Schirmer tear test type I readings and intraocular pressure values assessed by applanation tonometry (Tonopen® XL) in normal eyes of four European species of birds of prey

Determination of reference values for tear production and intraocular pressure in Pygoscelis penguins of the Antarctic Peninsula

BACKGROUND

According to the literature review, this is the first study investigating tear production (TP) and intraocular pressure (IOP) in the Pygoscelis penguins living in their natural habitat. The study aimed to establish normal values for standard ocular tests in the genus Pygoscelis, namely, the Adélie (Pygoscelis adeliae), gentoo (Pygoscelis papua), and chinstrap (Pygoscelis antarctica) penguins, in four different islands of Antarctica. Sampling was made by specifically using the left eye of the penguins. The Schirmer's tear test type I (STT-I) and the Tonovet® (rebound tonometer) were used to measure the TP and the IOP, respectively.

RESULTS

The mean TP and IOP values of 129 Adélie, chinstrap, gentoo, and 120 adult Adélie, gentoo penguins were determined as 10.2 ± 4.0 mm/min and 38.9 ± 13.2 mmHg, respectively. No statistical difference was detected between the penguin species for the mean IOP values, while the difference was determined in all the locations. However, statistical differences in the mean TP values were determined between all locations.

CONCLUSION

The results of this study provide a reference range of Schirmer's tear test (STT) and IOP values in Pygoscelis penguins and show that the IOP is significantly affected by locations. This result can be attributed to the harsh climatic conditions of the Antarctic Peninsula that change very quickly. The described data may help diagnose clinical pathological findings in Pygoscelis penguins. The STT and rebound tonometry appears to be safe and reproducible methods in Pygoscelis penguins, as the results were obtained quickly and were well tolerated by the birds. Based on our results, we propose that similar studies can be initiated in crowded colonies of three penguin species of this genus on the Antarctic Peninsula, the southern Shetland Islands, and other frequently visited islands in Antarctica.

Clinical ophthalmic parameters of the Quaker parrot (Myiopsitta monachus)

PURPOSE

Ophthalmic diagnosis in many avian species remains hindered by a lack of normative values. This study aimed to establish normal ophthalmic parameters for select diagnostic tests in clinically normal Quaker parrots.

METHODS

Ninety-six captive Quaker parrots aged 8-18 years underwent ophthalmic examination to include assessment of neuro-ophthalmic reflexes, phenol red thread test, rebound tonometry, fluorescein staining, palpebral fissure length measurements, slit lamp biomicroscopy, indirect ophthalmoscopy, and ocular ultrasound biometry.

RESULTS

Menace response, dazzle reflex, and direct pupillary light reflex were present for all Quaker parrots. Tear production (mean ± SD) was 13.3 ± 4.0 mm/15 s and intraocular pressure (IOP, mean ± SD) was 10.6 ± 1.4 and 6.0 ± 1.3 mmHg in the D and P rebound tonometer calibration settings, respectively. For IOP measurement, D and P calibration settings were not interchangeable, with the lesser variation of the D setting preferred in the absence of a gold standard. Ultrasound measurement of the anterior chamber depth increased with age and males had longer axial globe and vitreous lengths. Incidental adnexal and ocular lesions, identified in 36/96 (37.5%) of Quaker parrots, did not statistically affect the created reference data.

CONCLUSIONS

This work provides reference values and clinical findings to assist with monitoring the health of wild populations and maintaining the health of captive Quaker parrots.

Tear Production, Intraocular Pressure, Ultrasound Biometric Features and Conjunctival Flora Identification in Clinically Normal Eyes of Two Italian Breeds of Chicken (Gallus gallus domesticus)

Simple Summary

In Italy, chickens are used for egg production and as courtyard/domestic animals and consequently veterinarians need to know their general and specialist characteristics. One key area is normal ocular measurements in order to understand any pathological changes affecting the eyes. For an accurate diagnosis and better management of ophthalmic diseases in chickens, this paper describes the normal values for the evaluation of ocular tear production, intraocular pressure, and biometric measurements of the eyes and on the microbial and cultural flora normally present in the conjunctival sac in two Italian chicken breeds.

