Cited by 102Veterinary Medicine and SurgeryOcular Infections and TreatmentsVeterinary Equine Medical Research

Corneal ulcerative disease in dogs under primary veterinary care in England: epidemiology and clinical management

Open access
O’Neill, Dan G., Lee, Monica M., Brodbelt, Dave C., Church, David B., Sanchez, Rick F.·2017·Canine Genetics and Epidemiology

Abstract

Corneal ulcerative disease (CUD) has the potential to adversely affect animal welfare by interfering with vision and causing pain. The study aimed to investigate for the first time the prevalence, breed-based risk factors and clinical management of CUD in the general population of dogs under primary veterinary care in England. Of 104,233 dogs attending 110 clinics participating within the VetCompass Programme from January 1st to December 31st 2013, there were 834 confirmed CUD cases (prevalence: 0.80%, 95% confidence interval (CI) 0.75–0.86). Breeds with the highest prevalence included Pug (5.42% of the breed affected), Boxer (4.98%), Shih Tzu (3.45%), Cavalier King Charles Spaniel (2.49%) and Bulldog (2.41%). Purebred dogs had 2.23 times the odds (95% CI 1.84–2.87, P < 0.001) of CUD compared with crossbreds. Brachycephalic types had 11.18 (95% CI 8.72–14.32, P < 0.001) and spaniel types had 3.13 (95% CI 2.38–4.12, P < 0.001) times the odds for CUD compared with crossbreds. Pain was recorded in 385 (46.2%) cases and analgesia was used in 455 (54.6%) of dogs. Overall, 62 (7.4%) cases were referred for advanced management and CUD contributed to the euthanasia decision for 10 dogs. Breeds such as the Pug and Boxer, and conformational types such as brachycephalic and spaniels, demonstrated predisposition to CUD in the general canine population. These results suggest that breeding focus on periocular conformation in predisposed breeds should be considered in order to reduce corneal disease.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s40575-017-0045-5

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Brachycephalic conformation can cause brachycephalic obstructive airway syndrome (BOAS) and a high predisposition to a range of disorders, including respiratory disease, eye disease, dystocia, spinal disease, exercise intolerance, heat stroke, skin cancer, and a shorter lifespan compared to moderate and non-brachycephalic dogs.

    “However, this conformation can cause brachycephalic obstructive airway syndrome (BOAS, see [37] for a recent review of this syndrome), with a high predisposition to a range of disorders intrinsically related to this conformation, including respiratory disease [39,65,113], eye disease [39,113,114], dystocia [65], spinal disease [115], or even exercise intolerance and heat stroke [113], alongside a”

    From Ethical Concerns about Fashionable Dog Breeding (2024) · cites this paper as [65]

  • Brachycephalic dog breeds have respiratory conditions.

    “However, this conformation can cause brachycephalic obstructive airway syndrome (BOAS, see [37] for a recent review of this syndrome), with a high predisposition to a range of disorders intrinsically related to this conformation, including respiratory disease [39,65,113]”

    From Ethical Concerns about Fashionable Dog Breeding (2024) · cites this paper as [65]

    The Discussion and Conclusions report a predisposition to corneal ulcerative disease in brachycephalic dogs, not respiratory disease. A search for respiratory disease and brachycephalic obstructive airway syndrome found the syndrome only in reference titles, with no passage in the paper addressing the attributed respiratory claim. (LLM, conf=0.74)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 65

