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Willows Scientific Papers for the following veterinary specialists:
Rodrigo Pinheiro de Lacerda
Hamzianpour N., Pinheiro de Lacerda R., Rhodes M. Recurrent Corneal Ulceration in a Young Dog Due to an Ectopic Cilium in an Unusual Location. Vet Record Case Reports Open – Accepted for publication
Lacerda RP, Peña Gimenez MT, Laguna F, Costa D, Ríos J, Leiva M. (2016) Corneal grafting for the treatment of full-thickness corneal defects in dogs: a review of 50 cases. Vet Ophthalmology. doi: 10.1111/vop.12392. [Epub ahead of print]
OBJECTIVE: To describe corneal grafting for the treatment of full-thickness corneal defects in dogs and to determine its effectiveness in preserving vision.
METHODS: A review of the medical records of dogs that underwent corneal grafting following corneal perforations (≥3 mm) at the VTH-UAB from 2002 to 2012 was carried out.
RESULTS: Fifty dogs of different breed, age and gender were included. Brachycephalic breeds were overrepresented (37/50;74%). All cases were unilateral, with euryblepharon being the most common concurrent ocular abnormality (20/50;40%). Full-thickness penetrating keratoplasties (FTPK) were performed in 21/50 eyes (42%) and lamellar keratoplasties (LK) in 29/50 eyes (58%). Frozen grafts (FroG) were used in 43/50 eyes (86%) and fresh homologous grafts (FreHoG) in 7/50 (14%). Of the former group, 26 were homologous (FroHoG:60%) and 17 heterologous (FroHeG:40%). A combination of topical medication (antibiotics, corticosteroids, cycloplegics, and 0.2% cyclosporine A) and systemic mycophenolate mofetil was administered. Median follow-up time was 200 days. Postsurgical complications included wound dehiscence (6/50;12%) and glaucoma (4/50;8%). Clinical signs of graft rejection were diagnosed as follows: FroHoG (13/26;50%), FroHeG (11/17;65%), FreHoG (4/7;57%), FTPK (12/21;57%), and LK (16/29;55%). Medical treatment successfully controlled graft rejection in 11/28 eyes (39%). Good anatomical outcome was achieved in 86% (43/50), of which 95% (41/43) were visual at last examination, with moderate opacification to complete transparency of the graft present in 48.2%.
CONCLUSIONS: Corneal grafting is an effective surgical treatment for full-thickness corneal defects in dogs. If graft rejection is present, additional medical or surgical therapy may be necessary, achieving a highly satisfactory visual outcome.
Coyo, N., Peña, M. T., Costa, D., Ríos, J., Lacerda, R. and Leiva, M. (2015) Effects of age and breed on corneal thickness, density, and morphology of corneal endothelial cells in enucleated sheep eyes. Veterinary Ophthalmology. doi: 10.1111/vop.12308
OBJECTIVE: The purpose of the study was to determine corneal thickness (CT), endothelial cell density (ECD), morphology, and morphometry in ovine eyes, and to report the effects of age and breed on these parameters.
ANIMALS STUDIED AND PROCEDURES: Forty-eight healthy ovine eyes were classified into six groups (eight eyes per group) according to animals' age (lambs and adults) and breed (Manchega, Ripollesa, and Rasa Aragonesa). Endothelial cell density (cells/mm2 ) and CT (μm) were calculated in the central cornea and four peripheral quadrants by means of specular microscopy. Mean cell area (MCA (μm2 )), pleomorphism (% hexagonal cells), and polymegethism (CV) were evaluated in the central cornea. Statistics consisted of an ANOVA model and a LSD test for the post hoc analysis. RESULTS: Results in lambs were as follows: ECD = 3532 ± 259, CT = 699 ± 56, MCA = 283 ± 22, % hexagonal cells = 75.64 ± 3.09, and CV = 18 ± 8.4; and in adults: ECD = 2204 ± 261, CT = 804 ± 87, MCA = 473 ± 53, % hexagonal cells = 69.9 ± 3.42, and CV = 18.1 ± 5.2. There were differences (P < 0.001) in all parameters studied between both groups except for the CV (P = 0.962). Regarding the breed, Rasa Aragonesa presented a higher CT (P = 0.001) and CV (P = 0.04) compared to other breeds. Mean values of all groups together showed that central and dorsal areas of the cornea were the thickest, whereas temporal quadrant was the thinnest (P < 0.001).
CONCLUSIONS: This study demonstrates that age and breed influence corneal and endothelial parameters in sheep.
