The Use of CT Scan as a Diagnostic Tool in Pet Rabbits Presenting With Signs of Ophthalmic Disease

PURPOSE: To describe the findings of computed tomography (CT) used to investigate signs of ophthalmic disease in pet rabbits.

METHODS: Retrospective review of records of patients with signs of ophthalmic disease that underwent CT scans in three referral centers between 2001 and 2022. Signalment, presenting ophthalmic and nonophthalmic complaints, CT findings, and restrain modality were recorded.

RESULTS: There were 85 rabbits representing 14 breeds including 28/85 (32.9%) crossbreed/unknown and 25/85 (29.4%) Dwarf rabbits. The top presenting ophthalmic complaints were ocular discharge (48/85, 56.5%), exophthalmos (34/85, 40%), and epiphora (14/85, 16.5%), while 38/85 (44.7%) rabbits also had nonophthalmic complaints. Anesthetic complications forced 1/85 (1.18%) CTs to be stopped. There were ophthalmic abnormalities in the remaining 81/84 (96.4%) CTs with exophthalmos and/or nasolacrimal duct disease affecting 76/81 (93.8%) rabbits and 68/81 (84%) also showing nonophthalmic abnormalities. Ophthalmic abnormalities were seen with nonophthalmic disease in 64/81 (79%) rabbits with dental disease being the most common (52/64, 81.3%) although only 20/52 (38.5%) had presented with dental complaints. No association was found between the presence of exophthalmos and/or NLD disease and dental disease. There were no obvious image artifacts in the 4/84 (4.8%) physically restrained patients.

CONCLUSION: Examination with CT in the present study mainly supported the investigation of ocular discharge, exophthalmos, and epiphora, and of possible local and systemic involvement in one eye with intraocular neoplasia. Adnexal disease was often seen with previously unknown, nonophthalmic pathology, which warrants prospective, controlled studies. Image quality studies in a large number of physically restrained patients are also warranted.