Update on surgical cosmetic solutions in equine ophthalmology.

Cosmetic solution; Horse; Intraocular prosthesis; Ophthalmology; Orbital implant; Ophthalmic Solutions; Cosmetics; Horses; Animals; Horse Diseases/surgery; Eye Diseases/surgery; Ophthalmologic Surgical Procedures/methods; Ophthalmic Solutions/therapeutic use; Eye Diseases; Horse Diseases; Ophthalmologic Surgical Procedures; Equine

Abstract :

[en] Following eye removal surgery, ocular cosmetic solutions exist for the equine patient. The objective of this review is to summarize the current best evidence on equine ophthalmic cosmetic solutions. A literature review of ophthalmic cosmetic solutions in horses was conducted. Four cosmetic solutions are described. Cosmetic outcome, return to work, owner satisfaction, complication rates, implant choice and future perspectives are discussed under the light of most recent publications. Seventeen peer-reviewed articles were selected: five retrospective studies, four case series, five case reports and three narrative reviews. Additionally, two congress proceedings were included. Recent publications identify intrascleral prosthesis and intraorbital implants adjoined to a corneoscleral shell as cosmetically superior. The orbital meshwork implant requires improvement to be cosmetically acceptable. Return to work is deemed feasible and standing sedation is an option for orbital implant placement beneath sutured eyelids. 3D printing creates new possibilities for implant development.

Disciplines :

Veterinary medicine & animal health

Author, co-author :

Jarry, Jenny ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) ; Department of Veterinary Medicine, Faculty of Sciences, Integrated Veterinary Research Unit (IVRU) - Namur Research Institute for Life Sciences (NARILIS), University of Namur, Namur, Belgium

Dugdale, A; 4 Holly Farm Mews, Great Sutton, Ellesmere Port, CH66 4XX, UK

Vandeweerd, Jean-Michel ; Université de Liège - ULiège > Département clinique des animaux de production (DCP) ; Department of Veterinary Medicine, Faculty of Sciences, Integrated Veterinary Research Unit (IVRU) - Namur Research Institute for Life Sciences (NARILIS), University of Namur, Namur, Belgium. Electronic address: jean-michel.vandeweerd@unamur.be

Language :

English

Title :

Update on surgical cosmetic solutions in equine ophthalmology.

Publication date :

December 2024

Journal title :

Journal of Equine Veterinary Science

ISSN :

0737-0806

eISSN :

1542-7412

Publisher :

W.B. Saunders, United States

Volume :

143

Pages :

105206

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.elsevier.com/content/article/PII:S0737080624002120?httpAccept=text/xml

Available on ORBi :

since 18 April 2026

Statistics

Number of views

261 (2 by ULiège)

Number of downloads

118 (2 by ULiège)

