if you ride in a neck ring the problem is still there. Apart from the underlying pain it also affects the vision ie how the horse sees things. Some don't seem to have their vision that badly affected and are probably safe as they can correctly process what they are looking at. Some have problems. Mine had problems with walkers, riders etc moving. Straight into panic mode, freak and run.Considering what others have posted about his eye condition, of which i have no personal experience but it sounds a significant pain source issue - i’m wondering if the bridle/bit could exacerbate the eye discomfort/pain?
I’m pondering out loud really, and your eye specialist could be consulted deeper about if the nerves linked to the eyes, can be affected by oral/jaw/facial nerves?
I’m just reminded of when tooth pain inflammation can cause frontal brain/eye migraines in humans, whether it works the other way around: eye nerve pain causing jaw/teeth nerve tenderness/sinus issues?
A metal bit clanking around in his mouth or bridle leather pressure on facial nerves could be the exacerbating issue to an otherwise well managed condition?
Would either switching bits to rubber or bitless, or a different design bridle that misses major sinus areas and facial nerve points help prevent a pain response in the eyes?
Realising he’s on medication to keep inflammation etc controlled, despite that i’m left wondering if bridle/bit fit impacts the UV, and could be re-designed for such a horse.
Has he been lunged with bridle/bit fitted and see how he reacts to bit/bridle pressure without a rider on his back? It might help rule-out eye/face pain V’s back issue/pain.
Im sorry youre going through this, many folk often say on here with complex cases, “if only they could actually talk” to save us investigating absolutely every probable pathway and just pinpoint the issue to immediately treat it. You sound like youre doing everything you can and hes a lucky boy to have such a diligent owner.
This or e have your vets blood tested to check as an underlying infection (even lymes) can cause ERU. I've known two horses suffering from it; both had some sort of virus/infection, and the ERU went once that was finally treated; it took the best part of a year in both cases once the issue had been found.Spanish Dressage
has your horse had any bacterial or viral infection? in the time you have had him or (if you have any info) with his previous owners since he was a baby?
Very interesting. Thank you for the link. I had not(stupidly) linked his behaviour to uvetis but now am really questioning it could be the underlying issue. Feel awful if he is still in lots of pain from his eyes and then have ridden him.I'm not sure if that is aimed at my post but sadly I do know about the condition and have been in the situation OP is in (minus any back pain) . I was very ignorant (despite many of years of horse keeping and riding) I managed to avoid one of us getting seriously hurt let alone the horse. JUST. I spent years trying to work out why I couldn't train my youngster. It never ever dawned on me in my wildest dreams what the problem was.
this. If the horse lives to say 20 is he going to be treated with steroid eye drops daily and presumably he is also on bute.
this link from UC Davis tells you about insidious ERU. It is easy to know you have a problem if you get symptoms eg running eye, eye closed etc (where it is normal to treat with eye drops,, bute, mask and keeping out of sunlight. Obviously no one would ride a horse in that condition. There is also insidious ERU which the link tells you about. Nothing to see, seems perfectly OK to ride. Horse however is in pain, vision is affected, reacts and then it can do anything. Being on it's back is not a good place to be.
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Equine Recurrent Uveitis
Equine recurrent uveitis (ERU), or moon blindness, is the most common cause of blindness in horses worldwide. It is characterized by inflammation of the eye.ceh.vetmed.ucdavis.edu
the only way I learnt to diagnose insidious ERU was the horse's temperament. If he was OK and friendly etc he was fine but when he got offhand, a bit arsy and unpleasant I had a good idea we were coming into a problem. Then sometimes, but not always, I would go out the following day and find the eye running.
Initially this is what I was thinking a sensitive tricky boy who needs a certain sympathetic approach, the guy who backed him said as much, but I want to rule out pain.I could have written this. I imported a just backed 3yo, (hindsight is a wonderful thing)! He had been backed so harshly and i have spent 4 years unpicking that. I honestly thought i would never ride him. What i did was go right back to basics. Whenever i put the saddle on him, he put his back up and i was off. He was thoroughly checked over by the vet and had nothing wrong, as the vet said memory pain can sometimes be far worse to deal with than physical pain. So i now always use a massage pad, i then saddle him up and give him 10 minutes with a loose girth, i then put his bridle on and walk him round in hand, when i then get on him he is perfectly behaved. He will always be spicy but each year he has got better and better. He is such a sensitive boy and whatever he went through had such an effect on him. It wouldn't take much for someone to upset him. I never deviate from this and if i am in a rush i won't ride him. We followed the TRT method which helped with our confidence. I took him to a clinic at the weekend and was told this horse i thought i would never ride would go to GP. Like anything with these amazing creatures it is time and patience and if you have to take a few steps back, then so be it. Good luck.
don't worry you are doing your best. At least you know the title to your thread now is rubbish. This is nothing to do with your ability it is due to trying to work out an evolving situation that is very difficult to figure out.Very interesting. Thank you for the link. I had not(stupidly) linked his behaviour to uvetis but now am really questioning it could be the underlying issue. Feel awful if he is still in lots of pain from his eyes and then have ridden him.
