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| − | ==Introduction==
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| − | This is only diagnosed if specifically tested for.
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| − | ==Clinical Signs==
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| − | It often presents as '''chronic keratitis with blepharospasm, epiphora, corneal oedema and punctuate ulceration''' with a long history of antibiotic therapy.
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| − | ==Diagnosis==
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| − | * Combined [[Antibiotics|antibiotic]]/[[Steroids|steroid]] therapy should be avoided; it is rarely indicated and allows fungal overgrowth
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| − | * '''Corneal scrapings''' are required for histology. However, cases at [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary] have been diagnosed from swabs. Check with the laboratory first to ensure the correct medium is used.
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| − | ==Treatment==
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| − | Unless '''aggressive treatment''' is initiated early, the eye can be permanently destroyed. The prognosis is guarded.
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| − | * Try to use fungicidal rather than fungostatic treatments
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| − | * Options for treatment include:
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| − | ** '''Natamycin ophthalmic preparation'''.
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| − | ** '''Miconazole''' (10 mg/ml i.v. solution) applied to the eye four times daily for up to six weeks.
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| − | ** '''Povidone-iodine''' (non-lathering, not alcohol-based) diluted to 1:20 (5 ml in 100 ml sterile saline), applied to the eye four times daily
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| − | * Treatment should be continued until two negative swab results have been achieved. This can take six to eight weeks. Chronic corneal scarring often remains
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| − | * '''[[NSAIDs]], cycloplegics and anti-collagenase''' treatment should be used in conjunction with the [[Antifungal Drugs|anti-fungals]]
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| − | * Clinical signs can worsen as fungal death occurs
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| − | ==Literature Search==
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| − | [[File:CABI logo.jpg|left|90px]]
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| − | Use these links to find recent scientific publications via CAB Abstracts (log in required unless accessing from a subscribing organisation).
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| − | <br><br><br>
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| − | [http://www.cabdirect.org/search.html?q=%28ab%3A%28fungal+%29+OR+ab%3A%28mycosis%29+OR+ab%3A%28mycotic%29%29+AND+subject%3A%28eye%29+AND+od%3A%28donkeys%29 Fungal organisms in the donkey eye publications]
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| − | ==References==
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| − | * Grove, V. (2008) Conditions of the eye In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 11
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| | {{toplink | | {{toplink |
| | |backcolour = D1EEEE | | |backcolour = D1EEEE |
| | |linkpage =Conjunctiva and Cornea Diseases - Donkey | | |linkpage =Conjunctiva and Cornea Diseases - Donkey |
| | |linktext =Conjunctiva and Cornea Diseases - Donkey | | |linktext =Conjunctiva and Cornea Diseases - Donkey |
| | + | |rspace={{Donkey}} |
| | |pagetype=Donkey | | |pagetype=Donkey |
| | }} | | }} |
| − | {{infotable
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| − | |Maintitle = [[Sponsors#The Donkey Sanctuary|This section was sponsored and content provided by '''THE DONKEY SANCTUARY''']]
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| − | |Maintitlebackcolour = B4CDCD
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| − | }}
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| − | [[Category:Donkey]]
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| − | [[Category:Conjunctival_and_Corneal_Diseases_-_Donkey]]
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