Anesthesiology & Pain Management

Shelter Medicine

Animal Welfare

Aquatic Medicine

Poultry Medicine

Avian & Exotic

Behavior

Dentistry

Dermatology

Emergency & Critical Care

Equine Medicine

Feline Medicine

Geriatric & Palliative Medicine

Infectious Diseases & Epidemiology

Integrative & Holistic Medicine

Cardiology

Diabetes

Endocrinology

Gastroenterology

Neurology

Oncology

Respiratory Medicine

Urology/Nephrology

Internal Medicine

Food Animals

Small Ruminant

Swine

Livestock

Microbiome

Nutrition

One Health

Ophthalmology

Orthopedics

Parasitology

Pathology

Pediatrics

Pharmacology

Preventive Medicine

Radiology

Rehabilitation

Surgery

Theriogenology

Toxicology

Virtual Care

Zoo Medicine

News

All News

Breaking News

Conference News

Expert Interviews

Programs

dvm360 Insights™

dvm360 LIVE!

Pet Connections

Product360

The Vet Blast Podcast

Vet Perspectives™

VetXchange®

Fetch

All Events

Atlantic City 

Long Beach 

Charlotte 2025 

Nashville 2025 

Kansas City 2025

Flex CE

Flex Home

Articles

Conference Proceedings

On-demand Webinars

Podcasts

Upcoming Webinars 

Business

Associates

Business & Personal Finance

Buying or Selling a Practice

Career Development

Hospital Design

Leadership & Personal Growth

Owners

Personnel Management

Practice Finances

Practice Managers 

Practice Operations

Students

Technicians 

Technology

Wellbeing & Lifestyle

Partners

Awards

Vet Heroes

Publications

Shop 

Subscribe

After being sprayed in the face by a skunk, one Jack Russell Terrier developed a life-threatening blood issue. 

Skunk encounter creates rare near-death experience 

Annika VanNoy, PhD, joins this episode of The Vet Blast Podcast to discuss mental health in the veterinary profession

Healing the healers: Mental health in the veterinary profession

Bond Vet Launches New Position: Area Lead Nurse

Here is how veterinary teams can help clients honor the cherished memories of their beloved pets and find comfort after pets cross the Rainbow Bridge

Honoring beloved pets on Rainbow Bridge Remembrance Day

The investment includes funding for high-priority research initiatives on zoonotic infectious diseases, vaccines, animal welfare, and more

USDA announces $17.6 million investment to protect livestock welfare and fund research 

This year’s theme will focus on the impact veterinary technicians have on more than just clients and patients

NAVTA announces 2024 theme of National Veterinary Technician Week 

Atlantic Veterinary College is investigating the use of a commonly prescribed children’s medication to treat these cardiac tumor canine patients  

Veterinary college launches clinical trial to treat cardiac tumors in dogs

Linda Ellis, DVM, sits down with Adam Christman, DVM, MBA, to talk about common liability claims in the veterinary profession.



Podcast CE: veterinary professional liability - common claim drivers

The ophthalmology page is a comprehensive resource for Veterinary news, animal health, and pet care insights on ophthalmology. Read more at dvm360.

Ophthalmology | Veterinary News & Animal Health | dvm360

dvm360 is the authority of veterinary medicine news, expert insights, animal health and pet care products, research, and regulations for veterinary professionals.


Contact Us

Fetch DVM360 Conference

Terms and Conditions

Privacy

Do Not Sell My Information

About Us

dvm360 | Veterinary News, Veterinarian Insights, Medicine, Pet Care

Facebook

Instagram

Twitter

LinkedIn

By Role

Practice Manager

Technicians

Spotlight

Score more CE at the Jersey Shore: Register for Fetch Coastal today!

Subscriptions

dvm360 Newsletter

dvm360 Magazine

1rem

Clinical

 ophthalmology page is a comprehensive resource for clinical news and insights on the latest in veterinary ophthalmology. This page consists of videos, interviews, articles, podcasts, and research on the advancements and developments of therapies for ophthalmology, and more.