What was the outcome from your horse?
ah, you learnt the quick dismount.back in her ridden days that was my cue to get off immediately before she exploded -
Well I only learnt it after we disappeared into an enormous drainage ditch backwards, sat on the bonnet of a car, nearly disappeared under the wheels of a tractor and showed off my impressive rodeo skills a few times. She's only 15.2 but feels like 19h when you need to make an emergency dismount.ah, you learnt the quick dismount.It is amazing how quickly one can get off a horse.
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Sadly I agree.I'd personally cut my losses and put him down now. I think this poor boy may have had a chance if the UV was in one eye only but you can't remove both eyes in fairness. No one will want him and even if they did it wouldn't be fair on him to pass him on. I also think ulcers from long term bute to treat the UV is a dead cert and it sounds like he's got some other issues going on too.
I'm not sure if that is aimed at my post but sadly I do know about the condition and have been in the situation OP is in (minus any back pain) . I was very ignorant (despite many of years of horse keeping and riding) I managed to avoid one of us getting seriously hurt let alone the horse. JUST. I spent years trying to work out why I couldn't train my youngster. It never ever dawned on me in my wildest dreams what the problem was.
this. If the horse lives to say 20 is he going to be treated with steroid eye drops daily and presumably he is also on bute.
this link from UC Davis tells you about insidious ERU. It is easy to know you have a problem if you get symptoms eg running eye, eye closed etc (where it is normal to treat with eye drops,, bute, mask and keeping out of sunlight. Obviously no one would ride a horse in that condition. There is also insidious ERU which the link tells you about. Nothing to see, seems perfectly OK to ride. Horse however is in pain, vision is affected, reacts and then it can do anything. Being on it's back is not a good place to be.
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Equine Recurrent Uveitis
Equine recurrent uveitis (ERU), or moon blindness, is the most common cause of blindness in horses worldwide. It is characterized by inflammation of the eye.ceh.vetmed.ucdavis.edu
the only way I learnt to diagnose insidious ERU was the horse's temperament. If he was OK and friendly etc he was fine but when he got offhand, a bit arsy and unpleasant I had a good idea we were coming into a problem. Then sometimes, but not always, I would go out the following day and find the eye running.
I'm sorry you're suffering but thanks for posting to remind us how painful it is for them. After enucleation the vet asked if my horse had changed. I said he was now so loving, just rested his head in my lap and stayed there. (we stayed with him 24/7 for 3 days after his op.) She remarked that other clients had told her exactly the same.As someone who has had uvetis the pain is like nothing else when it flares up, no painkillers even touch it. And even if its relatively stable its not pain free and its likely his vision is affected
Has he got German sporthorse lines in his breeding? If yes, I would get him to a proper expert on eyes and get him tested for leptospirosis. I have a horse who had chronic uveitis issues for years. We finally got it sorted this year after the Lepto diagnosis and a totally different horse. So much more chilled and happy. I don’t know how long it has bubbled causing pain even if you cannot see it and we have only dealt with chronic flair ups medicinally as easy to see.Would love some advice. Bought myself a lovely 3 year old wb last year, I am a competitive amateur and was left a little bit of money, after only ever buying cheap projects I thought why not!! I could always sell him on if too much for me.
I did all the backing/groundwork, then found out I was pregnant. So didn't get on him but carried on doing bits on the ground. In March he started having eye issues - after further investigation he has uvetis in both, which is being managed, he has life time insurance. He has just been away to be backed, has been a bit reactive but was walking, trotting, cantering in fields, doing little jumps before coming home. The guy he went to said he needs work to keep his brain going and he sometimes puts his back up when starting but gets over it. I rode him before he came home and he was fine.
I got him home and rode him the next day- he was ok but back up a bit, did some bits with him over the next few days. Gave him a day off and then got on him, walked around fields, no warning bronced me off. Lunged him then got back on. He was ok again, but he keeps putting his back up. I think he is sore around withers, so getting his back checked and saddle checked, it has made me not trust him.
Not sure what to do as if he didn't have uvetis I would consider I may have over horsed myself and sell him, as always thought I had that option until diagnosis, which makes him worthless. What are my options, I am going to get someone to come ride him a bit for me, he has only been back home a week and a few days, does he need to resettle? Any ideas? Could he have more issues re cold backed?