  1. [1]Gum GG MacKay EO Gelatt KN Gilger BC Kern TJ Physiology of the Eye Veterinary ophthalmology 2013 5 Oxford Wiley-Blackwell 171 207
  2. [2]Ollivier FJ Gilger BC Barrie KP Kallberg ME Plummer CE O’Reilly S Proteinases of the cornea and preocular tear film Vet Ophthalmol 2007 10 4 199 206 10.1111/j.1463-5224.2007.00546.x 17565550 · DOI
  3. [3]Ledbetter EC Gilger BC Gelatt KN Gilger BC Kern TJ Diseases and surgery of the canine cornea and sclera Veterinary ophthalmology 2013 5 Oxford Wiley-Blackwell 976 1049
  4. [5]Stanley RG Hardman C Johnson BW Results of grid keratotomy, superficial keratectomy and debridement for the management of persistent corneal erosions in 92 dogs Vet Ophthalmol 1998 1 4 233 8 10.1046/j.1463-5224.1998.00045.x 11397235 · DOI
  5. [6]Murphy CJ Marfurt CF McDermott A Bentley E Abrams GA Reid TW Spontaneous chronic corneal epithelial defects (SCCED) in dogs: clinical features, innervation, and effect of topical SP, with or without IGF-1 Investig Ophthalmol Vis Sci 2001 42 10 2252 61 11527938
  6. [7]Sanchez RF Innocent G Mould J Billson FM Canine keratoconjunctivitis sicca: disease trends in a review of 229 cases J Small Anim Pract 2007 48 4 211 7 10.1111/j.1748-5827.2006.00185.x 17381766 · DOI
  7. [8]Krecny M Tichy A Rushton J Nell B A retrospective survey of ocular abnormalities in pugs: 130 cases J Small Anim Pract 2015 56 2 96 102 10.1111/jsap.12291 25370448 · DOI
  8. [9]Dorbandt DM Moore PA Myrna KE Outcome of conjunctival flap repair for corneal defects with and without an acellular submucosa implant in 73 canine eyes Vet Ophthalmol 2015 18 2 116 22 10.1111/vop.12193 25047064 · DOI
  9. [10]Dawson C, Naranjo C, Sanchez‐Maldonado B, Fricker GV, Linn‐Pearl RN, Escanilla N, et al. Immediate effects of diamond burr debridement in patients with spontaneous chronic corneal epithelial defects, light and electron microscopic evaluation. Vet Ophthalmol. 2015;1–5. 28044425
  10. [11]Bartlett PC Van Buren JW Neterer M Zhou C Disease surveillance and referral bias in the veterinary medical database Prev Vet Med 2010 94 3–4 264 71 10.1016/j.prevetmed.2010.01.007 20129684 · DOI
  11. [13]Bateson P Independent inquiry into dog breeding 2010 Cambridge University of Cambridge
  12. [14]Collins LM Asher L Summers J McGreevy P Getting priorities straight: risk assessment and decision-making in the improvement of inherited disorders in pedigree dogs Vet J 2011 189 2 147 54 10.1016/j.tvjl.2011.06.012 21742521 · DOI
  13. [15]Sanchez RF Gould D McLellan GJ Chapter 12: the cornea BSAVA manual of canine and feline ophthalmology 2014 3 London BSAVA
  14. [16]Bentley E Abrams GA Covitz D Cook CS Fischer CA Hacker D Morphology and immunohistochemistry of spontaneous chronic corneal epithelial defects (scced) in dogs Investig Ophthalmol Vis Sci 2001 42 10 2262 9 11527939
  15. [17]Gervais KJ Pirie CG Ledbetter EC Pizzirani S Acute primary canine herpesvirus-1 dendritic ulcerative keratitis in an adult dog Vet Ophthalmol 2012 15 2 133 8 10.1111/j.1463-5224.2011.00952.x 22051326 · DOI
  16. [18]Van Der Woerdt A Adnexal surgery in dogs and cats Vet Ophthalmol 2004 7 5 284 90 10.1111/j.1463-5224.2004.04044.x 15310287 · DOI
  17. [19]Read RA Broun HC Entropion correction in dogs and cats using a combination Hotz–Celsus and lateral eyelid wedge resection: results in 311 eyes Vet Ophthalmol 2007 10 1 6 11 10.1111/j.1463-5224.2007.00482.x 17204122 · DOI
  18. [20]D’Anna N Sapienza JS Guandalini A Guerriero A Use of a dermal biopsy punch for removal of ectopic cilia in dogs: 19 cases Vet Ophthalmol 2007 10 1 65 7 10.1111/j.1463-5224.2007.00488.x 17204131 · DOI