Abstract

Given the abundance of chickens in Italy, it is important for veterinarians to know the normal state of chickens’ eyes in order to identify any ophthalmic pathological changes. The aim of this study was to determine the normal values of select ocular parameters and to evaluate conjunctival microflora in two Italian chicken breeds. Sixty-six healthy chickens underwent a complete ophthalmic examination, which included a phenol red thread test (PRTT) for the evaluation of tear production and the assessment of intraocular pressure by rebound tonometry. B-mode ultrasound biometric measurements and conjunctival microflora identification were also performed in twenty-seven chickens. Mean PRTT was 23.77 ± 2.99 mm/15 s in the Livorno breed and 19.95 ± 2.81 mm/15 s in the Siciliana breed. Mean intraocular pressure was 14.3 ± 1.17 mmHg in the Livorno breed and 14.06 ± 1.15 mmHg in the Siciliana breed. Reference ranges for morphometric parameters were reported in the two breeds. Twenty-three chickens (85.18%) were bacteriologically positive. Chlamydia spp. antigen was detected in 14.81% of chickens. No positive cultures were obtained for fungi. Normal reference range values for selected ophthalmic parameters were obtained in clinically healthy chickens, which could facilitate accurate diagnosis and better management of ophthalmic diseases in these animals.

The crested caracara (Caracara plancus) eye: Morphologic observations and results of selected diagnostic tests

PURPOSE

To provide a descriptive investigation about relevant features of the crested caracara's eye (Caracara plancus) and bony orbit, as well as provide data for ophthalmic tests.

METHODS

Morphological observations and the following diagnostic tests were performed: Schirmer tear test (STT), conjunctival flora evaluation, corneal touch threshold (CTT), intraocular pressure (IOP), central corneal thickness (CCT), B-mode ocular biometry, palpebral fissure length (PFL), and corneal diameter (CD) in 19 healthy birds, plus two macerated skulls. Not all birds were used for each test.

RESULTS

STT: 7.84 ± 3.05 mm/min; CTT: 2.46 ± 1.10 cm; IOP: 19.18 ± 3.07 mmHg; CCT: 0.31 ± 0.02 mm; PFL: 13.32 ± 1.06 mm; CD: 10.26 ± 2.43 mm; Axial globe length: 1.89 ± 0.06 cm; Anterior chamber depth: 0.27 ± 0.06 cm; Lens axial length: 4.55 ± 0.06 cm; Vitreous chamber depth: 1.2 ± 0.07 cm. The most frequent conjunctival bacterial isolates were Corynebacterium sp. (10/23.8%), Staphylococcus sp. (9/21.42%), Streptococcus sp. (7/16.6%), and E. coli (7/16.66%). The large lateral part of the palatine bone likely plays a role in the ventral protection of the globe against the impact of prey. Observed results are generally reflective of increased body mass compared to other Falconiformes, with values approaching those of similar sized Accipitriformes.

CONCLUSIONS

These data may help veterinarians recognize peculiar morphologic features and perform a more accurate diagnosis of eye diseases of this avian species.

Intraocular Pressure Measurements Using Rebound Tonometry in Eight Different Species of Companion Birds

The purpose of this study was to determine reference interval intraocular pressure (IOP) values in 8 different species of companion birds. One hundred and nineteen companion birds (238 eyes) from a captive colony were examined: 21 pigeons (Columba livia; 18%), 17 African grey parrots (Psittacus erithacus; 14%), 22 common mynahs (Acridotheres tristis; 18%), 24 cockatiels (Nymphicus hollandicus; 20%), 12 zebra finches (Taeniopygia guttata; 10%), 9 budgerigars (Melopsittacus undulatus; 8%), 6 domestic canaries (Serinus canaria domestica; 5%), and 8 ring-necked parakeets (Psittacula krameri; 7%). Intraocular pressure was measured by rebound tonometry (TonoVet) avoiding induced, undesired pressure on the head, neck, or eyes. Mean IOP values varied by species. Mean (± SD) IOP values determined for each species were pigeon (5.42 ± 2.06 mm Hg), African grey parrot (4.93 ± 1.91 mm Hg), common mynah (6.22 ± 2.04 mm Hg), cockatiel (5.08 ± 1.76 mm Hg), zebra finch (5.90 ± 2.11 mm Hg), budgerigar (5.88 ± 2.31mm Hg), canary (5.83 ± 1.60 mm Hg), and ring-necked parakeet (6.25 ± 1.75 mm Hg). No statistically significant differences were found in IOP values between right and left eyes for the species studied (P > .22), with the exception of the ring-necked parakeet (P = .001). The results of this study provide representative IOP values measured using rebound tonometry in 8 different species of companion birds.

