2005
DOI: 10.1111/j.1463-5224.2005.00393.x
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Immune‐mediated keratitis in horses: 19 cases (1998–2004)

Abstract: Horses with superficial IMMK responded to topical medical therapy, but responded best to surgical removal of the lesion. Horses with midstromal keratitis responded to topical cyclosporine therapy. Endothelial disease was the least amenable to therapy.

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Cited by 62 publications
(112 citation statements)
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References 36 publications
(67 reference statements)
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“…In the last few years, there has been a rise in interest among veterinary ophthalmologists and equine clinicians in a group of primary nonulcerative corneal inflammatory diseases, collective termed nonulcerative keratitis (NUK), 1 and in particular into the subgroup of NUKs where the etiopathogenesis is thought to involve deviant or up‐regulated immunoresponsiveness of the conventionally immunologically privileged cornea to locally presented heteroantigens or autoantigens 1–3 . This latter group of diseases appear largely unique to equidae and are almost certainly not emergent or new diseases.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…In the last few years, there has been a rise in interest among veterinary ophthalmologists and equine clinicians in a group of primary nonulcerative corneal inflammatory diseases, collective termed nonulcerative keratitis (NUK), 1 and in particular into the subgroup of NUKs where the etiopathogenesis is thought to involve deviant or up‐regulated immunoresponsiveness of the conventionally immunologically privileged cornea to locally presented heteroantigens or autoantigens 1–3 . This latter group of diseases appear largely unique to equidae and are almost certainly not emergent or new diseases.…”
Section: Introductionmentioning
confidence: 99%
“…The term IMMK itself is used to generically identify a heterogeneous group of primary, nonulcerative, noninfectious keratides of presumptively immunoinflammatory origin. A diagnosis of IMMK is made if there is a progressive or chronic (>3 month in duration) nonulcerative persisting or recurring corneal opacity with mild to moderate signs of cellular infiltrate, corneal vascularization, and corneal edema 1,2 . IMMK is characterized by having only mild signs of ocular discomfort (i.e., only mild epiphora and/or slight blepharospasm).…”
Section: Introductionmentioning
confidence: 99%
“…MHC1b expression restricts transendothelial migration of NK cells, and also suppresses local CD4+ T‐cell proliferation and diverts the immune response from a Th1 to a Th2 pathway 80 . In the horse, equivalent mechanisms may be partly responsible for the rapid recovery of normal function in corticosteroid treated cases of endothelial inflammatory disease 1,2 …”
Section: Corneal Ipmentioning
confidence: 99%
“…Many of the pathologies encountered, for example, ulceration and neoplastic disease, are relatively well‐documented if not particularly well‐understood, and largely successful treatment protocols are in the clinical domain. However there remains a heterogeneous group of sporadic, nonulcerative inflammatory corneal diseases, generically described as ‘nonulcerative keratides (NUKs)’ or immune‐mediated keratitis (IMMK), whose etiogenesis and pathobiology are both poorly documented and poorly understood 1–3 . At an anatomic level, gross inflammatory changes can be seen to involve all of the corneal layers, individually or collectively, and crucially, overt anterior uveitis is absent.…”
Section: Introductionmentioning
confidence: 99%
“…Corneal disease is one of the most common ocular conditions affecting horses and is frequently vision‐threatening and difficult to treat 1–4 . Horses are thought to be predisposed to corneal disease for a variety of reasons.…”
Section: Introductionmentioning
confidence: 99%