  19. [21]Sansom J Keratoconjunctivitis sicca in the dog: a review of two hundred cases J Small Anim Pract 1985 26 3 121 31 10.1111/j.1748-5827.1985.tb02092.x · DOI
  20. [22]Sansom J Blunden T Calcareous degeneration of the canine cornea Vet Ophthalmol 2010 13 4 238 43 10.1111/j.1463-5224.2010.00791.x 20618802 · DOI
  21. [23]Christmas R Management of chemical burns of the canine cornea Can Vet J 1991 32 10 608 12 17423874 PMC1481081
  22. [24]Vanore M Chahory S Payen G Clerc B Surgical repair of deep melting ulcers with porcine small intestinal submucosa (SIS) graft in dogs and cats Vet Ophthalmol 2007 10 2 93 9 10.1111/j.1463-5224.2007.00515.x 17324164 · DOI
  23. [25]Paulsen ME Kass PH Traumatic corneal laceration with associated lens capsule disruption: a retrospective study of 77 clinical cases from 1999 to 2009 Vet Ophthalmol 2012 15 6 355 68 10.1111/j.1463-5224.2011.00990.x 22348235 · DOI
  24. [26]Dawson C Sanchez RF A prospective study of the prevalence of corneal surface disease in dogs receiving prophylactic topical lubrication under general anesthesia Vet Ophthalmol 2016 19 2 124 9 10.1111/vop.12272 25819145 · DOI
  25. [27]Spivack RE Elkins AD Moore GE Lantz GC Postoperative complications following TECA-LBO in the Dog and Cat J Am Anim Hosp Assoc 2013 49 3 160 8 10.5326/JAAHA-MS-5738 23535749 · DOI
  26. [28]Attali-Soussay K Jegou J-P Clerc B Retrobulbar tumors in dogs and cats: 25 cases Vet Ophthalmol 2001 4 1 19 27 10.1046/j.1463-5224.2001.00123.x 11397315 · DOI
  27. [29]van der Woerdt A Orbital inflammatory disease and pseudotumor in dogs and cats Vet Clin N Am Small Anim Pract 2008 38 2 389 401 10.1016/j.cvsm.2007.11.006 18299013 · DOI
  28. [30]Gough A Thomas A Breed predispositions to disease in dogs and cats 2010 2 Chicester Wiley-Blackwell
  29. [31]Packer RMA Hendricks A Burn CC Impact of facial conformation on canine health: corneal ulceration PLoS ONE 2015 10 5 1 16 10.1371/journal.pone.0123827 PMC4430292 25969983 · DOI · Paper page
  30. [32]Tolar EL Hendrix DVH Rohrbach BW Plummer CE Brooks DE Gelatt KN Evaluation of clinical characteristics and bacterial isolates in dogs with bacterial keratitis: 97 cases (1993–2003) J Am Vet Med Assoc 2006 228 1 80 5 10.2460/javma.228.1.80 16426172 · DOI
  31. [33]Tetas Pont R Matas Riera M Newton R Donaldson D Corneal and anterior segment foreign body trauma in dogs: a review of 218 cases Vet Ophthalmol 2015 19 5 386 97 10.1111/vop.12312 26359142 · DOI
  32. [34]O’Neill DG Church DB McGreevy PD Thomson PC Brodbelt DC Prevalence of disorders recorded in dogs attending primary-care veterinary practices in England PLoS ONE 2014 9 3 1 16 PMC3942437 24594665
  33. [36]O’Neill DG Scudder C Faire JM Church DB McGreevy PD Thomson PC Epidemiology of hyperadrenocorticism among 210,824 dogs attending primary-care veterinary practices in the UK from 2009 to 2014 J Small Anim Pract 2016 57 7 365 73 10.1111/jsap.12523 27279104 · DOI
  34. [37]Pearce N Classification of epidemiological study designs Int J Epidemiol 2012 41 2 393 7 10.1093/ije/dys049 22493323 · DOI
  35. [39]Irion DN Schaffer AL Famula TR Eggleston ML Hughes SS Pedersen NC Analysis of genetic variation in 28 dog breed populations with 100 microsatellite markers J Hered 2003 94 1 81 7 10.1093/jhered/esg004 12692167 · DOI
  36. [40]Scott M Flaherty D Currall J Statistics: how many? J Small Anim Pract 2012 53 7 372 6 10.1111/j.1748-5827.2012.01231.x 22747729 · DOI