Ocular Examinations and Investigation of Intraocular Pressure, Tear Production, Central Corneal Thickness, and Corneal Touch Threshold in a Captive Flock of Atlantic Puffins (Fratercula arctica)

Ocular examinations were completed on a group of 10 Atlantic puffins (Fratercula arctica), 5 males and 5 females that ranged in age from 8 months to older than 30 years. The exams consisted of intraocular pressure/rebound tonometry, tear production/phenol red thread test, central corneal thickness/ultrasound pachymetry, and corneal sensitivity/esthesiometry. On ocular examination, there were no corneal abnormalities observed. Bilateral cataracts were diagnosed in 8 puffins, 6 of which were considered incipient, focal subcapsular opacities. One bird had hypermature cataracts and was removed from the study and excluded from data analysis; the other birds had no evidence of ophthalmic pathology that would interfere with diagnostic results (n = 9). All results for 9 birds were included in the study, with the exception of 1 puffin's tear production, which was too low for accurate assessment and was excluded from data analysis. There were no significant differences between right and left eye measurements for intraocular pressure, corneal thickness, and corneal sensitivity. The median intraocular pressure for both eyes (OU) was 13 mm Hg with an interquartile range [IQR] of 12-15 mm Hg. The median corneal thickness OU was 241 µm, IQR 233-248 µm. The median corneal sensitivity OU was 1.13 cm, IQR 0.81-1.50 cm. There was a significant difference between right and left eye measurements for tear production (right eye median, 7.5 mm/15 s, IQR 6.5-9.3 mm/15 s; and left eye median, 5.0 mm/15 s, IQR 4.0-7.3 mm/15 s) (P= .03), with the right eye producing more tears than the left. However, 1 puffin was determined to be an outlier, and when removed, there was no longer a significant difference (OU median, 7.0 mm/15 s, IQR 4.6-8.0 mm/15 s) (P = .38). There was no significant difference between sex and intraocular pressure, tear production, and corneal sensitivity. However, there was a significant difference between sex and corneal thickness (P = .02), with males (left eye median, 249 µm, IQR 241-249 µm) having thicker corneas than females (left eye median, 236 µm, 234-238 µm). Although sample size precluded statistical testing, there appeared to be an association between opacities and increasing age. There were no associations between age and intraocular pressure, tear production, or corneal thickness. There was a moderate correlation between age and corneal sensitivity, with older birds showing decreased corneal sensitivity (r = -0.57). Although the sample size of 9 birds was small, these findings provide preliminary ranges for ocular parameters of Atlantic puffins.

Ophthalmic Evaluation of Raptors Suffering From Ocular Trauma

Ocular problems are often associated with traumatic injury in raptors. A comprehensive evaluation, including a complete ophthalmic examination, is vital in determining the patient's overall health and suitability for release. Steps for conducting ocular examination and diagnostic testing in raptors is discussed. Additionally, common clinical findings after trauma, as well as the mechanisms by which ocular injury occurs, are outlined. An overview of medical treatments recommended for commonly diagnosed ocular diseases and the utility of ancillary diagnostic procedures is also presented.

Intraocular Pressure Measurement by Rebound Tonometry (TonoVet) in Normal Pigeons (Columba livia)

