Measurement of tear osmolarity in the canine eye: a new diagnostic tool for canine keratoconjunctivitis sicca? (original) (raw)
Related papers
Veterinary ophthalmology, 2016
To evaluate repeatability and reproducibility of tear osmolarity measured using the TearLab(™) osmometer in normal dogs and to assess its diagnostic potential in dogs with keratoconjunctivitis sicca (KCS). Beagle dogs; six normal and five with KCS. Tear osmolarity and Schirmer tear test-1 (STT-1) values were obtained at various times. Normal dogs were assessed for diurnal variation and repeatability and reproducibility of measurements. Dogs with KCS were evaluated before and after 5 months' topical twice-daily therapy with 2% cyclosporine. Mean ± SD tear osmolarity (mOsm/L) was significantly higher in normal dogs (337.4 ± 16.2) than in dogs with KCS before therapy (306.2 ± 18.0; P < 0.0001), but not following therapy with 2% cyclosporine (330.5 ± 13.7; P = 1.00). Osmolarity readings lower than 325.5 mOsm/L were suggestive of KCS (84.8% sensitivity and 87.1% specificity). In normal dogs, tear osmolarity readings were stable during the daytime (P = 0.99). Repeated measurements ...
Qualitative and quantitative tear film abnormalities in dogs
Ciência Rural, 2008
Tear film disorders in dogs can be classified into quantitative or qualitative abnormalities, or both, and are commonly observed in daily clinical practice. Inadequate production of one or more tear film components can lead to variable degrees of ocular disorders, called keratoconjunctivitis sicca. Keratoconjunctivitis sicca in dogs has several causes, but in most cases the disease is idiopathic, with T lymphocytes playing a role. In veterinary medicine, the diagnosis is made based on the results of the Schirmer tear test. In this article, we review aspects related to the etiopathogenesis and diagnosis of keratoconjunctivitis sicca in dogs and discuss new therapeutic modalities for this disease.
Baseline values of canine tear production determined by schirmer tear and phenol red thread tests
2010
Although research on canine tear production and dry eye has been reported in temperate countries in different breeds, there is no Malaysian data. On the average, at least two new cases of dry eye are diagnosed weekly at the University Veterinary Hospital (UVH) of the Faculty of Veterinary Medicine, Universiti Putra Malaysia. Currently in UVH the guidelines for the diagnosis of keratoconjunctivitis (KCS) and monitoring of response to treatment are based on recommendations for temperate countries. Thus the objectives of this study were to determine the Malaysian baseline values for canine tear levels using Schirmer tear test (STT) and phenol red thread test (PRTT), the relationship between and diurnal effect on STT and PRTT in dogs. The average baseline values for canine tear production in healthy local dogs in Malaysia with normal tear film breakup time (TBUT) were within the range of average baseline values reported in temperate countries. The average STT value for both eyes was approximately 22 mm/min and the PRTT was approximately 26 mm/15 s. There was poor relationship between STT and PRTT. This might be due to the presence of one or more confounding factors. The red colour change in PRTT was more intense when STT was performed first followed by PRTT and vice versa. The intensity of red colour change in PRTT was even more when performed in KCS dogs. This is because the intensity of the colour change in the phenol red thread is due to increasing alkalinity. Thus, KCS dogs had more alkaline tears than normal dogs. The lowest tear level was in the afternoon when diurnal study was conducted. Hence, KCS tests should be performed in the afternoon in order to obtain a more accurate measurement of tear level. Tear levels fluctuate when normal dogs were exposed in clinic with air-conditioned environment. Therefore, KCS tests should be performed immediately when dogs arrived at the clinic.
Arquivo Brasileiro de Medicina Veterinária e Zootecnia
The objective of this study was to evaluate the use of cyclosporine 1% alone or associated with oral mucosa transplantation (OMT) in dogs with dry keratoconjunctivitis (KCS). Schirmer Tear Test (STT-1) and Tear Film Osmolarity (TFO) were measured in both eyes of 30 adult dogs (before and 45 days after treatment. The animals were divided into three groups (10 dogs for group): control (normal dogs), group I (GI, treated with 1% cyclosporine alone), and group II (GII, treated with 1% cyclosporine and OMT). All STT-1 and TFO values were subjected to the Shapiro-Wilk normality test, and all were normally distributed. STT-1 and TFO values before and after treatment were subjected to the T-Student Test. The STT‐1 and TFO values of the right eye were subjected to Repeated Measures ANOVA followed by a Tukey Test for comparison between groups I and II. Means with a value of p≤0.05 were considered significant. There was a decreased osmolarity in both groups after treatment. Mean osmolarity in ...
