Marina L Leis’s research while affiliated with University of Saskatchewan and other places

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Publications (59)


Curriculum Hours and Approaches to Instruction in Veterinary Ophthalmology: A Global Survey of Veterinary Schools
  • Article

November 2024

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6 Reads

Journal of Veterinary Medical Education

Marina L Leis

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Matthew Dempster

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Reports regarding curricula in ophthalmology across veterinary schools are not currently available. The objective of this study was therefore to investigate the number of contact hours and approaches to teaching ophthalmology in the curriculum of English-speaking veterinary schools worldwide. An online survey was distributed to 51 veterinary colleges in North America, the United Kingdom, Australia, New Zealand, and the Caribbean. Questions pertained to hours dedicated to didactic and laboratory-based instruction, species used, final-year rotations, in-person compared with online instruction, and effective and less effective approaches to teaching veterinary ophthalmology. Descriptive statistics of the quantitative survey responses and a thematic analysis of the open-ended responses were conducted, respectively. A 71% ( n = 36/51) response rate was recorded, and the average number of American or European board-certified ophthalmologist instructors per veterinary college was 2.33. Total didactic contact hours varied from 6 to 63 hours ( M = 25.6 ± 15.7 hours), and total laboratory contact hours varied from 0 to 153 hours ( M = 25.47 ± 38.17 hours), mainly occurring in the fourth year. Dogs were the most used species in surgical exercises (40%). Final-year rotations occurred in 88% of schools, and 88% of instruction was conducted in person across all schools. Case-based learning, review of basic sciences, and use of video were identified as effective didactic teaching strategies by 72% (26/36), 47% (17/36), and 31% (11/36) of schools, respectively. This report can serve as a reference for future studies guiding curricular delivery in veterinary ophthalmology.



(A) Retro-illuminated clinical photograph at initial presentation demonstrating a tan intraocular mass adhered to the inferior ciliary body (B) Five weeks following initial presentation, rapid growth of the mass, invasion of the iris, and dyscoria were noted (C) Gross section photograph of the eye showing a white gelatinous mass extending from the ciliary body, into the posterior segment, through the pupil, and into the anterior chamber (D) Histologic section of the eye stained with alcian blue demonstrating the presence of mucopolysaccharides in the myxoid matrix
(A-B) Hematoxylin and eosin sections demonstrating the neoplasm composed of interwoven spindle cells embedded in abundant amounts of a lightly basophilic myxoid matrix. (C-F) Immunohistochemical stains showing strong tumor immunoreactivity for cytokeratin (C) and vimentin (D) and weak immunoreactivity for S100 (E) and actin (F)
Immunohistochemistry results for the intraocular neoplasm
Ciliary body myxoid epithelioid sarcoma in a cat: a case report
  • Article
  • Full-text available

October 2024

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6 Reads

BMC Veterinary Research

Background The majority of primary, intraocular tumors in cats originate from the uvea and include feline diffuse iris melanoma, lymphoma, and iridociliary epithelial adenoma or adenocarcinoma. In this case report, we describe for the first time the clinical, histological, and immunohistochemical findings of a rare myxoid intraocular neoplasm arising from the ciliary body in a cat. Case presentation A 14-year-old, female, spayed domestic shorthaired cat was presented for evaluation of discolouration of the right eye. Upon examination, a clear to light whitish-tan, bubble-shaped intraocular mass adherent to the inferior ciliary body and extending into the anterior chamber was noted. Within five weeks, the tumor was significantly larger and the eye had developed secondary glaucoma so was enucleated. Light microscopic examination of the globe revealed a multinodular, hypocellular neoplasm arising from the ciliary body composed of interwoven spindle cells embedded in abundant amounts of a lightly basophilic myxoid matrix. Neoplastic cells exhibited strong immunoreactivity for cytokeratin while also showing moderate to strong immunoreactivity to vimentin. A diagnosis was therefore made of an unusual intraocular myxoid epithelioid sarcoma arising from the ciliary body. Conclusions Although apparently exceedingly rare, epithelioid myxosarcoma should be included as a differential diagnosis for intraocular tumors in cats and they represent a clinical, histologic, and immunohistochemical diagnostic challenge. Early surgical intervention should be considered to prevent local invasion and ascension to the brain.