We evaluated the applicability of a rebound tonometer (TonoVet) in pigeon eyes and established normal reference intraocular pressure (IOP) values in healthy pigeons; 20 eyes of euthanized pigeons were used for calibration of the TonoVet and 48 eyes of 24 adult pigeons were used for measurement of reference IOP. First, IOP of pigeon eyes ex vivo were measured using the 'd' and the 'p' modes of the TonoVet and compared to manometric IOP values from 5 to 80 mm Hg. Then, to establish normal reference values, IOP was measured from clinically normal pigeons in vivo. The 'd' and the 'p' modes of the TonoVet showed a strong linear correlation with the manometric IOP (R² = .996 and .991, respectively). The obtained regression formulas were: y₁ = 0.439x + 2.059 and y₂ = 0.330x - 0.673, respectively (y₁, 'd' mode of TonoVet; y₂, 'p' mode of TonoVet; x, manometric IOP). The 'd' and the 'p' modes consistently measured one-half and one-third of the actual IOP, respectively. Therefore, the formula obtained through the 'd' mode was applied to obtain reference values. The calibrated IOP of normal pigeon eyes was 19.5 ± 4.4 mm Hg. The actual IOP could be calculated using the presented formula. Considering the limitations of the 'p' mode, use of the 'd' mode is more appropriate. Therefore, the TonoVet rebound tonometry under the 'd' mode is a reliable method for measuring IOP in pigeons.

Ophthalmic findings in cinereous vultures (Aegypius monachus)

OBJECTIVE

The aim of the present study was to provide ophthalmic reference values under normal physiological conditions for Aegypius monachus (cinereous vulture).

PROCEDURES

Thirty-two eyes of sixteen adult captive cinereous vultures were used for this study. Tear tests and tonometry in conscious and anesthetized states, neuro-ophthalmic tests, measurement of corneal diameter, slit-lamp biomicroscopy, ophthalmoscopy, and funduscopy were performed.

RESULTS

Schirmer tear test (STT) value was 11.4 ± 2.6 and 11.5 ± 2.8 mm/min in the right (OD) and left eye (OS), respectively. Phenol red thread test (PRT) values were 22.3 ± 2.1 mm/15 s OD and 22.8 ± 3.0 mm/15 s OS. The results showed a strong correlation between STT and PRT in both eyes. Intraocular pressure (IOP) values were 32.8 ± 6.9 mm Hg OD and 31.9 ± 7.1 mm Hg OS with TonoVet and 20.7 ± 4.5 mm Hg OD and 19.5 ± 4.1 mm Hg OS with Tono-Pen. There were significant differences in IOPs between rebound and applanation tonometry in both OD and OS. Tear production and IOP values showed significant reductions with general anesthesia in both tear tests and both tonometry (P < .001). Horizontal corneal diameter (mm) was 15.56 ± 0.96 OD and 15.56 ± 0.96 OS. Vertical diameter (mm) was 14.13 ± 0.96 OD and 14.06 ± 1.06 OS. The horizontal diameter was significantly longer than vertical diameter (P < .001).

CONCLUSIONS

Ocular morphologic information and normal reference range values for various ophthalmic measurements were obtained in clinically healthy cinereous vultures, which can facilitate accurate diagnosis and better management of ophthalmic diseases in cinereous vultures.

Trauma-Induced Uveitis and Free Air in the Anterior Chamber of Three Eastern Screech Owls (Megascops asio)

Unusual ocular abnormalities were documented in 3 wild eastern screech owls (Megascops asio) presented to a wildlife rehabilitation hospital after vehicular strike-induced trauma to the head. All 3 had anterior uveitis and free air bubbles in the anterior chamber, but none of the cases had any discernable corneal damage, either grossly or with fluorescein stain technique. Perforation of the globe at the level of the scleral ossicle was considered a possible cause. All 3 cases recovered with standard treatment for anterior uveitis, and the free air was absorbed within 10-14 days and did not appear to cause any lingering complications. The owls were later released back into the wild after demonstrating the ability to navigate obstacles in a flight cage and capture live prey.

Schirmer's I, modified Schirmer's I, phenol red thread, and paper point tests: a comparative study for tear production measurement techniques in broiler chicks (Gallus gallus domesticus)

