CASE REPORT
Uveal schwannoma in a brown-eyed dog
Todd L. Marlo,* Elizabeth A. Giuliano,* Cecil P. Moore,* Gillian C. Shaw† and
Leandro B. C. Teixeira†
*Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO, USA; and †School of Veterinary
Medicine, University of Wisconsin-Madison, Madison, WI, USA
Address communication to:
E. A. Giuliano
Tel.: 1-573-882-7821
Fax: 1-573-884-7563
e-mail: giulianoe@missouri.edu
Abstract
An eleven-year-old, female spayed Boxer dog was diagnosed with a uveal schwannoma
(formerly known as the spindle cell tumor of the blue-eyed dog or SCTBED) despite
having a uniformly brown iris. The patient presented to emergency for ocular discom-
fort, and the right globe was subsequently enucleated due to glaucoma and submitted
for histopathology. Upon histopathologic evaluation, a uveal schwannoma was diag-
nosed and confirmed with immunohistochemical staining. Complete metastatic evalua-
tion 1 and 6 months after initial presentation did not reveal evidence of metastasis,
and the dog remains systemically healthy. This case represents a unique variant of
uveal schwannoma and is relevant because although the vast majority of these tumors
occur in blue-eyed dogs, clinicians should not completely rule out this tumor as a
differential based on the iris color.
Key Words: canine, intraocular, schwannoma, spindle cell tumor of blue-eyed dogs,
tumor, uveal
INTRODUCTION
Peripheral nerve sheath tumors are most commonly found
on the head and neck regions of both dogs and people.
1–3
While less common, schwannomas, a subset of peripheral
nerve sheath tumors arising from Schwann cells, have
been found in the iris, ciliary body, and choroid in
people.
1
Zarfoss et al.
4
in 2007 first described a specific
subset of intraocular uveal schwannomas in the canine
population. Histologically, these tumors present as
spindle-shaped mesenchymal cells in solid interwoven
sheets with palisading nuclei. These tumors do not express
melan-A or smooth muscle actin (SMA), but do express
vimentin, S-100, and glial fibrillary acidic protein
(GFAP)
4,5
as assessed by immunohistochemistry. To date,
uveal schwannomas (formerly spindle cell tumor of
blue-eyed dogs or SCTBED) have only been noted in
dogs with blue or heterochromic irises with Siberian
husky dogs being overrepresented.
4
Very little information is available on this tumor class
as only three case reports confirming the diagnosis of
uveal schwannomas (formerly SCTBED) are present in
the literature
5–7
in addition to the Zarfoss et al.
4
report
detailing 13 cases. In this report, we present a unique case
of a Boxer dog with a completely brown iris developing a
uveal schwannoma based on histopathologic and immuno-
histochemical features.
CASE PRESENTATION
An eleven-year-old, spayed female, fawn-colored, Boxer
dog was referred to the University of Missouri, Veterinary
Health Center for glaucoma OD. Approximately 2 weeks
prior to presentation, the owner noted ocular discomfort
and redness OD (Fig. 1). Additionally, the owner reported
approximately 1 year prior to presentation the iris of the
dog’s right eye, which had been uniformly brown in color,
underwent a grayish discoloration (Fig. 2). Prior to exami-
nation, neomycin–polymyxin–dexamethasone ointment
was dispensed by the primary care veterinarian and was
applied OD twice daily for 7 days. Retroillumination
revealed mydriasis OD. Complete neuro-ophthalmic
examination indicated normal palpebral reflex, corneal
sensitivity, and ocular motility OU. Menace response was
absent OD and present OS. Dazzle reflex was absent OD
and present OS. An absent direct pupillary light reflex was
present OD; a consensual pupillary light reflex (left to
right) was present OD. A direct pupillary light reflex was
observed OS, but no consensual (right to left) pupillary
light reflex was present OS. Schirmer I tear test (Merck
© 2017 American College of Veterinary Ophthalmologists
Veterinary Ophthalmology (2018) 21, 2, 205–209 DOI:10.1111/vop.12458