, host Adam Christman, DVM, MBA, and special guest Alex Sigmund, DVM, DACVO, chat about all things glaucoma such as tips and tricks on diagnosing the diseases, effective management, and which breeds of dogs have a predisposition to glaucoma. Through the discussion, Sigmund hopes to help to continue his goal of making every veterinarian comfortable with the basics of ophthalmology to improve patient care as well as client understanding. 

What are some of the recommendations that we're doing when we're trying to rule out glaucoma? So, I know you mentioned the pen. Do you have a recommendation of even like tetracaine? Is there a particular numbing solution you like? Walk us through some of the diagnostics that we should do.

Any red eye, in my opinion, should not only have a tonometry check, but also should have a stain, like a fluorescein stain, looking for ulcers as well as a Schirmer tear test because there are so many cases that get referred to me that could have been caught months earlier if one of those had been done, it just hadn't been done. 

The biggest pushback I get from that type of stuff is, you know, owners don't want to pay for all of that, and so my biggest advice for veterinarians is just to make an ophthalmology fee, like an ophthalmology exam fee, that encompasses all those diagnostics [so] that you can just go ahead and do them. 

Join Drs Adam Christman and Alex Sigmund to talk all things glaucoma on this 'eye' opening episode of The Vet Blast Podcast

Under pressure! Everything you need to know about glaucoma

, host Adam Christman, DVM, MBA, welcomes guest DJ Haeussler, DVM, MS, DACVO to talk about common afflictions of the cornea alongside treatments and best practices for veterinarians.

: What do you think are the top two or three corneal diseases that you see in dogs and cats?

The most common condition that I see is a corneal ulcer in both dogs and cats. Then I would say that probably the secondary one would be dry eye in dogs. Then in cats, we deal with a lot of herpetic keratitis and conjunctivitis from feline herpes virus.

Do you think it's in that particular order? Does it vary on popularity and commonality? Which ones are most important?

Adam Christman, DVM, MBA, and DJ Haeussler, DVM, MS, DACVO, sit down to discuss important medications and treatments for cornea conditions. 

A refresher on the cornea

On this episode of The Vet Blast Podcast, Bill Miller, DVM, DACVO, talks about his work with the American College of Veterinary Ophthamologists (ACVO) and his involvement in a program that provides free eye exams for service dogs.

Below is a partial transcript. Listen to the full podcast for more.

: The program for the service dog eye exam began close to 12 years ago when the ACVO recognized ophthalmologists across the country were doing service eye exams [for free],  yet we weren't reaching as many service dogs out there that needed or could use the exams . . . We recognize the dogs from the various service groups, whether they be police dogs, or drug detection dogs or diabetic assistance dogs or guide dogs need to have excellent vision in order to do their jobs.

Learn more about how a partnership between the American College of Veterinary Ophthalmologists and Epicur has helped certify the vision of service dogs.

The free program that has given over 100,000 service dog eye exams

Alex Sigmund, DVM, DACVO, urges veterinarians to consider the often-overlooked side effects of ocular treatments.

Balancing benefits and risks in veterinary ophthalmology 

Alex Sigmund, DVM, DACVO, discusses health issues that topical steroids and an antiglaucoma therapy can cause, ahead of his lecture at Fetch Kansas City

How ocular medications can cause other health complications

Ophthalmologists at UC Davis removed the tumor and treated it with a new laser technology, photodynamic therapy 

Bengal-hybrid tiger treated for eyelid tumor

Clinical signs, diagnosis procedures, and management goals for this eye disease were covered during a session at the 2024 AVMA convention

Treating glaucoma in the emergency room

Researchers have identified the genetic mutation causing this disease, and a DNA test to identify it 

Genetic test eliminates progressive retinal atrophy in English shepherd dogs

Sentrx Product360

: Hey everyone, Dr. Adam Christman here, Chief Editor and Officer for DVM 360. Welcome to Products 360. We're so honored to be here at Charlotte Animal Referral and Emergency Center with Dr. Josh Broadwater, Veterinary Ophthalmologist. Thanks for being here.

: Yeah, and we're chatting with our friends at Centers because they had some awesome products that we're going to showcase with you today. So ready to fight about it?

: All right. Let's do it. Well, let's talk about lubricants in general. What's the importance of having them for our patients?

