Healing & Cushings
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Kelly Kathleen Daughtry
Micah injured her eye over the weekend and has an ulcer on her cornea. The vet prescribed an "ulcer mix" and banamine. She saw her this morning while I was at work and sent a text saying, "I debrided the area with a sterile cotton swab because I could tell the epithelium was not healthy around the ulcer. Delayed healing occurs when they have Cushing’s, so I’m glad we looked at her today! Continue meds as previously prescribed. We should look at her again Monday"
Is there anything special the group thinks I need to be aware of? I'm not assuming there is but eyes can get bad so quickly, I thought it would be wise to check in - better safe than sorry. -- Kelly & Micah, Clayton NC April 2016 Case History: https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20%20Micah Photos: https://ecir.groups.io/g/CaseHistory/album?id=264981
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Kelly Kathleen Daughtry
Her eye is very painful and we are trying to do everything we can to keep her from rubbing it. I would be very worried about taking her off the banamine unless there was no choice otherwise. She is receiving 5ccs 2x day. I don't have any but do I need to order phytoquench? The pain is not from a laminitic episode but I don't want to push her into one. That being said I don't want her to do more damage to her eye b/c of the pain. The vet did not think sedating her was an option.
The vet was also not inclined to have her use a fly mask since she is an expert at getting them off. She was afraid Micah would do more damage to the eye in the attempt to remove it. -- Kelly & Micah, Clayton NC April 2016 Case History: https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20%20Micah Photos: https://ecir.groups.io/g/CaseHistory/album?id=264981
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Hi Kelly,
We’re dealing with a similar issue at my place. The horse presented with a swollen eye and seemed to have evidence of an insect bite on the lid. As time went by and the swelling went down, it was more obvious that the horse had struck his face on something, perhaps a beam over his stall door. There were small healing wounds in a straight line which included the spot on the eyelid. He has PPID. The ulcer is slowly getting smaller and the milkiness around it (edema?) has resolved but it hasn’t been debrided yet. We are putting an antibiotic ointment in his eye, mainly for protection. NSAIDs will interfere with healing so, although we gave those initially, we stopped them as soon as he was comfortable enough to not rub it. He’s wearing a fly mask 24/7 and only goes out for brief periods in the am while there is shade in his turnout. I had another PPID horse with an eye ulcer a few years ago. It was slow to heal so my vet put me in touch with a veterinary ophthalmologist after a few weeks. She brought all her tools but I did not see a cotton swab. That then healed quite successfully. We will have an ophthalmologist look at the recent incident if the ulcer doesn’t continue to decrease in size. Those are my two experiences. I’m not sure what the “ulcer mix” is but I would suggest formulating a plan to wean off the banamine. -- Martha in Vermont
ECIR Group Primary Response July 2012
Logo (dec. 7/20/19), Tobit(EC) and Pumpkin, Handy and Silver (EC/IR)
Martha and Logo |
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Kelly, I feel for you. Indy has had a couple of corneal ulcers this year. Both healed with a similar treatment plan as your vet’s, one had a rub with a swab, one not. I was very worried about protecting the eye from her rubbing it again while it was healing, so I bought a mask with a rubber cup to cover the eye. It’s worn with a breakaway halter. This has been a godsend for my mental health as I’m not constantly worrying that she might be rubbing another hole in her eye. On the advice of the vet I did not decrease the banamine until her eye was comfortable, as no other form of pain relief/anti-inflammatory had any effect on the ulcer pain. https://jupitervetproducts.com/eyeprotection.aspx
Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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celestinefarm
Kelly, I had a mare with uveitis that would periodically flare up. I was instructed to use a half dose of banamine during the flares, which worked well to reduce not just pain but the eye swelling and tearing. By half dose , it is half of what she weighed. She would get a 500 lb dose instead of a 1000 # dose. I may be misinterpreting your post , but banamine isn't going to cause laminitis, banamine is a potent anti inflammatory that can cause side effects when used long term and with other nsaids. Mostly gastro intestinal and for horses with lamintis or especially abscesses, it can delay healing of tissues when used long term. But you want to control the inflammation in the eye right now and banamine would be the first choice, IMO.
-- Dawn Wagstaff and Tipperary Saline, MI 2003 Tipperary Case History |
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Years ago, my horse had one eye removed due to severe Uveitis damage. While he was recovering, I used a "recovery mask" made by Protective Pet Solutions. The mask is made of heavy duty PVC and will not collapse. It comes in clear and dark tinted. Both have 90% UV protection. Can be used in pasture and riding. I left it on my horse 24/7- dark during the day, clear at night. I'm glad I kept the masks as my horse has been diagnosed with Uveitis in his remaining eye. When he's experiencing a flare, I now put one of these masks on him to keep him from rubbing the eye. He is also EMS.
-- Ronelle and Yoyo 2015 Bend, Or, US |
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Bella had uveitis 2x last summer; we used the same Protective Pet Solutions mask Ronelle mentions, then their "step down" heavy mesh mask. Worked great. Worth every penny and Bella kept it on. I cleaned/saved/packed ours in case she has a recurrence.
-- Jen McCabe Laytonsville, Maryland Joined 2022 + Odin (2010 BLM Mustang - IR/EMS diagnosed after Winter Laminitis), Bella (2008 BLM Mustang - PPID/Cushings diagnosed in 2000)+ Fiki (2015 Arabian) Odin and Bella Case Histories |
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Hi Kelly,
For what it's worth, a lady at my barn has a horse with chronic uveitis and she gives Equioxx daily. She said it's the only thing that helps her gelding. Just a thought. I hope Micah feels better very soon! -- Joy and Willie (EC/IR) Nevada County, CA - 2019 Case history: Willie's Case History Willie's photo album: Willie's Photos |
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Kelly Kathleen Daughtry
Thanks so much for all the help everyone!
-- Kelly & Micah, Clayton NC April 2016 Case History: https://ecir.groups.io/g/CaseHistory/files/Kelly%20and%20%20Micah Photos: https://ecir.groups.io/g/CaseHistory/album?id=264981
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Thanks from me too, and thanks for the tip Jen and Ronelle--I am in the process of ordering one of the 'recovery masks'. Hoping it doesn't take weeks to get here.
-- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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Thought my experience might be useful for any Australian members interested in the Recovery Visor.
I completed an online sizing form with Protective Pet but they hadn't got back to me after four business days, so that was disappointing. I was ready just to order the visor in the size I thought should fit, when I got a phone call from a gentleman in Bendigo (or maybe Ballarat) who said he was the inventor and manufacturer of the Recovery Visor and what was my sizing issue. Apparently the visors were invented in Australia and are manufactured here. He said his daughter's horses had a lot of eye trouble one year so he sat down and devised a solution! Even better, a local small business is one of their distributors, so I should get a visor in a few days via express post. Plus, it's a lot cheaper than ordering from the US (exchange rate on our AU$ is still pathetic). I feel like my order went around the world and came home again, haha. -- Maxine and Indy (PPID) and Dangles (PPID) Canberra, Australia 2010 https://ecir.groups.io/g/CaseHistory/files/Maxine%20and%20Indy%20and%20Dangles
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