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Special Pathology II Exam 3
Ocular Pathology
77
Veterinary Medicine
Professional
11/27/2011

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Cards

Term
Which is not true of genetic abnormalities?
Definition
Cycloptia is only a condition of the eye
Term
Collie eye is essentially a disease of what?
Definition
Retinal Pigment epithelium
Term
Persistent pupillary membrane and hyaloid artery are parts of?
Definition
Tunic Vascularis Lentis
Term
Which is false in development of the eye?
Definition
Mesenchymal cells of anterior chamber arise from mesoderm
Term
Regarding SCC which of these are true?
Definition
To go over cornea the bular conjunctiva and SCC are connected
Term
What type of glaucoma occurs w/incomplete formation of trabecular network?
Definition
Open
Term
Corneal edema is caused by breakdown of this?
Definition
Endothelium
Term
Sarcoma of the lens is most common in what species?
Definition
Cats
Term
Dogs with dark, round, nodular mass on the sclera is most likely?
Definition
Epibulbar melanoma
Term
Select all that apply:  What do you see in corneal sequestra?
Definition

Most often in cats

Brown/black foci occurs

Term
What is the most common cause of acquired cataracts in dogs?
Definition
Diabetes
Term
What animal has most metastasis of uveal tumors?
Definition
Cats
Term
In glaucoma how is vision lost permanently?
Definition
Due to degeneration of ganglion cells and axons
Term
The first thing seen histologically in true retinal detachment is?
Definition
Hypertrophy of the retina
Term
According to research, what microorganisms is associated w/Equine Recurrent Uveitis?
Definition
Leptospira
Term
Which of these doesn't cause acquired retinal degeneration?
Definition

All of the above:

UV

Hypovitamin E

Taurine deficiency

Enrofloxin in cats

Term

Which of these congenital defects does not have to be present at birth?

 

Definition
Glaucoma
Term
[image]
Definition
Most likely cause of the lesion is glaucoma
Term
[image]
Definition
Cause of this lesion is hyperplasia of the nictating membrane and extroversion
Term
[image]
Definition
Most likely diagnosis for the collapsed eye shown (fill-in-the-blank) is Phthisis Bulbi
Term
What does a perfect light sensor need?
Definition

1. An optically transparent window

2. A way to focus light

3. Controls the amount of light admitted

4. An array of photoreceptors

5. A computer to appreciate the outside world

Term
What four layers does the eye form from?
Definition

1. Neuroectoderm

2. Ectoderm

3. Neural crest mesenchyme

4. Mesodermal blood vessels

Term
How do you make an eye?
Definition

1. Outpocketing of the brain --> optic cup arises from sustained neuroectodermal proliferation at point where it touches the ectoderm

2. A double-layered cup forms:

Inner layer --> neural retina

Outer layer --> retinal pigment epithelium

3. Lens placode forms by proliferation of ectoderm in contact w/neuroectoderm until it forms a vesicle

4. Asymmetric optic cup invagination produces an inferior choroidal fissure at the bottom of the eye

Term
How are structures that maintain the shape of the eye and nurture it made?
Definition

Blood vessels entering the back of the eye (Hyaloid Artery) fuse w/vessels entering from the front of the eye to form the tunica vasculosa lentis.

This involutes at the end of development

Term
How does retinal development go?
Definition
Waves of proliferation start from a single cell layer and moves inward towards the vitreous
Term
What are five causes of ocular anomalies?
Definition

1. Genetic defects

2. Teratogens (viral, toxic, irradiation, hyperthermia)

3. Nutritional imbalances

4. Toxicoses

5. Physical trauma

Term
What are the two types of ocular anomalies?
Definition

1. Defective organogenesis

2. Defects of a specific segment

i.e. - surface ectoderm, anterior/posterior segment mesenchyme abnormalities, neuroectodermal maldevelopment

Term
True/False:  Anophthalmia is common.
Definition
FALSE - very rare
Term
True/False: Microphthalmia is more common than anopthalmia.
Definition

TRUE - varies in severity

To check for presence of eyeball - check for eyelids

Term
Lack of Optic vesicle inversion.
Definition
Cyctic eyes
Term
Cyclopia/Synophthalmia:
Definition

One eye or fused two eyes.