Veterinary World, 2021
Background and Aim: Keratoconjunctivitis sicca (KCS) is a chronic inflammatory ocular disease that occurs in many dog breeds worldwide. This study aimed to investigate the tear protein pattern of healthy dogs, KCS dogs, and KCS dogs after treatment with cyclosporine A (CsA). Materials and Methods: Twenty-eight dogs of any breed were enrolled in the study. The subjects were divided into three groups: Healthy, KCS, and CsA-treated dogs. Tear samples were collected using Schirmer strips. Tear proteins extracted from the strips were analyzed using two-dimensional electrophoresis. For the first dimension, total protein from tears was separated by isoelectric focusing. The second dimension was performed using 12.5% sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The gel images were analyzed and the protein spots of differential expression were manually cut for protein annotation using mass spectrometry. Results: In total, 12 protein spots were excised and subjected to protein identification. Associated with KCS, six protein spots were a downregulated protein, namely, lysozyme. The other six protein spots were upregulated in KCS dogs, consisting of heat shock protein beta-1, protein S100-A12, and keratin type II cytoskeletal 1 and 5. After treatment with CsA for 45 days, the lysozyme protein was still decreasing and the inflammation protein (S100-A12) was not identified. Conclusion: Inflammatory tear proteins and proteins involved in cellular stress were present in KCS dogs and appeared to be reduced in medicated eyes. Treatment with topical CsA in the short term may not improve the activity of antibacterial proteins. Changes in the expression patterns of these four proteins might be useful for disease severity and progression assessment, as well as for exploring a novel method for dry eye management in dogs.
49 Comparative Therapies in Keratoconjunctivitis Sicca in Dogs
2018
The study aimed to present the importance of the proper treatment in Keratoconjunctivitis Sicca in dogs depending on the evolution stage, approaching all the phases. It highlights the necessity of an urgent and accurate treatment in order to avoid blindness. The study is based on the clinical activity of The Department of Surgery from The Faculty Of Veterinary Medicine of Bucharest, during 18 months. During the analyzed period were evaluated 472 dogs with keratoconjunctivitis Sicca, divided in three groups according to the evolutive stage. The treatment used the following products: for the first phase, artificial tear products based on hialuronic acid and carbomers such as HyCare®, Vidisic® and Xanternet®; for the second phase were used artificial tear products and cyclosporine 2% and for the third phase the treatment consisted in eye drops with prednisolone and ointment with tacrolimus. The healing process was complete in 4 to 24 weeks depending on the perseverance of the owner in ...
Effect of age, gender, weight, and time of day on tear production in normal dogs
Veterinary Ophthalmology, 2006
Objective To investigate the effects of age, weight, gender, and of time of day on tear production in normal dogs. Animals studied One hundred ophthalmoscopically and systemically unremarkable dogs. Procedure Schirmer tear tests (STT) were performed every 2 h during the day on one randomly chosen eye of each of 100 dogs. Results There was a statistically significant effect of time of day and age on the STT measurement. The mean STT decreased by 0.4 mm for every 1 year that age increased (P = 0.007). Mean STT values taken at 10:00 were 0.7 mm lower than values taken at 4:00 (P = 0.04). Conclusions Tear production decreases with age in the normal dog. In this population of dogs the largest difference was between the 10:00 and the 4:00 STT measurements, but this still only amounted to 0.7 mm. This value is unlikely to be of clinical significance in the diagnosis of keratoconjunctivitis sicca (KCS).
The use of tear ferning test in cats for evaluation of ocular surface
Acta Veterinaria Scandinavica
Background: The tear film is a trilaminar fluid composed mainly of lipids, electrolytes, proteins and water. It is responsible for lubrication, nutrition and protection against microbial and toxic agents. Disruption of any these components may weaken the ocular surface, making it more susceptible to disease. Increasing evidence suggests that qualitative tear film deficiencies are an important predisposing factor or cause of some of the most common and challenging ocular diseases in cats, including conjunctivitis, corneal ulcer, spontaneous chronic corneal epithelial defects (SCCED), pigmentary keratitis, corneal sequestrum and dry eye syndrome. The aim of this study was to describe the tear ferning test in healthy cats and to compare the results by using two grading scales for humans. Tear samples were collected using Schirmer tear test (STT) strips from 60 healthy cats, and, after centrifuging the strips to obtain the samples, the aliquot was placed on clean microscope glass until it dried and the tear ferning patterns were observed under a polarized light microscope and classified according to the Rolando and Masmali grading scales. Results: Ferning patterns in the lower grades showed full crystallization with high density, without gaps between the ferns and branches, forming several nuclei that were easily distinguished. According to the Rolando scale, 50% (60/120), 46.6% (56/120) and 3.4% (4/120) of eyes showed type I, II and III patterns, respectively. According to the Masmali scale, 15% (18/120), 56.6% (68/120 eyes) and 28.4% (34/120) of eyes showed grade 0, 1 and 2 patterns, respectively. No difference was observed between the right and left eyes for both Rolando (P = 0.225) and Masmali (P = 0.683) scales. Conclusions: The tear ferning test is a qualitative test that can be used in cats as a complementary evaluation of the ocular surface. While the Rolando scale showed an increased prevalence of types I and II, the Masmali scale showed an increased prevalence of grades 1 and 2. This can be attributed to the species-specific differences between human and feline tear film. So Masmali grade 2 can be considered a normal tear pattern for the species, because all the cats used in study were clinically healthy. For this reason, future complementary studies are necessary for comparing healthy eyes and eyes with different ocular surface disease in cats. Both scales can be feasible options for grading tear crystallization in cats, but as Rolando scale included 96.6% of the samples in the 2 types that are considered normal for humans, we think that this scale seemed to be more precise to classify crystallization pattern in cats. The crystallization patterns observed in this study can form the basis for standardizing ocular surface parameters in cats.