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Ocular diagnostics, ophthalmic findings, and conjunctival microbiome in the Chilean flamingo (Phoenicopterus chilensis)

June 2024

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11 Reads

Veterinary Ophthalmology

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Andrew J Gall

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Objective To establish normative data for selected ocular diagnostic tests and commensal conjunctival microflora and describe the incidence of ocular pathology in Chilean flamingos. Animals Studied A total of 41 Chilean flamingos were examined at the Blank Park Zoo in Des Moines, Iowa. Procedures In 20 flamingos, blink rate was assessed undisturbed in their exhibit, then gentle manual restraint was used to assess palpebral fissure length (PFL), aqueous tear production (phenol red thread test [PRTT] in one eye, endodontic absorbent paper point tear test [EAPPTT] in the other), intraocular pressure (IOP; rebound tonometry), and fluorescein staining. Twenty‐one other flamingos were brought to a darkened area for neuro‐ophthalmic examination, slit lamp biomicroscopy, and indirect ophthalmoscopy. Swabs from seven flamingos were used for ocular microbiome evaluation. Results Results are presented as mean ± standard deviation (range). Flamingos comprised 23 females/18 males, aged 11 ± 9.1 (0.7–40) years. Test results: blink rate, 3.7 ± 2 (1–9) blinks/min; PFL, 11.2 ± 1.2 (9–14) mm; IOP, 14 ± 3.2 (10–22) mmHg; EAPPT, 10.2 ± 2.8 (9–14) mm/min; PRTT, 6.8 ± 2.5 (3–13) mm/15 s. Dazzle reflex was positive in four birds examined. Pathologies included cataracts ( n = 7 birds), corneal fibrosis ( n = 3), endothelial pigment ( n = 2), uveal cysts ( n = 1), lens luxation ( n = 1), and uveitis ( n = 1). Ocular microbiome showed high diversity of taxa. Conclusions Baseline ocular parameters and incidence of ophthalmic pathology assist veterinarians with disease screening for Chilean flamingos, while the ocular microbiome showed high diversity.





Alterations to the bovine bacterial ocular surface microbiome in the context of infectious bovine keratoconjunctivitis

November 2023

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91 Reads

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1 Citation

Animal Microbiome

Background Infectious bovine keratoconjunctivitis (IBK) is a common cause of morbidity in cattle, resulting in significant economic losses. This study aimed to characterize the bovine bacterial ocular surface microbiome (OSM) through conjunctival swab samples from Normal eyes and eyes with naturally acquired, active IBK across populations of cattle using a three-part approach, including bacterial culture, relative abundance (RA, 16 S rRNA gene sequencing), and semi-quantitative random forest modeling (real-time polymerase chain reaction (RT-PCR)). Results Conjunctival swab samples were obtained from eyes individually classified as Normal (n = 376) or IBK (n = 228) based on clinical signs. Cattle unaffected by IBK and the unaffected eye in cattle with contralateral IBK were used to obtain Normal eye samples. Moraxella bovis was cultured from similar proportions of IBK (7/228, 3.07%) and Normal eyes (1/159, 0.63%) ( p = 0.1481). Moraxella bovoculi was cultured more frequently ( p < 0.0001) in IBK (59/228, 25.88%) than Normal (7/159, 4.40%) eyes. RA (via 16 S rRNA gene sequencing) of Actinobacteriota was significantly higher in Normal eyes ( p = 0.0045). Corynebacterium variabile and Corynebacterium stationis ( Actinobacteriota ) were detected at significantly higher RA ( p = 0.0008, p = 0.0025 respectively) in Normal eyes. Rothia nasimurium ( Actinobacteriota ) was detected at significantly higher RA in IBK eyes ( p < 0.0001). Alpha-diversity index was not significantly different between IBK and Normal eyes ( p > 0.05). Alpha-diversity indices for geographic location ( p < 0.001), age ( p < 0.0001), sex ( p < 0.05) and breed ( p < 0.01) and beta-diversity indices for geographic location ( p < 0.001), disease status ( p < 0.01), age ( p < 0.001), sex ( p < 0.001) and breed ( p < 0.001) were significantly different between groups. Modeling of RT-PCR values reliably categorized the microbiome of IBK and Normal eyes; primers for Moraxella bovoculi , Moraxella bovis , and Staphylococcus spp. were consistently the most significant canonical variables in these models. Conclusions The results provide further evidence that multiple elements of the bovine bacterial OSM are altered in the context of IBK, indicating the involvement of a variety of bacteria in addition to Moraxella bovis , including Moraxella bovoculi and R. nasimurium , among others. Actinobacteriota RA is altered in IBK, providing possible opportunities for novel therapeutic interventions. While RT-PCR modeling provided limited further support for the involvement of Moraxella bovis in IBK, this was not overtly reflected in culture or RA results. Results also highlight the influence of geographic location and breed type (dairy or beef) on the bovine bacterial OSM. RT-PCR modeling reliably categorized samples as IBK or Normal.



Citations (18)


... Epidemiological associations between herpesviruses and several bacterial species, including Chlamydia and Mycoplasma spp., have been identified in diverse hosts, including cattle, humans, koalas, cats, and crocodiles (11)(12)(13)(14)(15)(16). A study investigating the connection between bacterial ocular surface microbiota and outcomes in cats with FHV-1 ocular surface disease revealed that, while coinfection with M. felis had the highest prevalence, coinfection with C. felis was significantly associated with worse disease outcomes (17). In cattle, coinfections with herpesviruses and mycoplasmas can exacerbate disease induced by other pathogens. ...

