개에서 발생한 상공막염 12례

Episcleritis in dogs: 12 cases

  • 박신애 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실) ;
  • 정만복 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실) ;
  • 김원태 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실) ;
  • 김세은 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실) ;
  • 박영우 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실) ;
  • 지향 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 병리학교실) ;
  • 김대용 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 병리학교실) ;
  • 서강문 (서울대학교 수의과대학, BK21 수의과학연구인력양성사업단, 안과학교실)
  • Park, Shin-Ae (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Jeong, Man-Bok (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Kim, Won-Tae (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Kim, Se-Eun (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Park, Young-Woo (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Jee, Hyang (Department of Veterinary Pathology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Kim, Dae-Yong (Department of Veterinary Pathology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University) ;
  • Seo, Kang-Moon (Department of Veterinary Ophthalmology, College of Veterinary Medicine and BK21 Program for Veterinary Science, Seoul National University)
  • 발행 : 2008.10.31

초록

The purpose of this study was to determine clinical features of canine episcleritis and outcomes of therapy in Korea. The medical records of dogs with episcleritis presented at the Veterinary Medical Teaching Hospital of Seoul National University from January 2006 to December 2007 were reviewed. Episcleritis was diagnosed in 17 eyes of 12 dogs. The most frequently affected breed was Shih Tzu (n = 6). The median affected age was 5 years with a range from 3 years to 12 years. Simple episcleritis was identified in 8 dogs, nodular granulomatous episcleritis (NGE) in 3 dogs, and secondary episcleritis caused by panophthalmitis in a dog. The combination immunosuppressive therapy of topical corticosteroids, topical cyclosporine A, and intralesional injection of triamcinolone (4 mg) and gentamicin (4 mg) was performed. Most of the patients with episcleritis were resolved within 30 days following the therapy. Surgical excision was performed in 1 NGE case which was not responded to the medical therapy. Recurrence was observed in 4 dogs between 5 and 8 months after the first visit. It is considered that strong immunosuppressive therapy and periodic ocular examination are needed to control episcleritis.

키워드

참고문헌

  1. Bellhorn RW, Henkind P. Ocular nodular fasciitis in a dog. J Am Vet Med Assoc 1967; 150: 212-213
  2. Genetics Committee of the American College of Veterinary Ophthalmologists. Ocular disorders presumed to be inherited in purebred dogs, 5th ed. American College of Veterinary Ophthalmologists. 2006
  3. Gilger BC, Bentley E, Ollivier FJ. Diseases and surgery of the canine cornea and sclera. In: Veterinary ophthalmology, 4th ed. Ames: Blackwell Publishing. 2007: 690-752
  4. Gwin RM, Gelatt KN, Peiffer RL, Jr. Ophthalmic nodular fasciitis in the dog. J Am Vet Med Assoc 1977; 170: 611-614
  5. Paulsen ME, Lavach JD, Snyder SP, Severin GA, Eichenbaum JD. Nodular granulomatous episclerokeratitis in dogs: 19 cases (1973-1985). J Am Vet Med Assoc 1987; 190: 1581-1587
  6. Sandmeyer LS, Breaux CB, Grahn BH. What are your clinical diagnosis, differential diagnoses, therapeutic plan, and prognosis? Diffuse episcleritis of the right eye. Can Vet J 2008; 49: 89-90
  7. Smith JS, Bistner S, Riis R. Infiltrative corneal lesions resembling fibrous histiocytoma: clinical and pathologic findings in six dogs and one cat. J Am Vet Med Assoc 1976; 169: 722-726
  8. Wheeler CA, Blanchard GL, Davidson H. Cryosurgery for treatment of recurrent proliferative keratoconjunctivitis in five dogs. J Am Vet Med Assoc 1989; 195: 354-357
  9. Whitley RD, Gilger BC. Diseases of the canine cornea and sclera. In: Veterinary ophthalmology, 3rd ed. Baltimore: Lippincott Williams & Wilkins. 1999: 635-673