Often reflect basic defects in the anterior brain - secondary to notocord necrosis

Term
What is a colobomas?
Definition

A hole in one of the structures of the eye.

Can involve iris, retina, and/or sclera

Term
What are typical colobomas, and where are they found?
Definition
They are anomalies of the choroidal fissure and occur at the 6 o'clock position
Term
Where are atypical colobomas found?
Definition
Occur at other than 6 o'clock due to local necrosis
Term
Dermoid:
Definition

Segmental anomaly affecting the surface ectoderm

(choristoma = well-differentiated tissue in the wrong place)

Part of the cornea follows a "skin" program of differentiation

Term
Cataracts:
Definition

Segmental anomaly of surface ectoderm

Inherited defects of lens or heat shock proteins

Focal/global injury to lens

Attachment of persistent vessels

However, some inherited cataracts develop later and thus are not congenital

Term
Persistent pupillary membrane:
Definition

Anomaly due to absence of vascular involution, anterior eye

Normal up to 6 months in dogs; Basenjis 6-8 months, but after that abnormal

Term
Persistent Hyaloid Artery:
Definition

Anomaly of the posterior vascular involution

Normal up to 3 wks in foals, 9 wks in puppies and kittens

Becomes Mittendorf's dot and Burgmeister's papilla

Term
What is Goniodysgenesis?
Definition

Incomplete formation of the trabecular meshwork --> aqueous humor not absorbed.

Manifestations occur later in life

Covered w/glaucoma

Term
What are retinal dysplasias?
Definition

Anomaly in the neuroectoderm

Genetic causes: retinal folds or true dysplasia

Postinfectious: BVD, BT

Part of multiple anomalies:  Labradors and Samoyeds, with associated dwarfism

Term
Optic Nerve Hypoplasia/Aplasia occurs due to?
Definition

Relatively late failure of ganglion cells

Hypoplasia - failure of the ganglion cell axons to grow back towards the brain

Term
How is Collie eye anomaly inherited?
Definition
In an autosomal recessive manner - gene on chromosome 37, an intron deletion
Term
True/False:  every eye affected w/Collie eye anomaly is the same.
Definition

FALSE!!

Great differences btwn affected littermates in regard to severity of phenotype

Also - any visible lesion is genetically significant, with potential transmission of a severe phenotype to next generation

Term
In what breeds will you see Collie eye anomaly and is there a test for it?
Definition

Occurs in collies, shelties, Australian shepherds

A genetic test for CEA is available

Term
What is Collie eye anomaly thought to be?
Definition
A primary defect in retinal pigment epithelium.  Failure of the posterior optic vesicles to express growth hormone affects differentiation of other cells of the eye.  Some aspects of absent melanin pigmentation appears to interfere w/induction of the neuroretina by the choroid
Term
What do you see in collie eye anomaly?
Definition

1. Defect of choroidal maturation, w/posterior coloboma and choroidal hypoplasia, retinal detachment, hyphema

2. Tortuous retinal vessels

3. W/choroidal failure, there is an absence of scleral stimulation, which produces the colobomatous outpocket

Term
What should you tell an owner that brings a puppy affected w/collie eye anomaly to you?
Definition
Dog may become blind - need to spay/neuter
Term
What type of eyelid tumors are common in dogs?
Definition
Tumors of the lid margin
Term
What are the most common meibomian gland tumors in dogs?  Are they malignant or benign?
Definition

Adenomas

Benign

Term
Are epitheliomas a common meibomian gland tumor in dogs?
Definition
Yes, they grow more rapidly than adenomas and are also benign
Term
True/False:  Meibomian gland malignant tumors are very rare.
Definition
TRUE
Term
What is another thing that can occur w/the meibomian gland that can look like a neoplasm?
Definition
Meibomian gland cysts (chalazon)
Term
True/False:  The gland of the third eyelid is a common site of neoplasia in dogs.
Definition
FALSE!! - rare site
Term
What are four important eyelid tumors?
Definition