Yes he has - was imported as a 2 year old. He is already under one of the best experts in the country - or so I am told. Do you mind telling me what treatment your horse has had? I am pretty sure my horses was caused by lepto but neither my vet or the expert now think it's relevant. To be fair we are trying to control flare ups before any other treatment is administered. I have read gent injections are good for lepto causing uvetis.Has he got German sporthorse lines in his breeding? If yes, I would get him to a proper expert on eyes and get him tested for leptospirosis. I have a horse who had chronic uveitis issues for years. We finally got it sorted this year after the Lepto diagnosis and a totally different horse. So much more chilled and happy. I don’t know how long it has bubbled causing pain even if you cannot see it and we have only dealt with chronic flair ups medicinally as easy to see.w
I'm sorry you're suffering but thanks for posting to remind us how painful it is for them. After enucleation the vet asked if my horse had changed. I said he was now so loving, just rested his head in my lap and stayed there. (we stayed with him 24/7 for 3 days after his op.) She remarked that other clients had told her exactly the same.
You used the past tense. Have you ever got rid of it, controlled it or is life just flare ups? you are the first person I have found with uveitis so any help as to how you have dealt with it would be welcome.![]()
Yes he has - was imported as a 2 year old. He is already under one of the best experts in the country - or so I am told. Do you mind telling me what treatment your horse has had? I am pretty sure my horses was caused by lepto but neither my vet or the expert now think it's relevant. To be fair we are trying to control flare ups before any other treatment is administered. I have read gent injections are good for lepto causing uvetis.
lucky horse to live at home, so much more opportunity to keep going.All of your replies have been really appreciated. It has made me realise I am not the problem as I feared.
I have made the decision to stop any kind of work with him, try to get the eyes completely managed and treated - if possible and see if there is an alternative to the bute, as I am worried it is causing hind gut issues. If after all of that I get to sit on him again in future and we still have issues then I will take it one step at a time, if I cannot sort the pain out and he has other issues, I will do the right thing by him and pts. But luckily they live at home, so he can have time and medication he needs until he tells me otherwise!
Wow, that is horrible for you. I'm so sorry.mine has a specific trigger thank god. Ive had a lot of eye procedures and am still having injections monthly to try and stablise one eye. But I'm lucky in that we now know its caused by anything being done to my eye or any sort of eye trauma, so can get ahead of it with the steroid drops before it gets started.
When an attack hits I feel sick, and often throw up, the pain is like having a vice round my head getting tighter and tighter to start. Then it just gets unbearable. The worst episode I had, my vision went and the pain was so bad I collapsed screaming on the floor of A and E. I shattered my spine and never did anything like that. day to day when its not active its not a huge issue for me, but my sight is bad in bright light, and coming from bright to dark or vice versa I end up doing it blind as my eyes cant seem to process it. For a prey animal it must be terrifying. With the chronic type it will hurt all the time, not broken leg sort of pain, but achy sore sort of pain that never goes away and drives you slowly mad. like toothache in your eye. Horse drops might be different but I doubt it, and they make my vision blurred. I can see but its like someone has smeared vaseline over the screen of camera I'm looking through. I cant watch new tv shows as I cant see characters faces properly to get a grip on who people are for example.
It only hurts in your eyes, I've never had any referred pain, and never had any issues touching my face etc, and often put an eye patch on when its active as closing the eye helps a little. I can see why horses do better in masks. I think its the sort of thing you can cope with, but you hover close to the edge, so a saddle pinching or a sore back would easily tip any horse over into being explosive.
Thank you so much for your response - from a human perspective it is interesting, lots of parallels with horses, but so sorry you are in pain!mine has a specific trigger thank god. Ive had a lot of eye procedures and am still having injections monthly to try and stablise one eye. But I'm lucky in that we now know its caused by anything being done to my eye or any sort of eye trauma, so can get ahead of it with the steroid drops before it gets started.
When an attack hits I feel sick, and often throw up, the pain is like having a vice round my head getting tighter and tighter to start. Then it just gets unbearable. The worst episode I had, my vision went and the pain was so bad I collapsed screaming on the floor of A and E. I shattered my spine and never did anything like that. day to day when its not active its not a huge issue for me, but my sight is bad in bright light, and coming from bright to dark or vice versa I end up doing it blind as my eyes cant seem to process it. For a prey animal it must be terrifying. With the chronic type it will hurt all the time, not broken leg sort of pain, but achy sore sort of pain that never goes away and drives you slowly mad. like toothache in your eye. Horse drops might be different but I doubt it, and they make my vision blurred. I can see but its like someone has smeared vaseline over the screen of camera I'm looking through. I cant watch new tv shows as I cant see characters faces properly to get a grip on who people are for example.
