NAVLE Special Senses

Equine Cataracts Study Guide

Cataracts are opacities of the crystalline lens that interfere with the transmission of light to the retina, resulting in varying degrees of visual impairment.

Overview and Clinical Importance

Cataracts are opacities of the crystalline lens that interfere with the transmission of light to the retina, resulting in varying degrees of visual impairment. In horses, cataracts represent a significant cause of blindness and are important to recognize during prepurchase examinations and routine ophthalmic evaluations.

Cataracts are estimated to be present in 5% to 7% of all horses with otherwise normal eyes. If we consider that approximately 8% of all horses are affected by equine recurrent uveitis (ERU), and nearly all of these horses develop some degree of cataract formation, the clinical significance of this condition becomes apparent.

High-YieldCataracts are the most common congenital ocular abnormality in foals, with a 33-35% incidence among all congenital ocular defects. They are also the most common cause of blindness secondary to ERU in adult horses.
Structure Clinical Significance
Lens Capsule Thin, transparent, elastic membrane surrounding the lens; secreted by lens epithelial cells. The posterior capsule is thinner than the anterior capsule.
Lens Epithelium Single layer of cuboidal cells lining the anterior capsule. Responsible for metabolic functions, enzyme activity, and new fiber production. Damage leads to cataractogenesis.
Lens Cortex Outer, softer portion of lens fibers. Cortical cataracts are more likely to progress than nuclear cataracts.
Lens Nucleus Central, denser portion containing the oldest lens fibers. Nuclear cataracts involving embryonic or fetal nuclei are typically non-progressive.
Zonular Fibers Suspensory ligaments connecting lens to ciliary body. Chronic uveitis can cause zonular degeneration leading to lens luxation or subluxation.

Anatomy and Physiology of the Equine Lens

The crystalline lens is a biconvex, transparent structure located posterior to the iris and pupil, suspended by zonular fibers (lens zonules) attached to the ciliary body. In horses, the lens is notably large compared to other domestic species.

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