Problems with indoor husbandry and immunological challenges are some of the stressors that broilers may face which can affect production. Infectious diseases can compound the effects of excessive concentrations of ammonia causing respiratory and ocular inflammation and increased lacrimal production in broiler chickens. The objectives of this investigation were to establish normal values of tear production in chicks and compare the practicality of the different methods. Palpebral fissure length (PFL) and tear production were evaluated in Cobb 500 chicks at 5 d old and then at 5 d of age by the following methods: modified Schirmer's test I (mSTT1), phenol red cotton thread tear test (PRCTTT), and standardized endodontic absorbent paper point test (EAPPTT). Ten chicks at the age of 5 and 42 d were evaluated for each method. In addition, at 42 d, when the palpebral fissure permitted, a regular-sized Schirmer tear test I (STT1) was performed in another group of 10 chickens. Overall, PFL and the secretion of the aqueous phase of the tear film increased with age. Mean mSTT1 results were 5.00 ± 1.83 mm and 10.45 ± 2.58 mm for 5- and 42-d-old chicks, respectively. Mean PRCTTT results were 12.37 ± 1.80 mm and 25.58 ± 4.8 mm for 5- and 42-d-old chicks, respectively. Mean EAPPTT results were 7.13 ± 0.72 mm and 12.03 ± 0.92 mm for 5- and 42-d-old chicks, respectively. Mean STT1 for 42-d-old chicks was 11.40 ± 2.60 mm. Results obtained with endodontic paper points showed the lowest coefficient of variation and investigators found the test easier to perform. These values reported for broilers at different ages may be applied in poultry ophthalmology to help the diagnosis of lacrimal production disorders and to detect early disease symptoms that could cause economic losses in poultry production.

Tear production and intraocular pressure values in clinically normal eyes of whooper swans (Cygnus cygnus)

The objective of this study was to determine the normal range of tear production and values of intraocular pressure (IOP) in clinically normal eyes of whooper swans (Cygnus cygnus). A total of 86 birds: 81 cygnets (6-10 weeks old) and 5 moulting - adult swans (3-6 years old) were examined in this study. Both eyes of all birds underwent a complete ophthalmic examination, including evaluation of tear production with the phenol red thread test (PRTT) and the assessment of the IOP by rebound tonometry, employing the TonoVet^® device. The mean ± standard deviation of PRTT values were as follows: all cygnets (81) 22.59±3.48 mm/15s, male cygnets (45) 22.64±3.54 mm/15s, female cygnets (36) 22.53±3.44 mm/15s. IOP was as follows: all cygnets 11.30±3.55 mmHg, male cygnets 10.93±3.56 mmHg, female cygnets 11.74±3.50 mmHg. No statistically significant differences between right and left eye and between female and male cygnets were found for IOP and PRTT values. This study provides the reference values for the PRTT and IOP in healthy whooper swan cygnets, showing that PRTT determination of the tear production and rebound tonometry to evaluate the IOP methods are practical methods for ophthalmic examination in swans.

OPHTHALMIC EXAMINATION IN COMMON KESTRELS (FALCO TINNUCULUS) FROM SOUTH KOREA

The purpose of this study was to establish reference ophthalmic findings in the common kestrel (Falco tinnunculus). Twenty healthy adult kestrels were included in this study. Ophthalmic examinations included slit lamp biomicroscopy, fundus exam, Schirmer tear test, conjunctival bacterial culture and isolation, corneal touch threshold, tonometry, and corneal diameter measurement. Mean tear production was 7.4 ± 3.27 mm/min, and mean intraocular pressure measured via applanation tonometry was 10.5 ± 3.15 mm Hg. In addition, the mean corneal touch threshold was 29.8 ± 20.1 mm, and the mean corneal diameter was 9.8 ± 1.1 mm. Of the 25 conjunctival swabs, 23 (92%) yielded bacterial growth. Most of these bacteria were gram positive (69.6%); the most predominant genus was Staphylococcus. This study presents reference values for ophthalmic examinations in common kestrels.

Modified Schirmer tear test and rebound tonometry in blue-fronted Amazon parrot (Amazona aestiva)

ABSTRACT: The aim of this study was to describe the modified Schirmer tear test (mSTT), intraocular pressure (IOP) by rebound tonometry and palpebral fissure length (PFL) in blue-fronted Amazon parrots (Amazona aestiva). Thirty-five healthy adult animals from a conservation breeding center in Brazil were used in this study. Modified Schirmer tear test, rebound tonometry and PFL measurements were performed in both eyes, with birds under physical restraint. Mean mSTT was 6.2±0.1mm/min and mean IOP was 6.4±0.1mmHg, while PFL was 10.1±0.1mm. A moderate correlation was seen between mSTT and PFL for OD (ρ=0.14) and OS (ρ=0.20). The results provide ophthalmic tests reference values for A. aestiva.

