Management of acute endophthalmitis requires a rapid diagnosis and appropriate treatment or referral. Most cases of endophthalmitis are managed by vitreoretinal specialists who will take a sample of fluid from the eye for culture and inject antibiotics or antifungal agents into the eye on an emergent basis. In cases of light perception vision only, vitrectomy is recommended in addition to culture and antibiotic injection. Cases of endophthalmitis can lead to a complete loss of vision and even the eye if not treated rapidly. However, it is possible to retain good vision if treatment is timely and successful.
For many eye complaints, treatment includes protection of the eye from sunlight and insects. For ERU (‘moon-blindness’) a mask with an eye patch for 100% protection is normally recommended. For most other conditions, a good quality fly mask such as the Equilibrium Fly Relief Max mask is recommended by many vets to their clients. The densely woven mesh of this mask excludes 80% of UV light as well as providing excellent protection against flies and midges, while still ensuring good visibility. These horses are often having to wear a mask all day, so comfort is also critical. The soft padding at the brow and around the nose and several darts ensure that the mask sits well clear of the face, eyes and eyelashes. Together with the combination of a rigid mesh for the central panel and a super-soft net for the rest of the mask it is very comfortable for the horse to wear for long periods. Where a horse is being stabled, the Fly Relief Midi mask which excludes 70% of UV light, may be sufficient. If a horse is turned out for part of the day, the two masks can be alternated to reduce the chance of rubbing to an absolute minimum.