: Adam, it's huge. So, you know, when we talk about the anatomy of the eye, we used to start with the lectures of saying, "Here's the cornea and here's the sclera" and all the parts of the eye, and now I start all my lecture with, "Here's the pre-corneal tear film" because it is so important to the eye. The pre-corneal tear film is what lubricates the surface of the eye. It's what keeps the clarity of the corneal surface. It's what washes away bacteria and debris from the eye, keeping us from getting infections and irritations and ulcers. So extremely important.

: Yeah. And the function of the tear film in general, I know for nutrition purposes, has a lot of functions, correct.

: Yeah, absolutely. I mean, our cornea needs that tear film to provide lubrication, nutrition, all those things to keep our cornea healthy, keep our cornea clear so we can see so well, and our patients can be comfortable and have great vision.

: Excellent. Okay, so let's get into some of these products. Shall we? Okay, Josh, looks like the first one up we have is the Eye Lube pro. So tell us a little bit about this.

: So I see so many cases that come into the clinic for eye problems, ulcers, and I'm always having ulcer owners saying, "What can I do to prevent things like this from happening in the future?" And when you have lubrication and you can provide more lubrication to the surface of the eye, you can only help these patients to hydrate the eye, to try to protect the eye from future ulcers. There's so many things that this can be used for because of keeping from infections, keeping from irritations. You have dogs, correct?

: Do you have any that love to hang their head out the window while you're driving?

: I know what I try to bring them in, but... but yes, some of them do.

: So we in the field call that a practice builder, okay? Because that's what causes ulcers and irritations in foreign bodies to the eye. So I have owners that say when to use these products and I'm telling them anytime that they are basically taking the dog for a grooming, they're going to give them a bath, they're going to take them on a car ride. And anything like that, put this in the eye, try to protect the health of their eye from getting any irritation or ulcers.

: Okay. And so this Eye Lubr Pro, I understand, has 20% more hyaluronic acid in that. What's the significance of that?

: Hyaluronic acid is huge. I mean, it's been all the rave for years for different things. You hear dermatologists talk about it for skin things and for the eye, it's enormous. It helps with hydration. It helps with wound healing properties. So, and having something that can maintain on the surface of the eye longer is just gonna help this product to be able to be functional longer. So, in a clinic setting like this, every patient that's going under anesthesia for surgery or some sort of procedure, they are going to get dry. It naturally happens that they're not going to blink and tear production drops down with the eye as well. And so they are gonna get dry, they are gonna be predisposed to getting an ulcer. And so, something like this in the clinic is crucial because we're putting in the eyes frequently throughout anesthetic procedures to try to keep them from getting an ulcer. So it's products like this that are great.

: And I understand every 30 minutes are supposed to be applying as well. They're under general anesthesia. They're literally sleeping, right?

: That would be ideal. Yeah. You know, they make different products. Some other things that used to be used frequently were products with petroleum jellies and ointments, and they would really obscure vision when these patients were waking up and they just weren't as effective plus nobody wants to go home with their dog with, you know, thick petroleum ointments all over their eyes as well. So with something like this, we apply frequently like let's say every 30 minutes under anesthesia. Not only is it going to keep the eye lubricated, but it's going to allow the revision to be just fine when they wake up. It doesn't really impair vision at all, which is great. Nice. And I'd like and we'll show this in a little bit that it also has a nice precision application tip. Yeah. So it's really good. So you can just be very conservative a little bit goes a long way with something like this one drop is all you need.

: I like that he said that too at home because this is something that he wants some of his clients to give to their pets and the applicator tip and pieces is beneficial…

: …all the time. I would prefer almost every one of my patients that comes in the doors, you know, we have Shih Tzus and pugs that we see more than just about anybody else and And if I could just give them a stack of this every time that they come in to the door to avoid future corneal ulcers or dryness or irritation, it would probably save a lot of veterinary visits to someone like me.

: Yes, consistent administration of lubrication for these eyes and the Eye Lube Pro certainly got you covered on that. Okay, so next up, we're gonna chat a little bit about dry eye and here we have... Sentrx is Ocunovis ProCare BioHAnce

Gel Eye Drops with amino acids for dogs and cats. What are your thoughts on this?