It only hurts in your eyes, I've never had any referred pain, and never had any issues touching my face etc, and often put an eye patch on when its active as closing the eye helps a little. I can see why horses do better in masks. I think its the sort of thing you can cope with, but you hover close to the edge, so a saddle pinching or a sore back would easily tip any horse over into being explosive.
I think they tested for Lepto as both eyes flared while in hospital, one wasn’t worse than the other. We got one under control then the other would go mad.Yes he has - was imported as a 2 year old. He is already under one of the best experts in the country - or so I am told. Do you mind telling me what treatment your horse has had? I am pretty sure my horses was caused by lepto but neither my vet or the expert now think it's relevant. To be fair we are trying to control flare ups before any other treatment is administered. I have read gent injections are good for lepto causing uvetis.
Wow. Thank you for the detail on your horse. So glad the treatment has worked for your mare and she has not had.any more recent flare ups. Very very interesting. Do you mind me asking which hospital she went to and under which vet?I think they tested for Lepto as both eyes flared while in hospital, one wasn’t worse than the other. We got one under control then the other would go mad.
My eye expert says it’s a German horse thing, he thinks some are prone to it due to genetics. The stats are up to 20% having it in Germany. says it’s much more common.
We have had intermittent flare ups for years but always managed well with localised treatment at home with steroids in eye cream and managed to calm again. This is British bred sport horse but German lines through the sire. Last year it went out of control so ended up at eye clinic and on levage to try and calm. Managed to calm but then flared again in other eye at clinic so tested for lepto and positive. We then got the lepto tested (over 200 different strains) to find out the strain so we could administer the right anti Bs. The lepto is actually DNA tested. We just injected anti Bs into the vitreous rather than doing what they do in Germany which is suck out the vitreous as usually where the bacteria is.
We did have to get the flare ups under control before we could administer but they could test anytime. We have literally had no issues since treating for Lepto. Before we were walking on egg shells all the time with her eyes. She still lives in a fly mask while out but the worry we had is gone. We are now 1 year in from treatment. She goes to clinic to check eyes once a year mainly because the damage from the flare ups caused cataracts but they are tiny and at her last check hadn’t evolved or changed in 6 months.
The test for Lepto is ok cost wise. The treatment is expensive mainly because of the lab tests to find the strain and match the right Anti Bs. Think that alone was £2k. The anti Bs were cheap. All in all it cost us £12k but the bulk of that cost was the 2 weeks in the hospital with the steroids when it went mad. We thought we were going to have to PTS as no long term solution, couldn’t control the flare ups and couldn’t remove the eye as both were the issue.
We did have a mini flare up after treatment but barely noticeable but caught by our home vet and we think this was just the tail end of the original flare and anti bs hadn’t quite activated.
Our timeline was:
2nd Aug initial flare up at home - had home vet out - steroid.
5th - no improvement - serious issue.
6th sent to hospital.
2 weeks in hospital. Tested for Lepto. Managed to calm flares eventually in both eyes. Came home after 2 weeks. Shoes pulled and no work. We didn’t want any stress to cause an issue or set her back. On steroid pills and bute for 2 weeks.
19th Sept treated for Lepto at hospital. Long lasting steroid given in eye as well as anti bs.
22nd Sept vet check and small flare. Very minor and caught early. Treated at home with steroid pills and bute. We were most worried about her coming off the steroids as would tell us if still had an issue.
14th November - back to hospital for check - all signed off returned to work. More long action steroid put in eyes as a precaution.
Anyway that was an essay!
Wow. Thank you for the detail on your horse. So glad the treatment has worked for your mare and she has not had.any more recent flare ups. Very very interesting. Do you mind me asking which hospital she went to and under which vet?
They use an iPhone with a magnifying app!! It’s truly really cool as you can see everything including damage. They also use air test, cotton wool thrown in air from different angles as they flick their ears. They also have a magnifying lense but no scanner yet for 3D like opticians.I've been told cataracts are a given for me, it's not if it's when, so I guess that's another common theme. I am fine nearly all of the time now. Theres been no flare up for a couple of years, as we pre-empt it. Do they scan horses eyes with the kit they have for humans? Mine doesn't look too bad when examined normally, but if you scan then you can see all the damage that's been caused.
Wow. She looks amazing now!@Spanish Dressage i should add mine has had chronic ulcers as well…. That was as a 6yo but again we think she has had underlying UV her whole life. Think her first eye flare up was at 4 then roughly had one once every 18 months that we have treated for but you don’t know what’s rumbling. She was always quite a sharp horse but she became really cross in her work and very bucky.
Physio wise used to get so tight in the poll/neck and at one point became tricky to put a bridle on due to ears then promptly had a massive flare up.
We used to have physio every 2-3 months as would become blocked through neck and RH leg. This year we have had physio once, maybe twice.
Added some pictures of where she is now. Competing at FEI.