Effects of medetomidine and medetomidine-butorphanol combination on Schirmer tear test 1 readings in dogs

Medetomidine is a commonly used sedative in veterinary medicine whether administered alone or in combination with an opioid such as butorphanol. There are no previous studies that look at the effects of this drug on sequential Schirmer tear test (STT) 1 readings in dogs, including effects on tear production after reversal of the drug. The present study looked at two groups of 10 dogs each that were sedated with intravenous medetomidine or a combination of medetomidine and butorphanol. All dogs had tear readings taken presedation, 15 min postsedation, and 15 min after reversal of medetomidine with atipamezole. Results revealed that intravenous sedation with medetomidine and medetomidine-butorphanol in dogs with no history of ophthalmic disease and presedation STT 1 readings above 15 mm/min, causes a significant decrease in tear production that is measurable at 15 min postsedation. Readings returned to near presedation values within 15 min postreversal in most cases. It is therefore recommended that all eyes be treated with a tear substitute from the time the sedative is given until at least 15 min after reversal.     

Reference values for selected ophthalmic diagnostic tests of the ferret (Mustela putorius furo)

PURPOSE: To perform selected ophthalmic diagnostic tests in healthy ferrets with the aim of establishing normal physiological reference values for this species. METHOD: A total of 15 healthy, unrelated ferrets were used to test most of the parameters in this investigation. Eight of the 15 ferrets were used for central corneal thickness evaluation. Ages varied from 1.5 to 6 years of age. Selected diagnostic ocular tests were performed including Schirmer tear test, tonometry using an applanation tonometer (Tonopen), central corneal thickness using an ultrasonic pachymeter (Sonomed, Micropach, Model 200P +) and culture of the normal conjunctival bacterial flora. RESULTS AND DISCUSSION: Staphylococcus sp. and Corynebacterium sp. were isolated from healthy conjunctival and eyelid margins, suggesting they are normal constituents of the conjunctival flora of the ferret. Results for selected ocular diagnostic tests investigated here for the ferret eye were as follows: intraocular pressure: 14.50 +/- 3.27 mmHg; Schirmer tear test: 5.31 +/- 1.32 mm/min; central corneal thickness: 0.337 +/- 0.020 mm. No statistically significant differences between ages or genders were found for any of the results. The reference data for the ocular tests obtained in this investigation will help veterinary ophthalmologists to more accurately diagnose ocular diseases in the ferret. Knowledge of these reference values will be particularly useful to diagnose discrete or unusual pathological changes of the ferret eye.     

Management and Outcome of a Non-iatrogenic,Nearly Circumferential,Full-thickness Retroperitoneal Rectal Tear in a Horse

An 8-year-old Quarter Horse stallion presented to the Veterinary Teaching Hospital for evaluation of acute colic and a suspected rectal tear. Clinical examination revealed a nearly circumferential retroperitoneal full-thickness rectal tear. Exploratory laparotomy was performed, and medical management of the tear continued for 6 weeks. Multiple attempts at direct suturing of the tear were unsuccessful. Despite intensive medical management, the horse was not able to defecate, and the tear did not heal adequately, so the horse was humanely euthanized. Necropsy revealed complete obliteration of the muscular layers of the rectum with only a small area of rectal mucosa intact dorsally. There is limited information available on the management of circumferential rectal tears. Based upon this experience and other historical reports, a poor prognosis may be expected for circumferential full-thickness retroperitoneal rectal tears involving the ventral aspect of the rectum.     

Daily rhythm of tear production in normal dog maintained under different Light/Dark cycles

This study was conduced to assess the daily rhythm of tear production in clinically healthy dog. For our study eight female purebred Beagles were subjected to three different Light/Dark schedules: 12/12 L/D, 24/0 L/D and 0/24 L/D cycles. In all subjects Schirmer tear test I was performed at 4 h intervals over a 24 h period. A statistical significant effect of photoperiod was observed comparing the three different L/D schedules, and a statistical significant difference was observed comparing left and right eye during the 12/12 L/D schedule. We demonstrated daily variation of tear production in dogs maintained under an L/D cycle. We also provided strong evidence that the rhythm of tear production is endogenously generated because it persisted in constant darkness. Although the range of excursion of the daily/circadian oscillation in STT I (about 2 mm/min) is likely too narrow to be of clinical significance, it is statistically significant and may have physiological implications not yet appreciated.     

