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Abstract
February 15, 2007, Vol. 230, No. 4, Pages 541-547
doi: 10.2460/javma.230.4.541

Keratoconjunctivitis sicca associated with administration of etodolac in dogs: 211 cases (1992–2002)

Gia Klauss, DVM, DACVO; Elizabeth A. Giuliano, DVM, MS, DACVO; Cecil P. Moore, DVM, MS, DACVO; Charles M. Stuhr, DVM, DACVO; Stacy L. Martin, DVM; Jeff W. Tyler, DVM, DACVIM; Kelsie E. Fitzgerald; Debra A. Crawford
Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211. (Klauss, Giuliano, Moore, Tyler); Animal Eye Clinic, 2 Pimpewaug Rd, Wilton, CT 06897. (Stuhr, Fitzgerald); Fort Dodge Animal Health, 9225 Indian Creek Pkwy # 400, Overland Park, KS 66210. (Martin, Crawford)

Dr. Klauss' present address is Veterinary Clinical Science Department, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN 5510.

Supported by a grant from Fort Dodge Animal Health.

Presented in part at the 34th Annual Meeting of the American College of Veterinary Ophthalmologists, Coeur d'Alene, Idaho, October 2003.

The authors thank Yun Shen for assistance with the Veterinary Medical Database.

Address correspondence to Dr. Klauss.

Objective—To characterize features and response to treatment of keratoconjunctivitis sicca (KCS) associated with oral administration of etodolac in dogs.

Design—Retrospective case series.

Sample Population—65 cases obtained from a survey of veterinary ophthalmologists (group A) and 146 cases reported to Fort Dodge Animal Health (group B).

Procedures—Data analyzed included breed, sex, age, weight, dose and duration of etodolac administration, results of Schirmer tear test at the time of diagnosis and last follow-up, treatments, and response to treatments. Groups A and B were analyzed separately by use of forward stepwise logistic regression models developed to predict probability of complete remission or clinical improvement as a function of several variables.

Results—Most dogs developed severe KCS (84 eyes of 50 dogs [group A]; 111 eyes of 62 dogs [group B]). Resolution of KCS occurred in 7 of 65 (A) and 23 of 146 (B) dogs. No response to treatment was observed in 26 of 65 (A) and 27 of 146 (B) dogs. Fifty-one (A) and 52 (B) dogs had records that were sufficiently complete to use in models. In group B, dogs with etodolac treatment intervals < 6 months prior to the onset of KCS were 4.2 times as likely to have remission as were dogs with treatment intervals ≥ 6 months.

Conclusions and Clinical Relevance—Shorter duration of etodolac administration (< 6 months) was associated with improved outcome in 1 population of dogs. Monitoring of tear production should be considered prior to and during administration of etodolac in dogs.



CITING ARTICLES
(2007) Letters to the Editor. Journal of the American Veterinary Medical Association 230:9, 1300-1302
Online publication date: 1-May-2007.
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Authors:
Gia Klauss
Elizabeth A. Giuliano
Cecil P. Moore
Charles M. Stuhr
Stacy L. Martin
Jeff W. Tyler
Kelsie E. Fitzgerald
Debra A. Crawford
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