Ocular Lymphoid Hyperplasia in Bearded Collie?

RE: Ocular Lymphoid Hyperplasia in Bearded Collie?

Robert Lowe — Thu, 03 Dec 2015 22:01:57 GMT

I would get it controlled with Maxidex (dexamethasone 0.1%) and then if it flares up again repeat the steroid and then try control with Na Cromoglycate. The lubricant is the placebo in the mix, buys you time with the client and time is what will cure this.

RE: Ocular Lymphoid Hyperplasia in Bearded Collie?

Iain McAllister — Thu, 03 Dec 2015 18:01:24 GMT

Many thanks for the reply Rob - will post results when I obtain them

Would you use a combo therapy - ie steroid + lubricant + Na Cromo initially then take of steroi and continue others or pulse the thers too

re steroid - maxitrol maxidex or predforte?

thanks

RE: Ocular Lymphoid Hyperplasia in Bearded Collie?

Robert Lowe — Wed, 02 Dec 2015 15:15:53 GMT

I would wait for the results. Realistically they are going to confirm your working diagnosis.

I would have already counselled the owners that this problem will eventually go away but may be not until the dog is 3 years old. It might be worth questioning the home environment to see if any exposure to any ocular irritants but otherwise I suspect that the underlying cause will evade you.

Long-term plan is medical management until it self resolves. This may be topical steroid through to ocular lubricants via sodium cromogylcate. In practical terms I tend to use steroid if more severe and try the others if less so. Ideally I pulse the steroid so that it only has it when severely affected.

These are a PIA and thankfully don't get referred too often!!!

Also don't scrape the follicles away - they are important parts of the Mucosal Associated Lymphoid Tissue (MALT) system and will be required at some point.