Image Gallery: Increased &

Decreased Intraocular Pressure

Alison Clode, DVM, DACVO, Port City Veterinary Referral Hospital, Portsmouth, New Hampshire

OPHTHALMOLOGY | PEER REVIEWED

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e following image gallery depicts eyes of patients with decreased intraocular pressure
(IOP) and increased IOP due to primary and secondary mechanisms.

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FIGURE 1 Right eye of an 8-year-old neutered male American cocker
spaniel with acute primary glaucoma. The episcleral injection and
mydriatic pupil can be observed. IOP was 48 mm Hg (normal, 10-20
mm HG).

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FIGURE 2 Slit-lamp photograph of the le eye of a middle-aged
German shepherd dog with anterior uveitis and iris bombe resulting
in secondary glaucoma. The eye is looking slightly to the right, and
the slit beam is directed from right to le . The arrowhead indicates
the slit beam going through the cornea, and the white arrows
indicate the slit beam hitting the dorsal iris and anterior lens
capsule. The forward bulge of the dorsal iris is due to complete
posterior synechiae (ie, adhesions of the pupil to the anterior lens
capsule) and emphasized by the hemorrhagic debris outlining the
pupillary margin.

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FIGURE 3 Right eye of a 6-year-old cat with anterior lens luxation;
the arrow indicates the dorsolateral lens equator. Iridal hyperemia
and dyscoria (ie, abnormal pupil shape) can be observed. IOP was
36 mm Hg (normal, 10-20 mm HG).

FIGURE 4 Right eye of an 8-year-old spayed West Highland white

terrier with complete hyphema and an IOP of 7 mm Hg (normal, 10-
20 mm HG)

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 FIGURE 5 Right eye of a 6-year-old neutered male Boston terrier
with a corneal ulcer and secondary (reflex) anterior uveitis.
Horizontal fluorescein retention in the axial cornea, with
conjunctival hyperemia, peripheral corneal neovascularization, a
miotic pupil, and iridal hyperemia (ie, rubeosis iridis), can be
observed. IOP was 6 mm Hg (normal, 10-20 mm HG).

SUGGESTED READING
Bergstrom BE, Stiles J, Townsend WM. Canine panuveitis: a retrospective
evaluation of 55 cases (2000- 2015). Vet Ophthalmol. 2017;20(5):390-397.

Plummer CE, Regnier A, Gelatt KN. e canine glaucomas. In: Gelatt KN, Gilger
BC, Kern TJ, eds. Veterinary Ophthalmology. 5th ed. Ames, IA: Wiley-Blackwell;
2013:1050-1145.

To emire KL, Wang C, Jens JK, Ellinwood NM, Whitley RD, Ben-Shlomo G.
Evaluation of three hand-held tonometers in normal canine eyes. Vet J.
2017;224:7-10.

AUTHOR
Alison Clode
DVM, DACVO
Port City Veterinary Referral Hospital, Portsmouth, New Hampshire

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 ALISON CLODE, DVM, DACVO, is an ophthalmologist at Port City Veterinary Referral
Hospital in Portsmouth, New Hampshire. Dr. Clode earned her DVM from Washington
State University and completed her residency in comparative ophthalmology at North
Carolina State University, where she served on the faculty following her residency. She
has authored multiple journal articles and book chapters on ocular pharmacotherapy
and has lectured nationally and internationally on equine and companion animal
ophthalmology. Her research and clinical interests include ocular pharmacology,
ocular pain management, and equine and small animal corneal diseases.

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