Determination of Tear Production and Intraocular Pressure With Rebound Tonometry in Wild Humboldt Penguins ( Spheniscus humboldti )

Tear production and intraocular pressures (IOPs) were determined in 38 and 102 wild Humboldt penguins (Spheniscus humboldti), respectively, from the Punta San Juan Marine Protected Area in Ica, Peru. Tear production was measured by Schirmer tear test, and IOP was measured with a TonoVet rebound tonometer. Adult (n = 90) and chick (n = 12) penguins were sampled from 2 different beaches (north and south facing) during 2 sampling years (2010 and 2011). Results showed a mean ± SD (range) of 9 ± 4 (2-20) mm/min for tear production and 28 ± 9 (3-49) mm Hg for IOP. Tear production in penguins differed between beach and sex, whereas IOP differed between age, year, and beach. The IOPs were negatively correlated with packed cell volume. Tear production and IOP values had greater variation in this population than it has in other avian species. Previous investigations of IOP and tear production in Spheniscus species were conducted with birds housed under professional care in artificial marine and freshwater environments. This is the first study, to our knowledge, investigating tear production and IOP in wild penguins and establishes valuable reference intervals for this species.

Reference values for selected ophthalmic tests of the blue-and-yellow macaw (Ara ararauna)

ABSTRACT: The aim of this study was to establish reference values for selected ophthalmic diagnostic tests in healthy blue-and-yellow macaws. We investigated a total of 35 adult macaws (70 eyes) of undetermined sex and with an average weight of 1 kg, who were living in captivity in the Federal District, Brazil. Tear production using the Schirmer tear test (STT), normal conjunctival flora, intraocular pressure (IOP) using a rebound tonometer and horizontal palpebral fissure length (HPFL) were evaluated. In this study, 84.1% of samples were positive for microbial growth. Bacteria, fungi and yeasts were isolated, and Staphylococcus spp. (21.9%) and Bacillus spp. (26.8%) were the most frequently isolated microorganisms. The mean value for STT was 7.6±4.6mm/min in the right eye (OD) and 6.6±4.4mm/min in the left eye (OS) (median = 7,11±0,76mm/min). Mean IOP was 11.4±2.5mm Hg OD and 11.6±1.8mm Hg OS (median = 11.49±0.22mm Hg), prior to anesthesia, and 7.6±2.4mm Hg OD and 7.8±1.8mm Hg OS (median 7.71±0.08mmHg) after anesthesia. The IOP was significantly lower when the animals were under anesthesia as compared to when they were conscious (p≤0.05). Horizontal palpebral fissure length was 11.7±0.1mm OD and 11.8±0.1mm OS (median = 11.72±0.07mm). The STT showed a positive correlation with palpebral fissure measurement for this species. These selected ophthalmic reference values will be particularly useful in diagnosing pathological changes in the eyes of blue-and-yellow macaws.

Allometry and Scaling of the Intraocular Pressure and Aqueous Humour Flow Rate in Vertebrate Eyes

In vertebrates, intraocular pressure (IOP) is required to maintain the eye into a shape allowing it to function as an optical instrument. It is sustained by the balance between the production of aqueous humour by the ciliary body and the resistance to its outflow from the eye. Dysregulation of the IOP is often pathological to vision. High IOP may lead to glaucoma, which is in man the second most prevalent cause of blindness. Here, we examine the importance of the IOP and rate of formation of aqueous humour in the development of vertebrate eyes by performing allometric and scaling analyses of the forces acting on the eye during head movement and the energy demands of the cornea, and testing the predictions of the models against a list of measurements in vertebrates collated through a systematic review. We show that the IOP has a weak dependence on body mass, and that in order to maintain the focal length of the eye, it needs to be an order of magnitude greater than the pressure drop across the eye resulting from gravity or head movement. This constitutes an evolutionary constraint that is common to all vertebrates. In animals with cornea-based optics, this constraint also represents a condition to maintain visual acuity. Estimated IOPs were found to increase with the evolution of terrestrial animals. The rate of formation of aqueous humour was found to be adjusted to the metabolic requirements of the cornea, scaling as Vac(0.67), where Vac is the volume of the anterior chamber. The present work highlights an interdependence between IOP and aqueous flow rate crucial to ocular function that must be considered to understand the evolution of the dioptric apparatus. It should also be taken into consideration in the prevention and treatment of glaucoma.