: So I see so many dry eye patients in the clinic, it's probably the most common thing that causes other eye issues and in dogs and cats, certainly corneal ulcers and corneal infections as well. So all of these guys usually need to be started on tear stimulants or something like cyclosporine, Tacrolimus, but those can take weeks and weeks before they actually increase tear production in the eye. So, using a lubricant on the eye, especially something that has hyaluronic acid and especially something with cross-linked hyaluronic acid that's going to last much, much longer on the surface of the cornea, is going to keep these guys much more well-lubricated until those tear stimulants can really get really long into full effect to lubricate the eye even better.

: Excellent. And is there clinical evidence for cross-linked hyaluronic acid?

: Yeah, so one study showed that cross-linked hyaluronic acid actually led to an improvement in KCS or dry eye symptoms in dogs in a clinical setting within two weeks. And that's despite only being used twice daily.

: Okay, awesome. And I guess there's other evidence that's found in resident time studies too.

: Yeah, so it demonstrates that the duration compared to traditional eye lubricants, including human products, that it just lasts much longer, which creates much better owner compliance.

: Okay, and are there any other benefits to it?

: So it contains a lot of amino acids, which means that we're providing that nutritional support to the pre-corneal tear film that we need as well. And it's much easier to administer than many other lubricants that are out there. And it's also preservative and antibiotic-free as well.

: And Sentrx also has the Oculenis BioHAnce Ocular Repair Gel. So tell us about this one.

: Yeah. So this is great. So this product contains a 0.75% cross-linked hyaluronic acid, which is the highest out there that you're going to find. That's going to allow much better protection, much better coverage on the cornea, much better lubrication, much better ability to help the wounds heal that we're using it for essentially.

: Okay, great. And so what are some other uses for it?

: So a product like this is we typically think about it with being used with corneal ulcers, wounds, traumatic wounds to the cornea after a surgical procedure to the eye. There's a lot of other uses as well. One of the more common things I see it for are chemical burns to the eye. So shampoo, the owner washes their dog and unfortunately some shampoo gets inside the eye and under the cornea. And those are very painful and those are tough to heal and so a product like this with such a high concentration of the cross-linked hyaluronic acid going to be able to not only provide a lot of comfort but help a woman like that heal much quicker as well. A product like this with ulcers that are secondary to dry eye as well is fantastic. Again, just providing that better lubricant lubrication and coverage and protection to the surface of the eye because those guys are dry. They don't have much tear production, so we can lubricate them even better. Ulcer secondary to hairs are just sticky or rubbing on the surface of the eye. This is going to help again lubricate and prevent some of that irritation from those hairs.

: There's so many benefits. Are there even additional benefits of it?

: Yeah, one of the biggest things is a product like this with that 0.75% cross-linked hyaluronic acid. It's going to last much, much longer, two to five times longer than most of the other products are out there. So what does that mean? So you have dogs again, right?

: So if one of those, if I said, can you go home and put this drop in eight times a day? I imagine you probably have one that's going to look at you and say, no way that's happening. Now imagine there's a painful ulcer on the surface of the eye that now there's no way to get rid of it. want to let you put a product like that, right? Any product is in the eye. So that's the advantage of something like this because you can use it way less frequently because it lasts so much longer with such good coverage and protection on the eye. So you're able to use it maybe two times a day, somewhere around there, and a painful dog that doesn't want you to pry their eyelids open and try to put this in. And owners are going to be way more compliant with something like that versus a lot of the traditional lubricants that we think about.

: Yeah, great. And is there any clinical evidence?

: There is. So with that 0.75% hyaluronic acid, that cross-linked hyaluronic acid, it provides 50% greater healing rates in mass clinical studies in animals with a damaged cornea. And unlike serum, it's also shown not to bind to any antibiotics and it doesn't interfere with the efficacy of the antibiotic as well.

: And coming soon, Oculenis XL, the 0.75% corneal repair gel, which is in a 10-mL vial. So it's about 3.3 times bigger than the traditional vial, but for about 1.7 times the cost of it. This is going to be great for those cases that are going to mean need much more frequent administration of the drops. It's also great for large animal cases. So courses that get ulcers, which happens all the time. it's gotta be great for something like that as well.

Videos

Explore the Sentrx Animal Care line of evidence-based eye-care solutions

Ophthalmology

Latest News