A non-invasive technique for standing surgical repair of urinary bladder rupture in a post-partum mare: a case report

An 11-year-old mare presented 36 hours after foaling with a ruptured bladder. Uroperitoneum was diagnosed on ultrasound and from the creatinine concentration of the peritoneal fluid. Bladder endoscopy demonstrated tissue necrosis and a rent in the dorsocranial aspect of the bladder. Following stabilisation, including abdominal drainage and lavage, the mare was taken to standing surgery. Under continuous sedation and epidural anaesthesia, and after surgical preparation, a Balfour retractor was placed in the vagina. Using sterile lubricant and moderate force, it was possible to insert a hand into the bladder. The tear was easily palpable on the dorsal portion of the bladder. Two fingers were inserted through the tear and used to provide traction to evert the bladder completely into the vagina where it could grasped with the surgeons other hand to prevent further trauma. A second surgeon could then visualise the entire tear and repaired this using a single layer of size zero PDS suture in a single continuous pattern. As soon as the bladder was repaired, it was replaced via the urethra. The mare did well after surgery and was discharged after 48 hours, apparently normal.This report is the first describing repair of the bladder without an abdominal incision or incision into the urethral sphincter. This greatly reduces the chance of possible complications such as urine pooling after surgery with the previously described standing technique or bladder trauma due to traction with abdominal surgery.     

Sawn-timber and kraft pulp properties of Pinus elliottii × Pinus caribaea var. hondurensis and Pinus patula × Pinus tecunumanii hybrids and their parental species

A study was undertaken to evaluate the quality of the timber produced by Pinus elliottii × Pinus caribaea var. hondurensis (PECH) and the Pinus patula × Pinus tecunumanii low elevation (PPTL) and high elevation (PPTH) hybrids and their parent species for both kraft pulp and sawn-timber production. Trees were taken from unthinned tree improvement trials managed for pulpwood, ranging in age between 15 and 19 years. All sawn boards produced by study trees met the minimum wood density requirement for S5-grade structural timber (360 kg m^?3), but approximately 17% of the boards failed to meet the other requirements for the grade, largely due to knot-related defects. Results of dynamic modulus of elasticity assessments performed on all of the boards suggested that a large percentage of boards would not meet the specified average stiffness (7 800 MPa). This was confirmed by the results of static bending tests performed on a subsample of boards. All boards tested for all species and hybrids met the required fifth percentile bending strength value for grade S7 (15.8 MPa) according to SANS 6122 (2008) specifications. The kraft pulping results indicated that the samples taken from the upper part of the stem yielded slightly better results on average than the samples representing the whole tree with respect to uniformity in the kappa vs charge and temperature, and yield vs kappa traits, with slight improvement of pulp yield (52% vs 50%) and some strength properties compared with whole tree pulping. Samples from the upper part of the stem had a close delignification rate in the 60–80 kappa range. The delignification rate for PPTL in the 60–80 kappa range was slower and the yield was slightly lower than P. patula (53.17% vs 52.72%) despite a higher kappa number. The pulp strengths short-span compressive test, breaking length and tearing strength of PECH were similar to those of P. elliottii, which were in turn generally lower than those of P. patula. The pulp strengths of PPTL and PPTH were similar to those of P. patula, whereas P. caribaea strengths were intermediate between those of P. patula and P. elliottii. With the exception of a slightly lower pulp yield, PPTL emerged as the best all-round hybrid for both pulp and sawn-timber properties.     