  37. [42]Crane C, Rozanski EA, Abelson AL, de Laforcade A. Severe brachycephalic obstructive airway syndrome is associated with hypercoagulability in dogs. J Vet Diagn Investig. 2017;1040638717703434. doi: https://doi.org/10.1177/1040638717703434. 28381131 · DOI
  38. [43]Caccamo R Buracco P La Rosa G Cantatore M Romussi S Glottic and skull indices in canine brachycephalic airway obstructive syndrome BMC Vet Res 2014 10 1 12 10.1186/1746-6148-10-12 24410902 PMC3913271 · DOI
  39. [44]Georgevsky D Carrasco JJ Valenzuela M McGreevy PD Domestic dog skull diversity across breeds, breed groupings, and genetic clusters J Vet Behav Clin Appl Res 2014 9 5 228 34 10.1016/j.jveb.2014.04.007 · DOI
  40. [46]Kirkwood BR Sterne JAC Essential medical statistics 2003 2 Oxford Blackwell Science
  41. [48]O’Neill D Church D McGreevy P Thomson P Brodbelt D Approaches to canine health surveillance Canine Genet Epidemiol 2014 1 1 2 10.1186/2052-6687-1-2 26401319 PMC4574389 · DOI
  42. [49]Lacerda RP, Peña Gimenez MT, Laguna F, Costa D, Ríos J, Leiva M. Corneal grafting for the treatment of full-thickness corneal defects in dogs: a review of 50 cases. Vet Ophthalmol. 2016;1–10. 27241238
  43. [51]Blocker T Van Der Woerdt A A comparison of corneal sensitivity between brachycephalic and Domestic Short-haired cats Vet Ophthalmol 2001 4 2 127 30 10.1046/j.1463-5224.2001.00189.x 11422994 · DOI
  44. [52]Cavanagh HD Colley AM The molecular basis of neurotrophic keratitis Acta Ophthalmol 1989 67 S192 115 34 10.1111/j.1755-3768.1989.tb07103.x 2554641 · DOI
  45. [53]Touhami A Grueterich M Tseng SCG The role of ngf signaling in human limbal epithelium expanded by amniotic membrane culture Investig Ophthalmol Vis Sci 2002 43 4 987 94 11923238
  46. [54]Yamada N Yanai R Inui M Nishida T Sensitizing effect of Substance P on corneal epithelial migration induced by IGF-1, fibronectin, or interleukin-6 Investig Ophthalmol Vis Sci 2005 46 3 833 9 10.1167/iovs.04-0775 15728538 · DOI
  47. [55]Ueno H Ferrari G Hattori T Saban DR Katikireddy KR Chauhan SK Dependence of corneal stem/progenitor cells on ocular surface innervation Investig Ophthalmol Vis Sci 2012 53 2 867 72 10.1167/iovs.11-8438 22232434 PMC3317425 · DOI
  48. [56]Luesma MJ Gherghiceanu M Popescu LM Telocytes and stem cells in limbus and uvea of mouse eye J Cell Mol Med 2013 17 8 1016 24 10.1111/jcmm.12111 23991685 PMC3780542 · DOI
  49. [57]McGreevy P Grassi TD Harman AM A strong correlation exists between the distribution of retinal ganglion cells and nose length in the dog Brain Behav Evol 2004 63 1 13 22 10.1159/000073756 14673195 · DOI
  50. [58]Maggs DJ Miller PE Ofri R Slatter DHFovo Slatter’s fundamentals of veterinary ophthalmology 2008 4 Philadelphia; London Elsevier Saunders
  51. [59]O’Neill DG Darwent EC Church DB Brodbelt DC Demography and health of Pugs under primary veterinary care in England Canine Genet Epidemiol 2016 3 1 1 12 10.1186/s40575-016-0033-1 27293771 PMC4903005 · DOI
  52. [60]Sanchez RF Dawson C Matas Riera M Escanilla N Preliminary results of a prospective study of inter‐and intra‐user variability of the Royal Veterinary College corneal clarity score (RVC‐CCS) for use in veterinary practice Vet Ophthalmol 2016 19 4 313 8 10.1111/vop.12307 26315115 · DOI
  53. [62]Hansen BD Assessment of pain in dogs: veterinary clinical studies ILAR J 2003 44 3 197 205 10.1093/ilar.44.3.197 12789020 · DOI
  54. [63]Holton LL Scott EM Nolan AM Reid J Welsh E Flaherty D Comparison of three methods used for assessment of pain in dogs J Am Vet Med Assoc 1998 212 1 61 6 9426779
