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[RC] research on moonblindness - A. Perez

from http://www.equusite.com/articles/health/healthUveitis.shtml

"Equine Recurrent Uveitis (Moon Blindness) Research 
-- Cause of Common Eye Problem Identified -- 
WRITTEN BY: RIRDC Equine Research News   [January 2000]  


Equine recurrent uveitis or periodic ophthalmia is a long
lasting, painful eye disease that results in inflammation in
some of the deeper eye structures, resulting eventually in
blindness. As the name implies, recurrent uveitis typically
occurs multiple times, which increases the chances for damage to
the eye and eventual vision impairment. It affects a wide range
of horse breeds and is difficult to treat effectively. 

The cause of this disease has been attributed to a variety of
infectious agents and/or immune system hyper-reactivity. Since
the early 1950’s, published reports have implicated
leptospirosis in recurrent uveitis. Leptospira is a bacterial
organism that is found commonly throughout Australia and is
widespread in cattle herds. The organism can persist for many
years in soil where cattle have been housed, for example on old
dairy sites. 

A team of researchers at the University of California, Davis has
completed a study to determine if leptospiral infection is
associated with equine recurrent uveitis. More than 300 cases of
recurrent uveitis were diagnosed at the UC Davis Veterinary
Medical Teaching Hospital (VMTH) from 1990-1996. In previous
studies the association of leptospirosis with uveitis has
revolved around serological assays (blood tests). New methods of
DNA analysis have facilitated a unique opportunity to study this
disease further. 

The study utilized advanced genetic and diagnostic approaches,
researchers examined eye fluid samples from horses with uveitis
that were presented to the VMTH. The samples were assayed by PCR
for the presence of DNA sequences specific for the leptospirosis
organism. This is the first study that used fluid samples from
the eye to detect the presence of leptospirosis using the PCR
technique. Blood samples from these horses were also assayed for
elevated immunoglobulins levels indicative of leptospiral
infection. Eye fluid samples were also cultured in a leptospiral
growth medium. 

The researchers were able to identify leptospirosis as a major
cause, if not the primary cause, of equine recurrent uveitis. It
was determined that out of 36 horses tested, 35 of the eye fluid
samples tested positive for leptospiral DNA and that of the 13
blood samples that were tested, 10 were positive for leptospiral
antibodies. It was also found that four of the eye fluid samples
cultured were positive for leptospires. 

This study determined that leptospirosis is a cause of recurrent
uveitis in horses. With this knowledge, researchers can develop
effective treatment and vaccines for this disease. 

Ref: RB LeFebvre, NA Faber, JE. Madigan and NC Buyukmichi
Recurrent uveitis (“moon blindness”) in horses and
its relationship to leptospiral infection (97-02) The 1999
Research Report, UC Davis Center for Equine Health. 

Reprinted from the RIRDC Equine Research News with the
permission of the Rural Industries Research and Development
Corporation.  "


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