1. Meibomian gland tumors

2. Adenomas

3. Papillomas

4. Melanocytomas

 

Term
What is conjunctivitis and some common etiologies?
Definition

Inflammation of the conjunctiva

Probably the most common ocular condition seen by veterinarians

Common etiologies - Moraxella bovis, Mycoplasma, Chlamydophila

Allergic, including drugs put in the eye by vets

Gross reddening and exudates

Term
What are some eye diseases shown in canine distemper virus?
Definition

1. Conjunctivitis - used in diagnosis, but is just one of many disease manifestation

2. Dacryoadenitis (tear gland inflammation) --> keratoconjunctivitis sicca

3. Retinitis

4. Optic neuritis

5. Keratitis (ferrets)

Term
What are some common etiologies seen in conjunctival parasitism?
Definition
Both Thalazia and Habronema can cause conjunctivitis
Term
True/False:  Conjunctival neoplasms can also extend onto the cornea.
Definition
TRUE
Term
What is the most common conjunctival neoplasm?
Definition
SCC and it can also affect the nictitating membrane and lids - occurs in animals exposed to UV
Term
What are some vascular conjunctival neoplasms in dogs?
Definition

Hematocyst

Hemangioma

Hemangiosarcoma

Term
How does SCC spread in cattle?
Definition

Usually begin at limbus and spread over the cornea

Plaque --> papilloma --> carcinoma in situ --> carcinoma

Want to look at both eyes

Term
What is the anatomy of the sclera?
Definition

1. Lamina fusca (varies in thickness; thin at limbus in horses)

2. Episclera

3. Lamina cribosa

Term
What are five things seen in scleral pathology?
Definition

1. Structural interruptions

2. Episcleritis (may be part of panophthalmitis; may be nodular)

3. Neoplasia:  melonoma (benign)

4. Melanosis

5. Hemorrhages

Term
True/False:  Epibulbar melanoma in dogs are malignant.
Definition
FALSE!! - benign
Term
True/False:  Hemorrhages of the conjunctiva or sclera usually indicate a systemic disease.
Definition

TRUE!

Scleral hemorrhages common

Associated lesions in other areas

Platelet consumption or coagulopathy

Term
What are six orbital masses and causes of exophthamos?
Definition

1. Lacrimal gland neoplasms

2. Lymphosarcoma

3. Extension of tumors from oral cavity, nasal cavity, salivary glands

4. Optic nerve meningioma may contain bone and cartilage in dogs; orbital myofibroblastic sarcomas in cats, which arise in the sclera

5. Osteosarcomas of the bony orbit

6. Non-neoplastic: mucocele or retrobulbar abscess

Term
What helps to protect and moisten the cornea?
Definition
Normal conjunctiva and lacrimal glands
Term
What is the function of the normal cornea?
Definition
To provide clarity and protect the stroma
Term

Keratinocytes:

 

Definition

Corneal epithelium

Epithelial basement membrane

Term
Keratocytes:
Definition

Corneal stromal cells

Regular collagen spacing

Dehydrated stroma (5X)

Term

Keeps corneal stroma dry from the inside:

 

Definition
Corneal endothelium
Term
Provides structural support of the cornea:
Definition
Descemet's membrane
Term
Corneal Erosions:
Definition
Loss of all or part of the epithelium, leaving the basement membrane
Term
When do you see corneal erosions?
Definition

1. Common in moribund neonates that don't blink or animals that can't close their eyes (exposure keratopathy/dessicatino keratitis)

2. Common w/keratoconjunctivitis sicca (reduced tear film)

 

Need to look for the cause of the problem!

Term
Keratoconjunctivitis sicca:
Definition

A primary disorder of the tear film.

Can result from tear deficiency (dacryoadenitis coronavirus of rats; canine distemper in dogs), Meibomian/lacrimal gland diseae

Look at the lacrimal apparatus for pertinent pathology

Term
What is a common cause of tear deficiency?
Definition
Cherry eye
Term
What is "Indolent Ulcer" syndrome?
Definition

Recurrent corneal erosions

Occur in middle aged dogs and horses

The cornea tries to regrow but can't stick as a result of abnormal stroma

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