Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management

Pier Luigi Dodi Department of Veterinary Medicine Sciences, University of Parma, Parma, Italy Abstract: Keratoconjunctivitis sicca (KCS) is a frequent canine ophthalmic disease, resulting from the deficiency of one or more elements in the precorneal tear film. There are different known causes of KC...

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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:4897bed0492747609d72397c876eaa322021-12-02T00:17:27ZImmune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management2230-2034https://doaj.org/article/4897bed0492747609d72397c876eaa322015-10-01T00:00:00Zhttps://www.dovepress.com/immune-mediated-keratoconjunctivitis-sicca-in-dogs-current-perspective-peer-reviewed-article-VMRRhttps://doaj.org/toc/2230-2034Pier Luigi Dodi Department of Veterinary Medicine Sciences, University of Parma, Parma, Italy Abstract: Keratoconjunctivitis sicca (KCS) is a frequent canine ophthalmic disease, resulting from the deficiency of one or more elements in the precorneal tear film. There are different known causes of KCS in dogs, including congenital, metabolic, infectious, drug induced, neurogenic, radiation, iatrogenic, idiopathic, and immune mediated, though the last one is the most prevalent form in dogs. Initially, clinical signs of KCS include blepharospasm caused by ocular pain, mucoid to mucopurulent ocular discharge, and conjunctival hyperemia; secondary bacterial infection may also occur, with chronicity, corneal epithelial hyperplasia, pigmentation, neovascularization, and corneal ulceration. The diagnosis of KCS is based on the presence of consistent clinical signs and measurement of decreased aqueous tear production using the Schirmer tear test. Therapy is based on administering the following topical drugs: ocular lubricant, mucolytics, antibiotics, corticosteroids, pilocarpine, and immunomodulators. These last drugs (eg, cyclosporine, pimecrolimus, and tacrolimus) have immunosuppressive activity and stimulate tear production. Furthermore, the nerve growth factor is a new subject matter of the research. Although these therapies are advantageous, stimulation of natural tear production seems to provide the highest recovery in clinical signs and prevention of vision loss. The goal of the following article is to describe the recent developments about KCS in dogs emphasizing the use of new therapies. Keywords: dogs, keratoconjunctivitis sicca, treatment, NGFDodi PLDove Medical PressarticleVeterinary medicineSF600-1100ENVeterinary Medicine: Research and Reports, Vol 2015, Iss default, Pp 341-347 (2015)
institution DOAJ
collection DOAJ
language EN
topic Veterinary medicine
SF600-1100
spellingShingle Veterinary medicine
SF600-1100
Dodi PL
Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
description Pier Luigi Dodi Department of Veterinary Medicine Sciences, University of Parma, Parma, Italy Abstract: Keratoconjunctivitis sicca (KCS) is a frequent canine ophthalmic disease, resulting from the deficiency of one or more elements in the precorneal tear film. There are different known causes of KCS in dogs, including congenital, metabolic, infectious, drug induced, neurogenic, radiation, iatrogenic, idiopathic, and immune mediated, though the last one is the most prevalent form in dogs. Initially, clinical signs of KCS include blepharospasm caused by ocular pain, mucoid to mucopurulent ocular discharge, and conjunctival hyperemia; secondary bacterial infection may also occur, with chronicity, corneal epithelial hyperplasia, pigmentation, neovascularization, and corneal ulceration. The diagnosis of KCS is based on the presence of consistent clinical signs and measurement of decreased aqueous tear production using the Schirmer tear test. Therapy is based on administering the following topical drugs: ocular lubricant, mucolytics, antibiotics, corticosteroids, pilocarpine, and immunomodulators. These last drugs (eg, cyclosporine, pimecrolimus, and tacrolimus) have immunosuppressive activity and stimulate tear production. Furthermore, the nerve growth factor is a new subject matter of the research. Although these therapies are advantageous, stimulation of natural tear production seems to provide the highest recovery in clinical signs and prevention of vision loss. The goal of the following article is to describe the recent developments about KCS in dogs emphasizing the use of new therapies. Keywords: dogs, keratoconjunctivitis sicca, treatment, NGF
format article
author Dodi PL
author_facet Dodi PL
author_sort Dodi PL
title Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
title_short Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
title_full Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
title_fullStr Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
title_full_unstemmed Immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
title_sort immune-mediated keratoconjunctivitis sicca in dogs: current perspectives on management
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/4897bed0492747609d72397c876eaa32
work_keys_str_mv AT dodipl immunemediatedkeratoconjunctivitissiccaindogscurrentperspectivesonmanagement
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