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Ophthalmic examination confirmed mucopurulent ocular discharge, conjunctival hyperemia, and a dry, dull appearance to the cornea<jats:styled-content style=\"fixed-case\">OD<\/jats:styled-content>. Schirmer tear test results confirmed an absence of tear production<jats:styled-content style=\"fixed-case\">OD<\/jats:styled-content>(0 mm\/min) consistent with keratoconjunctivitis sicca. Treatment with topical 0.2% cyclosporine A resulted in an improvement in clinical signs. An episcleral cyclosporine A implant was placed under standing sedation 5 days after initial presentation. Re\u2010examination 9 days post\u2010operatively confirmed that the mare's tear production in the right eye had improved and no further clinical signs had been observed. Topical medications were gradually discontinued. Re\u2010examinations performed up to 12 months postsurgery showed no recurrence of clinical signs and no adverse effects of the implant. To our knowledge, this is the first report of the use of a cyclosporine A implant in the management of<jats:styled-content style=\"fixed-case\">KCS<\/jats:styled-content>in a horse and highlights its potential as an effective, alternative therapy in the management of<jats:styled-content style=\"fixed-case\">KCS<\/jats:styled-content>in horses.<\/jats:p>","DOI":"10.1111\/vop.12368","type":"journal-article","created":{"date-parts":[[2016,3,6]],"date-time":"2016-03-06T04:02:06Z","timestamp":1457236926000},"page":"79-83","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Episcleral cyclosporine A implants for the management of unilateral keratoconjunctivitis sicca in an 8\u2010year\u2010old mare"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0364-7825","authenticated-orcid":false,"given":"Catriona J.","family":"Mackenzie","sequence":"first","affiliation":[{"name":"Philip Leverhulme 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