Bilateral Lipid Keratopathy and Atherosclerosis in an Alpaca (Lama pacos) due to Hypercholesterolemia

Ocular Surface Disease in New World Camelids

This article discusses the anatomy, physiology, and common disease affecting the ocular surface of New World camelids, llamas, and alpacas.

Scleral and corneal xanthomatous inflammation in a gray mouse lemur (Microcebus murinus)

Bilateral multifocal corneal opacity was detected in a 4.5-year-old male captive gray mouse lemur (Microcebus murinus) without other clinical ocular changes. Histopathological examination revealed a severe diffuse granulomatous scleritis and focal keratitis with intralesional cholesterol, consistent with xanthomatous inflammation. This is the first report of xanthomatous inflammation in a gray mouse lemur. This condition may be the result of systemic factors (lipid metabolism disorders) and/or local predisposing factors such as hemorrhage or inflammation. The pathogenesis in this case could not be fully determined. Further studies on lemurs are required for a better understanding of their lipid metabolism, as well as for diagnosing and evaluating the incidence of xanthomatous inflammation in these species.

Characterization of fungal keratitis in alpacas: 11 cases (2003-2012)

OBJECTIVE

To describe clinical, microbiological, in vivo confocal microscopic, and histopathologic features of fungal keratitis in alpacas and to estimate prevalence of the disease in a population of alpacas from the northeastern United States.

DESIGN

Retrospective case series. Animals-11 alpacas.

PROCEDURES

Medical records of alpacas evaluated by the ophthalmology service of a veterinary teaching hospital were searched to identify animals with a clinical diagnosis of fungal keratitis and positive results for fungal culture of a corneal sample between 2003 and 2012. Signalment and historical, clinical, and microbiological details were recorded. Results of cytologic, histopathologic, and in vivo confocal microscopic corneal examinations were collected when available.

RESULTS

Fungal keratitis was diagnosed in 11 of 169 (6.5%) alpacas that underwent ophthalmologic examination by the ophthalmology service during the study period. Ten of the 11 alpacas were evaluated in the summer or fall months. Corneal lesions included stromal ulcer, stromal abscess, corneal perforation, and nonulcerative keratitis. Aspergillus fumigatus and Fusarium solani were the most frequently cultured fungi. Fungi were also identified through corneal cytologic examination, histologic examination, or in vivo confocal microscopy in 9 alpacas. Historically, 2 alpacas were evaluated following external ocular trauma and 1 following corneal foreign body removal. Nine alpacas had received topical treatment with antimicrobials and 2 had antimicrobial-corticosteroid combinations administered topically prior to referral. Nine of 10 alpacas for which follow-up information was available were successfully treated, with globe and vision retention.

CONCLUSIONS AND CLINICAL RELEVANCE

Fungal keratitis was a relatively common ocular disease in this population of alpacas and appeared to share several clinical features with keratomycosis in horses.

Calcific band keratopathy in an alpaca

A 4-year-old female Suri alpaca was presented for evaluation of acute onset weakness, lethargy, and recent development of opacities in both eyes. On ophthalmic examination, bilaterally symmetrical corneal opacities were noted along the interpalpebral fissures with a few corneal blood vessels intermingled. A presumed diagnosis of calcific band keratopathy was made based on location and appearance. The patient was euthanized a short while after diagnosis due to reasons unrelated to the eyes and histologic examination of the corneas revealed subepithelial calcium and vascularization, consistent with calcific band keratopathy. This case report is the first to document this ocular condition in an alpaca.

Ophthalmology of South american camelids

In the past 10 years, information about South American camelid anatomy, physiology, medicine, and surgery has increased exponentially, including information about the eye. Although trauma-related diseases are the most common eye problems for which camelids are presented to veterinarians, there have recently been many anecdotal reports and published case reports of camelids having ocular malignancies and potentially hereditary ocular abnormalities. The increased number of ocular diseases being reported may be because of increased recognition of camelid diseases or an increase in these diseases as a result of restricted gene pools as a consequence of inbreeding. As the popularity of camelids is steadily increasing, owners are becoming more knowledgeable about their animals, and there is more need for veterinarians who understand their ocular anatomy, physiology, disease susceptibility, and recommended treatments. This article provides the relevant information about the eye.