More statistics

Scopus citations^®

Scopus citations^®
without self-citations

OpenAlex citations

Bibliography

Flores, M.M., Del Piero, F., Habecker, P.L., Langohr, IM., A retrospective histologic study of 140 cases of clinically significant equine ocular disorders. J Vet Diagn Invest 32 (2020), 382–388.
Hamor, R.E., Roberts, S.M., Severin, G.A., Trawnik, W.R., Johnson, WJ., Ocular cosmetic and prosthetic devices. Vet Clin North Am Equine Pract 8 (1992), 637–654.
Maninchedda, U., Nottrot, K., Gangl, M., Enucleation in equids with and without the use of an orbital suture meshwork implant: a retrospective study of 37 cases. Vet Rec, 177(14), 2015, 367.
Michau, T., Gilger, B., Cosmetic globe surgery in the horse. Vet Clin North Am Large An Pract 20 (2004), 467–484.
Toth, J., Huthmann, S., Dikker, L., Intrascleral ocular prosthesis following evisceration in thirteen horses. Pferdeheilkunde 2 (2014), 153–160.
Gelatt, K.N., Whitley, D., Surgery of the orbit. Gelatt, KN, Gelatt, JP, (eds.) Veterinary ophthalmic surgery, 1st edn, 2011, Elsevier Saunders, Saint Louis, 51–88.
Gilger, BC., Diseases and surgery of the globe and orbit. Gilger, BC, (eds.) Equine ophthalmology, 2nd edn, 2017, Elsevier Saunders, Saint Louis, 151–196.
Pierce, K., Townsend, W., Surgery of the globe and orbit. Auers, JA, Kümmerle, JM, Stick, JA, Prange, T., (eds.) Equine surgery, 5th edn., 2019, Elsevier, Saint Louis, 910–927.
Huppes, T., Hermans, H., Ensink, M., A retrospective analysis of the risk factors for surgical site infections and long-term follow-up after transpalpebral enucleation in horses. BMC Vet Res, 13, 2017, 155.
Lavach, J.D., Severin, G.A., Equine ocular cosmesis. Vet Clin North Am Large Anim Pract 6 (1994), 489–500.
Provost, P.J., Ortenburger, A.I., Caron, J.P., Silicone ocular prosthesis in horses: 11 cases (1983–1987). J Am Vet Med Assoc 194 (1989), 1764–1766.
Severin, G.A., Equine ophthalmology. Proceedings of the annual convention of the American association of equine practitioners, 44, 1998, 105–124.
Gilger, B.C., McLaughlin, SA., Glaucoma and corneal stromal abscess in a horse treated by an intraocular silicone prosthesis and a conjunctival pedicle flap. Equine Pract 15:6 (1993), 10–15.
Meek, LA., Intraocular silicone prosthesis in a horse. J Am Vet Med Assoc 193 (1988), 343–345.
Riggs, C., Whitley, RD., Intraocular silicone prosthesis in a dog and horse with corneal lacerations. J Am Vet Med Assoc 196 (1990), 617–619.
Toth, J., Dikker, L., Huthmann, S., Hollerrieder, J., Intrasklerale silikonprothese nach eviszeration des bulbus beim pferd. Der Prakt Tierarzt 92 (2011), 886–890.
Wilkie, D.A., Gilger, B.C., van der Woerdt, A., Gränitz, U., Die implantation von intraokulären silikonprothesen. Der Prakt Tierarzt 12 (1994), 1097–1100.
Wilson, S.E., Sampaio, L.P., Shiju, T.M., Hilgert, G.S.L., de Oliveira, RC., Corneal opacity: biological determinants of the transition from transparency to transient haze to scarring fibrosis, and resolution, after injury. Invest Ophthalmol Vis Sci, 63(1), 2022, 22.
Hamor, R.E., Roberts, S.M., Severin, GA., Use of orbital implants after enucleation in dogs, horses, and cats: 161 cases (1980–1990). J Am Vet Med Assoc 203 (1993), 701–706.
Betbeze, C.M., Dray, S.M., Fontenot, RL., Subconjunctival enucleation with orbital implant placement in standing horses: 20 cases (2014-2017). J Am Vet Med Assoc 258 (2021), 661–667.
Wright, K., Ireland, J.L., Rendle, DI., A multicentre study of long-term follow-up and owner satisfaction following enucleation in horses. Equine Vet J 50 (2018), 186–191.
Garcia-Lopez, J.M., Poulin, A.E., Doran, R.E., Quinteros, D.D., Abuja, GA., Transpalpebral enucleation using a chain écraseur. Equine Vet Ed 21 (2009), 603–607.
Jacopo, C., Nannarone, S., Pepe, M., Lotto, E., Vuerich, M., Belleza, E., Gialletti, R., Eye enucleation and application of a silicone prosthesis in 20 standing horses. Proceedings of the XXI SIVE congress, 2015, 301–302.
