So hello, welcome back to the Small Animal Clinical podcast brought to you from the Royal Veterinary College in London. My name is Shailen Jassani. And to remind you then, today is part two of our two-part series on ophthalmology. So in the remainder of the podcast, I think mostly want to just focus on the treatment. And what I'm going to do is I'm going to let you just talk us through the treatment of the

different severities, if you like.

And then we talked before we started, actually, there's a couple of hot topics that we

need to discuss.

Sure.

But I'll try not to, I'm not very good at it, but I'll try not interrupt your flow.

No, that's fine.

If you can just walk us through the different approach to what the different approach is depending on what we see that would be great

so i think we need to remember that what we said initially the epithelium is a barrier for

bacteria for example so if you have a non-ulcerative caratitis an antibiotic might not be the best

drug to choose.

So...

Because the epithelion is intact.

Exactly.

So it's not...

It's less likely that the bacteria are going to go in there and damage.

And the disease that you are seeing, actually it's not ulcerative disease, so it could

be new mediated, there could be other causes.

Having said that, there are abscesses into the conia, but these are very infrequent.

So it's not completely wrong to give an antibiotic, but it's not the first thing we would probably choose in a non-ulcerative caratitis.

Now, on ulcerative caratitis, for very superficial ulcers, we just need a broad spectrum.

We don't need to hit that eye with very strong, powerful antibiotics.

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