Characteristics of, prevalence of, and risk factors for corneal pigmentation (pigmentary keratopathy) in Pugs

Amber L. Labelle Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61082.

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Christine B. Dresser Department of Cuyahoga Valley Veterinary Clinic, 3850 Brecksville Rd, Richfield, OH 44286.

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Ralph E. Hamor Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61082.

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Matthew C. Allender Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois, Urbana, IL 61082.

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Julia L. Disney Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana, IL 61082.

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Abstract

Objective—To determine the characteristics of, prevalence of, and risk factors for corneal pigmentation (CP) in Pugs.

Design—Prospective cross-sectional study.

Animals—295 Pugs > 16 weeks old.

Procedures—Ophthalmic examination of the anterior segment of each eye was performed, including determination of tear film characteristics (Schirmer tear test and tear film breakup time) and corneal sensitivity. Digital photographs of the head and each eye were obtained. Corneal pigmentation of eyes was graded as absent, very mild, mild, moderate, or severe. Signalment and medical history information and American Kennel Club registration status were recorded.

Results—CP was detected in at least 1 eye of 243 of the 295 (82.4%) Pugs; CP was typically very mild or mild. Detection of CP was not significantly associated with coat color, age, eyelid conformation, or tear film characteristics but was significantly associated with sex of dogs. The severity of CP was not significantly associated with American Kennel Club registration status or age, but was significantly associated with sex, tear film characteristics, and coat color. Iris hypoplasia was detected in 72.1% of the Pugs. Iris-to-iris persistent pupillary membranes were detected in 85.3% of the Pugs.

Conclusions and Clinical Relevance—Prevalence of CP in Pugs in this study was high. Unexpectedly high prevalences of iris hypoplasia and persistent pupillary membranes were also identified. The condition identified in these Pugs was a pigmentary keratopathy, rather than pigmentary keratitis or corneal melanosis. This condition may have a genetic basis, and further studies are warranted to determine etiology.

Abstract

Objective—To determine the characteristics of, prevalence of, and risk factors for corneal pigmentation (CP) in Pugs.

Design—Prospective cross-sectional study.

Animals—295 Pugs > 16 weeks old.

Procedures—Ophthalmic examination of the anterior segment of each eye was performed, including determination of tear film characteristics (Schirmer tear test and tear film breakup time) and corneal sensitivity. Digital photographs of the head and each eye were obtained. Corneal pigmentation of eyes was graded as absent, very mild, mild, moderate, or severe. Signalment and medical history information and American Kennel Club registration status were recorded.

Results—CP was detected in at least 1 eye of 243 of the 295 (82.4%) Pugs; CP was typically very mild or mild. Detection of CP was not significantly associated with coat color, age, eyelid conformation, or tear film characteristics but was significantly associated with sex of dogs. The severity of CP was not significantly associated with American Kennel Club registration status or age, but was significantly associated with sex, tear film characteristics, and coat color. Iris hypoplasia was detected in 72.1% of the Pugs. Iris-to-iris persistent pupillary membranes were detected in 85.3% of the Pugs.

Conclusions and Clinical Relevance—Prevalence of CP in Pugs in this study was high. Unexpectedly high prevalences of iris hypoplasia and persistent pupillary membranes were also identified. The condition identified in these Pugs was a pigmentary keratopathy, rather than pigmentary keratitis or corneal melanosis. This condition may have a genetic basis, and further studies are warranted to determine etiology.

Contributor Notes

Supported by the University of Illinois College of Veterinary Medicine and the Spirit of St. Louis Pug Fanciers Association.

Presented as an oral presentation at the 43rd Annual American College of Veterinary Ophthalmologists Conference, Portland, Ore, October 2012.

The authors thank Drs. Païvi Rajala-Schultz and Mark Mitchell for assistance with statistical analysis, Shari Poruba and Lorri Zoch for technical assistance, and Drs. Kara Escutia and Philippe Labelle for assistance with data collection.

Address correspondence to Dr. Labelle (alabelle@illinois.edu).
  • 1. Rah MJ, Barr JT, Bailey MD. Corneal pigmentation in overnight orthokeratology: a case series. Optometry 2002; 73: 425434.