  55. [64]Firth AM Haldane SL Development of a scale to evaluate postoperative pain in dogs J Am Vet Med Assoc 1999 214 5 651 9 10088012
  56. [65]Holton L Reid J Scott EM Pawson P Nolan A Development of a behaviour-based scale to measure acute pain in dogs The Veterinary Record 2001 148 17 525 31 10.1136/vr.148.17.525 11354645 · DOI
  57. [66]Paul ES Harding EJ Mendl M Measuring emotional processes in animals: the utility of a cognitive approach Neurosci Biobehav Rev 2005 29 3 469 91 10.1016/j.neubiorev.2005.01.002 15820551 · DOI
  58. [67]Gelatt KN Veterinary ophthalmology: our past, present and future Bulletin de l’Academie Veterinaire de France 2008 161 4 299 306 10.4267/2042/47955 · DOI
  59. [68]Taylor-Brown FE Meeson RL Brodbelt DC Church DB McGreevy PD Thomson PC Epidemiology of cranial cruciate ligament disease diagnosis in dogs attending primary-care veterinary practices in England Vet Surg 2015 44 6 777 83 10.1111/vsu.12349 26118493 · DOI
  60. [69]Shoop S Marlow S Church D English K McGreevy P Stell A Prevalence and risk factors for mast cell tumours in dogs in England Canine Genet Epidemiol 2015 2 1 1 10.1186/2052-6687-2-1 26401329 PMC4579370 · DOI
  61. [70]O’Neill DG Elliott J Church DB McGreevy PD Thomson PC Brodbelt DC Chronic kidney disease in dogs in UK veterinary practices: prevalence, risk factors, and survival J Vet Intern Med 2013 27 4 814 21 10.1111/jvim.12090 23647231 · DOI
  62. [71]O’Neill DG Meeson RL Sheridan A Church DB Brodbelt DC The epidemiology of patellar luxation in dogs attending primary-care veterinary practices in England Canine Genet Epidemiol 2016 3 1 1 12 10.1186/s40575-016-0033-1 27280025 PMC4898461 · DOI
  63. [72]Egenvall A Nødtvedt A Penell J Gunnarsson L Bonnett BN Insurance data for research in companion animals: benefits and limitations Acta Vet Scand 2009 51 42 10.1186/1751-0147-51-42 19874612 PMC2777155 · DOI
  64. [73]Shore ER Douglas DK Riley ML What’s in it for the companion animal? Pet attachment and college students’ behaviors toward pets J Appl Anim Welf Sci 2005 8 1 1 11 10.1207/s15327604jaws0801_1 16004541 · DOI
  65. [74]Mattin MJ Boswood A Church DB López-Alvarez J McGreevy PD O’Neill DG Prevalence of and risk factors for degenerative mitral valve disease in dogs attending primary-care veterinary practices in England J Vet Intern Med 2015 29 3 847 54 10.1111/jvim.12591 25857638 PMC4895395 · DOI

Cited by

Sorted by citations

Authors
O’Neill, D. G., Lee, M. M., Brodbelt, D. C., Church, D. B., & Sanchez, R. F.
Affiliations
Royal Veterinary College (GB)
Venue
Canine Genetics and Epidemiology
Published
2017-06-15
Volume
4
Issue
1
Pages
5-5
ISSN
2052-6687 (ISSN-L)
OpenAlex
W2616334262
Cited by
102
References
1
Citations by year
2026: 10 · 2025: 8 · 2024: 18 · 2023: 14 · 2022: 14 · 2021: 11 · 2020: 15 · 2019: 4 · 2018: 6 · 2017: 2
FWCI
11.68
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Canine Genetics and Epidemiology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RVC Research Online (Royal Veterinary College) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Dogs Trust
Topics
  • Health Sciences › Veterinary › Small Animals › Veterinary Medicine and Surgery
  • Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
  • Health Sciences › Veterinary › Equine › Veterinary Equine Medical Research
Keywords
dogs, prevalence, breed predisposition, brachycephalic breeds, analgesia, euthanasia, canine eye disease, primary veterinary care

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review