001). There was no significant difference in the change in GRPU score between eyes receiving topical steroids and topical NSAIDs (P = .14). Time between examinations was a significant factor in disease progression (increased GRPU score; P = .016).
The number of eyes and dogs that retained vision was higher than previous reports. No topical treatment was superior in slowing disease progression. Golden Retriever Pigmentary Uveitis is a slowly progressive disease.
在之前的报告中,近一半患有色素性葡萄膜炎(GRPU)的金毛猎犬在确诊后一年内有一只眼睛失明。本研究的目的是确定患有视力丧失的 GRPU 受影响犬的比例、青光眼发展的风险因素以及治疗对疾病进展的影响。
有主人的金毛猎犬。
至少相隔 6 个月进行了两次完整的眼科检查。记录了视力状态、青光眼的存在、GRPU 评分和治疗情况。采用比例优势(有序逻辑)模型来确定局部类固醇或非甾体(NSAID)眼部制剂的使用是否与 GRPU 评分的变化相关。
29 只金毛猎犬,58 只眼睛,被纳入研究。第一检查后有一只眼睛被摘除。第一次检查时,58/58(98.3%)只眼和 29/29(100%)只狗视力正常。第二次检查时,48/57(84.2%)只眼和 25/29(86.2%)只狗视力正常。7/9(77.8%)只眼的视力丧失是青光眼的继发原因。后粘连和前房内的纤维蛋白物质是青光眼发展的显著风险因素(P<.001)。接受局部类固醇和局部 NSAID 治疗的眼睛之间 GRPU 评分的变化没有显著差异(P=0.14)。检查之间的时间是疾病进展的一个显著因素(GRPU 评分增加;P=0.016)。
保持视力的眼睛和狗的数量高于之前的报告。没有一种局部治疗方法能更有效地减缓疾病的进展。金毛猎犬色素性葡萄膜炎是一种进展缓慢的疾病。