Reference:

A “plus one” strategy impacts replication of felid alphaherpesvirus 1, Mycoplasma and Chlamydia, and the metabolism of coinfected feline cells
Relationship between the bacterial ocular surface microbiota and outcomes for cats with feline herpesvirus type 1 ocular surface disease
  • Citing Article
  • October 2023

Veterinary Ophthalmology

... As in these previously reported human studies, the genus Corynebacterium (phylum Actinobacteria) was also present at high levels here in equine patients. With respect to OSSN, there is a single report in cattle that compares the conjunctival microbiome in eyes with squamous cell carcinoma to those of healthy eyes [68], which did not identify significant differences in bacterial populations. ...

Relative and Quantitative Characterization of the Bovine Bacterial Ocular Surface Microbiome in the Context of Suspected Ocular Squamous Cell Carcinoma

Animals

... Moreover, PVEPs have been demonstrated to possess greater sensitivity for the detection of optic nerve diseases in human medicine [2]. However, the examination of PVEPs requires sedation or general anesthesia as the focus of the eyes must be xed [5][6][7]. FVEPs can be generated using simple ashes; therefore, they are used in individuals who cannot xate the focus of the eyes, such as infants and patients with nystagmus, or individuals with reduced visual acuity due to ocular media opaci cation [2,5,8]. FVEPs may occasionally show abnormalities even when PVEPs are normal [1]. ...

Comparison of the effect of sedation and general anesthesia on pattern and flash visual evoked potentials in normal dogs

BMC Veterinary Research

... Poultry have a more sensitive vision system than humans, with the ability to perceive a broader range of colors, a wider field of vision, and greater sensitivity to visual harmony (Prescott et al., 2003;Remonato Franco et al., 2022). Different wavelengths of light have various stimulatory effects on the eye retina, which induces many changes in poultry behavior and growth (Lan et al., 2013). ...

Light Color and the Commercial Broiler: Effect on Ocular Health and Visual Acuity

... The bacterial ocular surface microbiome (OSM), though low in biomass, has been studied both in the eyes of normal animals [19][20][21][22][23][24] and in the context of disease in humans [25][26][27]. Recognizing differences in the composition of the OSM in normal and diseased states allows identification of unique targets which may be exploited for treatment and prevention of disease. ...

The porcine corneal surface bacterial microbiome: A distinctive niche within the ocular surface

... 14 It must be noted that while bacterial culture of the conjunctiva may be helpful in diagnosis and treatment of bacterial conjunctivitis or bacterial keratitis, inclusion of quantitative polymerase chain reaction and/or 16S rRNA gene sequencing for complete assessment of the bacterial ocular surface microbiome should be considered. 25,26 Tear production is essential in maintaining a healthy precorneal tear film and cornea, two essential structures in light refraction. Tear production may be measured through Schirmer tear testing or PRTT. ...

Current ocular microbiome investigations limit reproducibility and reliability: Critical review and opportunities
  • Citing Article
  • December 2020

Veterinary Ophthalmology

... Kenny et al 12 reported a case of ivermectin toxicosis in the dog, in which mydriasis, absent pupillary responses, transient vision loss, an extinguished electroretinogram, retinal edema, and low-lying retinal separations were reported. The similarities between these findings and those reported in SARDS patients [14][15][16] prompted us to review the literature surrounding this class of drugs. ...

Evaluation of retinal morphology of canine sudden acquired retinal degeneration syndrome using optical coherence tomography and fluorescein angiography
  • Citing Article
  • August 2018

Veterinary Ophthalmology

... These findings are consistent with those reported by Wang Li, who studied the microbial flora in the conjunctival sacs of dogs with ulcerative keratitis in Beijing, as well as Zhang Hongchao's report on the bacterial species in 102 cases of canine corneal ulcers [19,36]. The conjunctival surface of normal dogs is not sterile [37], with bacterial cultures testing positive in 39% to 87% of normal dogs [38]. Staphylococcus pseudointermedius has been identified in normal dogs and dogs with conjunctivitis or keratitis [39,40]. ...

Initial description of the core ocular surface microbiome in dogs: Bacterial community diversity and composition in a defined canine population
  • Citing Article
  • August 2018

Veterinary Ophthalmology

... [8][9][10][11] These include polyuria, polydipsia, polyphagia, and weight gain. Several laboratory abnormalities also are seen in dogs with SARDS, some of which overlap with HC, including increased liver enzyme activity 8,9,12 and proteinuria. 12 A recent survey of owners of dogs with SARDS found that kidney, respiratory, pancreatic, and platelet disorders were present more commonly in affected dogs around the time of death compared to a general reference population. ...

Sudden acquired retinal degeneration syndrome in western Canada: 93 cases
  • Citing Article
  • November 2017

The Canadian veterinary journal. La revue veterinaire canadienne