Laguna F, Leiva M, Costa D, Lacerda RP, Peña Gimenez T. (2014) Corneal grafting for the treatment of feline corneal sequestrum: a retrospective study of 18 eyes (13 cats). Vet Ophthalmol. doi: 10.1111/vop.12228. [Epub ahead of print]
To determine the clinical outcome of corneal grafting for the treatment of feline corneal sequestrum (FCS).
A review of the medical records of cats that underwent keratoplasty as a treatment of FCS at the VTH-UAB, from 2002 to 2012, was carried out.
Thirteen cats (18 eyes) of different breed, age, and gender were included. Persian cats were overrepresented (12/13;92%). There were nine males and four females, of a mean age of 3.4 years (0.7-7.1). Ipsilateral chronic corneal ulceration was reported as the most common concurrent ocular disease (6/18;33%). Keratoplasty was performed bilaterally in 5 cats (5/13;38%) and unilaterally in 8 (8/13;62%). Lamellar keratoplasty was performed in 17 eyes (17/18;95%) and full-thickness keratoplasty in 1 (1/18;5%). Mean graft size was 8.3 mm (4-11.5). Fresh homologous graft was performed in 2 eyes (2/18;11%) and frozen graft in 16 (16/18;89%). Of the latter group, homologous graft was performed in 6 eyes (6/16;37.5%) and heterologous in 10 (10/16;62.5%). In all the cats, postoperative treatment included topical antibiotics, corticosteroids, cycloplegics, and 0.2% cyclosporine A. Median follow-up time was 18.2 months, and main postoperative complications were diffuse mild epithelial pigment formation (2/18;11%), graft malacia (1/18;5%), and sequestrum recurrence (1/18;5%). Mean epithelial healing time was 19.2 days. Good visual outcome was achieved in all the eyes (100%), the majority of them having faint or mild corneal opacity (15/18;83%).
Keratoplasty is an effective surgical treatment for FCS. The donor tissue provides excellent tectonic support to the affected corneas, with good visual and cosmetic outcome.
Lacerda RP, Obón E, Peña MT, Costa D, Ríos J, Leiva M. (2014) A comparative study of corneal sensitivity in birds of prey. Vet Ophthalmol. 17(3):190-4. doi: 10.1111/vop.12068. Epub 2013 Jun 11.
To determine and compare the corneal sensitivity in healthy wild diurnal and nocturnal birds of prey (BP) indigenous to Catalonia (Spain), and to establish if age is a determining factor in corneal sensitivity in those species.
Ophthalmic examination was performed in 105 BP. Only birds with no ocular abnormalities were included in the study (n = 81): 21 diurnal BP (Falco tinnunculus: 16 fledglings, 5 adults) and 60 nocturnal BP (20 Athene noctua [9 fledglings, 11 adults], 20 Strix aluco [15 fledglings, 5 adults], and 20 Otus scops [6 fledglings and 14 adults]). Corneal touch threshold (CTT) was determined for each eye in five different corneal regions. Five attempts to cause a blink reflex were made in each region, and when three or more reflexes were positive, the pressure was deemed the CTT. Statistical analysis was performed using a Student's t-test for independent data or an anova model. The results between species and age groups were compared using the Generalized Estimated Equations model.
There were no significant differences between any of the corneal regions (P = 0.25), or between the right (CTT = 4.9 ± 1.7 cm) and left (CTT = 4.8 ± 1.7 cm) eye in any of the species (P = 0.692). No difference was found between diurnal and nocturnal species (P = 0.913). Considering all the species, a significant difference was found between the mean CTT of fledglings (5.4 ± 1.2 cm) and adults (4.1 ± 2 cm), P < 0.001. A significant difference was found between fledglings and adults of A. noctua (P < 0.001) and S. aluco (P = 0.002).
There is no significant difference in CTT between the different corneal regions in all the species studied. Corneal sensitivity is similar between diurnal and nocturnal birds of prey. Age is a determining factor in the CTT of A. noctua and S. aluco, with fledglings having a significantly higher CTT.
S. Mazzucchelli, M. D. Vaillant, F. Wéverberg, H. Arnold-Tavernier, N. Honegger, G. Payen, M. Vanore, L. Liscoet, O. Thomas, B. Clerc, and S. Chahory (2012) Retrospective study of 155 cases of prolapse of the nictitating membrane gland in dogs. Veterinary Record 170, 443
G. Payen, R. L. Hänninen, S. Mazzucchelli, O. P. Forman, C. S. Mellersh, M. Savoldelli and S. Chahory (2011) Primary lens instability in ten related cats: clinical and genetic considerations. Journal of Small Animal Practice 52, 402–410