  • 2. van der Woerdt A. Adnexal surgery in dogs and cats. Vet Ophthalmol 2004; 7: 284290.

  • 3. Slatter DH, Lavach JD, Severin GA, et al. Uberreiter's syndrome (chronic superficial keratitis) in dogs in the Rocky Mountain area—a study of 463 cases. J Small Anim Pract 1977; 18: 757772.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4. Roberts SR. The nature of corneal pigmentation in the dog. J Am Vet Med Assoc 1954; 124: 208211.

  • 5. Kaswan RL, Salisbury MA, Ward DA. Spontaneous canine keratoconjunctivitis sicca. A useful model for human keratoconjunctivitis sicca: treatment with cyclosporine eye drops. Arch Ophthalmol 1989; 107: 12101216.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6. Stiles J, Carmichael P, Kaswan R, et al. Keratectomy for corneal pigmentation in dogs with cyclosporine responsive chronic keratoconjunctivitis sicca. Vet Comp Ophthalmol 1995; 5: 2534.

    • Search Google Scholar
    • Export Citation
  • 7. Maggs DJ. Cornea and sclera. In: Maggs DJ, Miller PE, Ofri R, eds. Slatter's fundamentals of veterinary ophthalmology. St Louis: Saunders Elsevier, 2008; 180.

    • Search Google Scholar
    • Export Citation
  • 8. Spiteri N, Choudhary A, Kaye S. Pigmentation of the cornea secondary to tinted soft contact lens wear. Case Rep Ophthalmol Med [serial online]. 2012; 2012: 852304. Available at: www.hindawi.com/crim/ophmed/2012/852304/. Accessed Nov 14, 2012.

    • Search Google Scholar
    • Export Citation
  • 9. Kaiser PK, Pineda R, Albert DM, et al. ‘Black cornea’ after long-term epinephrine use. Arch Ophthalmol 1992; 110: 12731275.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10. Genetics Committee of the American College of Veterinary Ophthalmologists. In: Ocular disorders presumed to be inherited in purebred dogs. 5th ed. Urbana, Ill: Canine Eye Registry Foundation, 2010.

    • Search Google Scholar
    • Export Citation
  • 11. Dreyfus J, Schobert CS, Dubielzig RR. Superficial corneal squamous cell carcinoma occurring in dogs with chronic keratitis. Vet Ophthalmol 2011; 14: 161168.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12. Swinger RL, Schmidt KA Jr, Dubielzig RR. Keratoconjunctivitis associated with Toxoplasma gondii in a dog. Vet Ophthalmol 2009; 12: 5660.

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13. Association for Research in Vision and Ophthalmology. Statement for the Use of Animals in Ophthalmic and Vision Research. Available at: arvo.org/About_ARVO/Policies/Statement_for_the_Use_of_Animals_in_Ophthalmic_and_Visual_Research/. Accessed Nov 24, 2012.

    • Search Google Scholar
    • Export Citation
  • 14. American Kennel Club. Breed standard. Pug. Available at: images.akc.org/pdf/breeds/standards/Pug.pdf. Accessed Nov 14, 2012.

  • 15. Barrett PM, Scagliotti RH, Meredith RE, et al. Absolute corneal sensitivity and corneal trigeminal nerve anatomy in normal dogs. Prog Vet Comp Ophthalmol 1991; 1: 245254.

    • Search Google Scholar
    • Export Citation
  • 16. Moore CP, Wilsman NJ, Nordheim EV, et al. Density and distribution of canine conjunctival goblet cells. Invest Ophthalmol Vis Sci 1987; 28: 19251932.

    • Search Google Scholar
    • Export Citation
  • 17. Gilger BC, Bentley E, Olivier FJ. Diseases and surgery of the canine cornea and sclera. In: Gelatt KN, ed. Veterinary ophthalmology. 4th ed. Ames, Iowa: Blackwell Publishing, 2007; 721722.

    • Search Google Scholar
    • Export Citation
  • 18. McCracken JS, Klintworth GK. Ultrastructural observations on experimentally produced melanin pigmentation of the corneal epithelium. Am J Pathol 1976; 85: 167182.

    • Search Google Scholar
    • Export Citation

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