Results of Schirmer tear test in clinically normal llamas (Lama glama)

Purpose To determine the normal reference range for Schirmer tear test (STT) values in clinically normal llamas (Lama glama) Animals Nine captive llamas (Lama glama) (seven females and two males) were used in this study. Procedure Complete ophthalmic examinations were performed without chemical restraint. STT I values were evaluated in both eyes of all llamas using a commercial STT strip of a single lot number (Schirmer‐Tränentest^®, Germany). STT II value was also measured in both eyes of seven female llamas. Results No statistically significant differences among ages or between right and left eyes were found for any of the results. The mean ± SD STT I of 18 eyes of nine llamas was 17.3 ± 1.1 mm/min (Range 15–19 mm/min). The mean ± SD STT II of 14 eyes of seven llamas was 15.4 ± 1.7 mm/min (Range 12.5–17.5 mm/min). A paired samples t‐test demonstrated that there was a significant difference between the STT I and II values (P = 0.001). Conclusion This study provides novel data for normal reference ranges of STT I and II values in healthy llamas. Results of this study may assist veterinarians in the diagnosis of ocular surface disease and syndromes affecting the tear film in these species.     

Keratoconjunctival effects of diabetes mellitus in dogs

OBJECTIVES: To compare Schirmer tear test (STT) values, corneal sensitivity, tear film break up times (TFBUTs), and tear glucose concentrations in relation to conjunctival microflora, and conjunctival cytologic and histologic findings among diabetic cataractous, nondiabetic cataractous, and nondiabetic noncataractous dogs. Procedures Fifteen dogs in each category underwent neuro-ophthalmic examination; aerobic, anaerobic and fungal conjunctival cultures; assessment of corneal touch threshold (CTT), STT, tear glucose, TFBUT; and conjunctival cytology and histology (in certain cases only). Degree of cataract and uveitis were critically graded. Glycemic control was estimated using serum fructosamine and glycosylated hemoglobin. RESULTS: STT values were significantly lower in diabetic cataractous than nondiabetic noncataractous dogs. CTT of diabetic cataractous dogs was significantly lower than that of nondiabetic noncataractous dogs. Mean TFBUTs were significantly less in diabetic cataractous dogs than nondiabetic cataractous and nondiabetic noncataractous dogs. Tear glucose concentrations were significantly higher in diabetic cataractous dogs than nondiabetic cataractous and nondiabetic noncataractous dogs. Conjunctival microbial isolates did not differ among groups. There were no significant differences in degree of cataract or uveitis between diabetic cataractous and nondiabetic cataractous groups. There was mild submucosal inflammatory infiltrate in conjunctival specimens from diabetic dogs. Conjunctival epithelial dysplasia and/or squamous metaplasia was/were detected in conjunctival biopsies of 5/7 diabetic dogs. Reductions in conjunctival goblet cell (GC) densities were noted in 4/7 diabetic dogs; there were no significant differences in mean GC densities among the three groups. CONCLUSIONS: Diabetic cataractous dogs have significantly altered keratoconjunctival characteristics compared to nondiabetic cataractous and nondiabetic noncataractous dogs.     

Estimation of lacrimal level and testing methods on normal beagles

Five methods of testing tears including the Schirmer tear test (STT-1), phenol red thread tear test (PRT) and modified Schirmer tear test (STT-2) were conducted on 44 eyes of 22 normal Beagles, and the tear film break up time (BUT) and lacrimal pH were tested in 32 eyes of 16 normal Beagles. The coefficient of variation of PRT demonstrated a low value (C.V. 14%) compared to the value of STT-1 (C.V. 12%). The lacrimal pH showed a more constant value (C.V. 3%). Measurements of STT-2 (C.V. 48%) and BUT (C.V. 34%) varied significantly. The results show the clinical usefulness of the PRT. Mean values (mean ± SD) of tests were: PRT, 29.3 ± 3.45 mm/15 s; STT-1, 18.89 ± 2.62 mm/60 s; STT-2, 9.52 ± 4.55 mm/60 s; pH, 7.29 ± 0.22 and BUT, 21.53 ± 7.42 s.