Gilger, B.C., Pizzirani, S., Johnston, L.C., Urdiales, NR., Use of a hydroxyapatite orbital implant in a cosmetic corneoscleral prosthesis after enucleation in a horse. J Am Vet Med Assoc 222 (2003), 343–345.
Utter, M.E., Wotman, K.L., Covert, KR., Return to work following unilateral enucleation in 34 horses (2000–2008): performance following enucleation in horses. Equine Vet J 42 (2010), 156–160.
Pollock, P.J., Russell, T., Hughes, T.K., Archer, M.R., Perkins, JD., Transpalpebral eye enucleation in 40 standing horses. Vet Surg 37 (2008), 306–309.
Custer, P., Maamari, R., Huecker, J., Gordon, M., Volumetric versus empirical determination of enucleation implant size. Ophthalmic Plast Reconstr Surg 37:5 (2021), 414–419.
Hughes, MO., A pictorial anatomy of the human eye/anophthalmic socket: a review for ocularists. Eye, 4(5), 2007, 6.
Williams, DF., On the mechanisms of biocompatibility. Biomaterials 29:20 (2008), 2941–2953.
Baino, F., Potestio, I., Orbital implants: state-of-the-art review with emphasis on biomaterials and recent advances. Mater Sci Eng C. 69 (2016), 1410–1428.
Chen, X.Y., Yang, X., Fan, XL., The evolution of orbital implants and current breakthroughs in material design, selection, characterization, and clinical use. Front Bioeng Biotechnol, 9, 2021, 800998.
Palmer, S.V., Ramos, R.V., Woodoff-Leith, E.D., Galarza, RMR., Causes, outcomes, and owner satisfaction of dogs undergoing enucleation with orbital implant placement. Vet Ophthalmol 24:4 (2021), 346–353.
Sami, D., Young, S., Petersen, R., Perspective on orbital enucleation implants. Surv Ophthalmol 52:3 (2007), 244–265.
Nasisse, M.P., van Ee, R.T., Munger, R.J., Davidson, MG., Use of methyl methacrylate orbital prostheses in dogs and cats: 78 cases (1980-1986). J Am Vet Med Assoc 192 (1988), 539–542.
Oria, A.P., de Souza, M.A.R., Neto, F.A.D., Gomes, D.C.J., Estrela-Lima, A., Muramoto, C., Neto, J.M.C., Ofri, R., Polymethylmethacrylate orbital implants with interconnecting channels. A retrospective study following enucleation in dogs and cats. Vet Ophthalmol 19:2 (2016), 102–109.
Karesh, J.W., Dresner, SC., High-density porous polyethylene (Medpor) as a successful anophthalmic socket implant. Ophthalmology 101:10 (1984), 1688–1696.
Timoney, P.J., Clark, J.D., Frederick, P.A., Krakauer, M., Compton, C., Horbinski, C., Foreign body granuloma following orbital reconstruction with porous polyethylene. Opht Plast Reconstr Surg 32:6 (2016), e137–e138.
Jordan, D.R., Klapper, SR., Controversies in enucleation technique and implant selection: whether to wrap, attach muscles, and peg. Guthoff, RF, Katowitz, JA, (eds.) Oculoplastics and orbit: aesthetic and functional oculofacial plastic problem-solving in the 21st century, 2010, Springer, Berlin, 195–209.
Hauck, M.J., Steele, EA., Dermis fat graft implantation after unilateral enucleation for retinoblastoma in pediatric patients. Ophthalmic Plast Reconstr Surg 31:2 (2015), 136–138.
Yi, N.Y., Park, S.A., Jeong, M.B., Kim, W.T., Kim, S.E., Kim, J.Y., Chae, J.M., Jang, K.J., Seong, J.K., Seo, K.M., Comparison of orbital prosthesis motility following enucleation or evisceration with sclerotomy with or without a motility coupling post in dogs. Vet Ophthalmol 12 (2009), 139–151.
Mourits, D.L., Moll, A.C., Bosscha, M.I., Tan, H.S., Hartong, D.T., Orbital implants in retinoblastoma patients: 23 years of experience and a review of the literature. Acta Ophthalmol 94:2 (2016), 165–174.
Park, S.Y., An, J.H., Kwon, H., Choi, S.Y., Lim, K.Y., Kwak, H.H., Hussein, K.H., Woo, H.M., Park, KM., Custom-made artificial eyes using 3D printing for dogs: a preliminary study. PLoS ONE, 15(11), 2020, e0242274.
Jarry, J., De Raeve, Y., Dugdale, A., Simon, V., Vandeweerd, JM., An ex vivo pilot study to assess the feasibility of 3D-printing of orbital implants in horses. J Equine Vet Sci, 128, 2023, 104826.