corneal abrasion

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corneal abrasion

This is a discussion on corneal abrasion within the Horse Health forums, part of the Keeping and Caring for Horses category
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    03-05-2013, 05:20 PM
corneal abrasion

My mare has a corneal abrasion in her left eye. She is getting banamine 2x daily (for 2 days), and supposed to be getting antibiotic eye ointment 4-5 times daily (as many times as I can get out there), and atopine ointment 2x daily.

Any suggestions on getting the medication in her eye? She closes her eye so tightly I'm having a hard time even getting the meds in. Does it matter if you only give 2 doses of Banamine- the last time I did this (different vet) we gave 4 doses of banamine?

At least I caught it right away.

When do they usually use steroids? Or is that just for uveitis? The vet said he didn't want to use steroids? Is that because steroids increase the risk of infection? I guess I should have asked, but I didn't think about it til later.
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    03-05-2013, 07:23 PM
Steroids will melt a damaged cornea. They are for uveitis on an INTACT cornea only. If you are having trouble getting the meds in, see if your vet will put in a subpalpebral lavage system. It is very important to get the meds in on schedule and for the full duration of treatment. An SPL is a little tube they sew under the eye lid (sounds horrendous, takes only minutes and makes a world of difference) so that you can stand back by the shoulder and put the meds in the eye through the tube. Horse's eye lids have incredibly powerful muscles and can be VERY hard to open for meds!
    03-05-2013, 08:38 PM
Oh I agree with you there!

I am going to try clicker training. I went out and pressed on her good eye and anytime she would open it with my hand there, I would give her a treat. I then tried the same with her sore eye- at least she will open it a tiny bit. Before she had it locked shut. Hopefully that will make it easier for me tomorrow. She also throws her head around (even on cross ties and with a chain under her chin.)

I'm really hoping the clicker training helps. And maybe tomorrow her eye will be a little less painful. Her eyelid was really swollen today.
    03-05-2013, 08:46 PM
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How are you trying to get the medication in? I just put it next to the tear duct and squeezed with mine, when he blinked, it went in...

It's not easy... No fun.
    03-07-2013, 05:38 PM
I have had to have them insert the subpalpebral lavage system Tealamutt spoke of before for a horse that was VERY difficult to medicate (it looks awful but was worth it). It made life SO much easier for horse and human! It is really important that they get the medication when they are supposed to- eyes are nothing to mess with, if you skip dosage or the meds don't get all the way in and it gets infected, you could lose the eye! Best of luck!

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