Swollen Eye Advice

Update: I had the vet out, vet thinks just conjunctivitis from flies, left me eye antibiotics and said to keep her posted.

Update Sept 7. After finishing the treatment cycle both mares seen to be substantially recovered

Project mare who is generally healthy but a special petunia with shivering in the rain, getting big mosquito bites, etc. Lives in a stall with pine/spruce pelleted bedding, run-out with cedar hog fuel, turnout and rolling in sand pen, hay drops from the loft, all potential irritants but nothing in her lifestyle has changed recently. Hot weather and some insects around the barns, but no plague of eye flies or anything like that. Some times her eyes seem a tiny little bit teary at random, compared to my own horse.

Yesterday her right eye looked a bit irritated and weepy, but I looked closely and could not see any wounds or foreign objects or rips in her eyelid. She rolled and trotted and cantered in turnout/ free longhe, didn’t have any symptoms of general malaise.
H
Today her eye is swollen up like a cartoon version of a black eye. She has it open a slit, but squeezes it tight when I try to get close and look at it. Runny but not pus. Not rubbing it, doesn’t seem too bothered. It’s really quite spectacular.

The other eye is perfectly fine. My first thought is an insect bite. But then I started worrying about things like conjuntivitis? Pink eye? There’s no other horse presenting symptoms that she could have caught it from.

She doesn’t like doctoring to put it mildly. I do have some sterile eye wash in my first aid kit but I’m not sure there’s anything in there that needs washing out.

Thoughts? I know eyes are serious, but on the other hand there’s often not alot to do but let it heal itself.

She may have a corneal abrasion from rubbing her face, and the only way to know for sure is to have the vet stain it. I don’t take chances with eyes. I always have the vet stain a squinty watery eye so that I know for sure what I’m dealing with. I also keep a tube of ophthalmic antibiotic ointment without steroids on hand and I treat immediately to prevent an infection from brewing while waiting for the vet.

12 Likes

I always treat eyes as an emergency. I’d be calling the vet ASAP. Could be an abrasion you can’t see and those or infection can go downhill quickly.

ETA at the very least you can call your vet or text photos and they can make the decision.

11 Likes

I’ve had corneal abrasion myself and its nasty nasty. That’s a very good point. I will check on her tomorrow and then consult the vet. I’m temporarily without a cellphone so can’t take pictures.

My good chatty non-alarmist but very competent vet passed away last year and I’ve got a new vet I’ve only met once, no real relationship there yet.

4 Likes

So sorry about your vet. Good ones are hard to come by. Jingles the eye is better and she spares you a vet bill!

1 Like

I wiil have a go at self-treating most injuries, but eyes = vet. It’s too easy for them to go south.

7 Likes

Eyes are for sure a call the vet now, not a wait and see, not a time to use some treatment from some other thing, not a time to play at home vet.

9 Likes

My Old Man horse gets this just from the flies. He MUST have a fly mask on from dawn to dusk.

Just one eye, the left one. The flies seem to like that eye more, maybe the lid makes it easier for them to irritate? Not sure, he’s never severely damaged it in his life or anything.

It’s resulted in a vet call a few times when it’s gotten really bad. I’m with those that say call the vet. Better safe than sorry.

3 Likes

Last year my vet had her husband screening her phone calls when she was pregnant, exhausted, and overworked. When I called with a swollen eye on one of my animals, he put me right through to her. She said, “I trained him that eyes are always an emergency.”

I just share this because I don’t think you have to worry about calling the vet and having them be put out, even if they aren’t the chatty type.

The problem with corneal abrasions is that they can ulcerate and result in long-term or even permanent eye problems or vision loss. You think your mare doesn’t like doctoring now, some banamine and 2x daily opthamalic ointment for a few days is better than the HELL of treating corneal ulcers.

15 Likes

My horse gets this a couple of times per year during fly season if he’s not wearing a fly mask. It clears up in less than 24 hours if I put a fly mask back on him. Horse doesn’t really like wearing a fly mask and is an expert at taking them off, so it’s a wee problem.

I had the vet out the first time it happened. His eye was back to normal when she arrived, but she looked anyways of course and could find nothing amiss.

So while I agree that an eye issue is a vet call, if your vet isn’t able to make it out immediately then I would for sure try putting a fly mask on your horse if they aren’t already wearing one.

My horse has a big forelock and it can get stuck in his eyes. I personally think that’s part of the problem.

3 Likes

Mine does this 1-2x a year from rubbbing. She’s also a sensitive flower. I always treat eyes as an emergency. Sterile flush, maximum dose of oral banamine twice a day for three days and then once a day for another three. That knocks down the discomfort and inflammation to let me treat the eye 3x/day for ten days. Usually around day 2 or 3 the swelling has subsided enough to see a corneal abrasion. I never play the wait and see. Eyes can get gnarly quickly.

2 Likes

Ain’t that the truth!! My horse once had a corneal abrasion that took TWO MONTHS to heal. It was never infected, and it wasn’t ulcerated. It was just a big fairly deep abrasion that took its sweet time healing. I treated it four times a day with ophthalmic antibiotic ointment and had the vet out every couple of weeks to see how it was doing. I hope I never have to go through that again.

3 Likes

I had a nasty one with my late ottb, it was almost a puncture (think it was from a course piece of hay from a roundbale). Took a really long time…huge pita. I somehow managed to get out 4 times a day to put stuff in etc desire a horrendous work commute and work hours. Still not sure how I was able to accomplish that! :joy:

1 Like

I had a mare present the same way, she was initially treated for a tiny ulcer but in 48 hours thing went south FAST and she ended up having surgery (a corneal graft) to salvage the eye. What was initially thought to be just a run of the mill corneal ulcer (and treated as such) was actually a fungal infection. I’d get it checked out for peace of mind. My mare was never the same after the surgery (and I have some long lasting resentment towards the vet who absolutely would NOT listen to me when I told her how fast things were worsening).

5 Likes

When I worked at an equine hospital, the most painful horses by far were the eye horses. The sweetest horses would spin and threaten to kick as soon as you went near the line that went to the eye (braided into the mane and sewn into the eyelid so you could actually treat them because there was no way you were getting near their head). I always felt so bad for them.

5 Likes

I’m an everyone else…I’d treat it as an emergency.

4 Likes

Thanks everyone for the wakeup call, i will contact the vet today unless we’ve had a miracle recovery.

12 Likes

Corneal ulcers are not fun and if it is that painful I would guess this is the case. Definitely get the vet out ASAP. Tractor supply carries terramycin over the counter which can hold you over until the vet makes it out.

2 Likes

Call before you go. In my state they can no longer sell it over the counter as of July 1 of last year.

As others have said, most DVMs consider an eye problem to be emergent until proven otherwise.
Eye things can go south too quickly to adopt a wait and see approach.

4 Likes