Measurement of tear production and intraocular pressure in ducks and geese

OBJECTIVES

The purpose of this study was to establish a reference value of tear production and intraocular pressure in clinically normal ducks and geese.

ANIMAL STUDIED

The study population consisted of forty-eight ducks (24 males and 24 females) and fifty-two geese (26 males and 26 females).

PROCEDURES

Birds were gently physically restrained in dorsoventral position without any pressure to the head and neck. Tear secretion and intraocular pressure were measured using 5-mm-wide Schirmer tear test strips and TonoVet^® rebound tonometer, respectively.

RESULTS

Overall mean ± 2SD STT and IOP values of all eyes were 6.2 ± 2.2 mm/min and 10.2 ± 2.2 mmHg, respectively, for the ducks; 5.5 ± 2.6 mm/min and 9.1 ± 2.0 mmHg, respectively, for the geese. There was no statistically significant difference in IOP between left eye and right eye or between males and females in ducks (P = 0.56, P = 0.63) and geese (P = 0.23, P = 0.22). Analysis of variance revealed that there were no significant differences in the STT and IOP between the breeds in ducks (P = 0.49, P = 0.68) and geese (P = 0.14, P = 0.26).

CONCLUSIONS

Results of this study may be beneficial for the diagnosis and therapeutic monitoring of ducks and geese affected with Keratoconjunctivitis sicca, glaucoma, and uveitis.

Ophthalmic Diagnostic Tests and Ocular Findings in a Flock of Captive American Flamingos ( Phoenicopterus ruber ruber)

Seventeen adult captive American flamingos ( Phoenicopterus ruber ruber) (34 eyes) underwent a complete ocular examination, including assessment of menace response, pupillary light reflexes, dazzle reflex, palpebral and corneal reflexes, fluorescein staining, slit-lamp biomicroscopy, and direct ophthalmoscopy. Birds were randomly assigned to one of 2 groups for tear production and intraocular pressure measurements. Tear production was measured by modified Schirmer tear test I (n = 9 birds) or phenol red thread test (n = 8 birds), and intraocular pressure was measured indirectly by applanation (Tonopen-XL) (n = 9 birds) or rebound (TonoVet) (n = 8 birds) tonometry. Conjunctival swab samples were taken from one randomly selected eye of all 17 birds to identify surface ocular microbial flora via aerobic bacterial culture. Additionally, 3 of the 17 birds were anesthetized for bilateral B-mode ocular ultrasonography examination to obtain axial globe measurements. Results showed that the menace response and dazzle reflex were absent in all birds. Sixteen of the 17 birds were free of significant ocular disease; a small cataract and pigment on the anterior lens capsule were noted in one eye of one bird. Mean ± SD tear production was 12.3 ± 4.5 mm/min (range, 4-20 mm/min) for modified Schirmer tear test I and 24.2 ± 4.4 mm/15 s (range, 14-30 mm/15 s) for phenol red thread test. Modified Schirmer tear test I measurements were significantly lower than phenol red thread measurements (P < .001). Mean intraocular pressure was 16.1 ± 4.2 mm Hg (range, 7-22 mm Hg) for Tonopen and 9.5 ± 1.7 mm Hg (range, 7-13 mm Hg) for TonoVet. Tonopen measurements were significantly higher than TonoVet measurements (P < .001). An Enterococcus species (9/17 eyes; 53%) and a gram-positive coccus (7/17 eyes; 41%) were the bacteria most commonly isolated from conjunctival swab samples. Mean B-mode ultrasonographic globe measurements of 6 eyes (3 birds) were axial globe length, 13.8 ± 0.16 mm; anterior chamber depth, 1.75 ± 0.05 mm; lens thickness, 4.6 ± 0.06 mm; vitreous body depth, 6.95 ± 0.10 mm; and pecten dimensions, 5.1 ± 0.38 mm length, 2.2 ± 0.14 mm width. In summary, the prevalence of ocular lesions was low in this population of captive American flamingos. Results obtained from 2 types of tear and intraocular pressure measurement tests were significantly different, indicating that a single type of each diagnostic test should be consistently used. A modification of the standard Schirmer tear test or use of phenol red thread test is recommended due to the small flamingo eye.