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Pet Health:
Glaucoma in Dogs and Cats

 

Glaucoma is a condition of the eyes occurring in dogs and cats much the same as in human beings.  More common in dogs, it appears glaucoma has an inheritable tendency.  Cocker Spaniels, Poodles, Beagles, are a few breeds which can carry the trait for glaucoma.

Just what is glaucoma?  Fluid inside the eye keeps the round shape of the eyeball.  This fluid is constantly being produced inside the eye, as the older fluid is drained from the eye.  Thus a constant pressure inside the eye is maintained.  When the pressure inside the eyeball becomes too high, the result is glaucoma. 

An increase in fluid pressure is almost always due to blockage of the drainage port of the eye.  If this pressure is maintained at a high level for over 24 hours, vision may suffer.  This is due to an increase in pressure on the major nerve of the eyeball called the optic nerve.  The optic nerve sends its information to the brain in order for vision to occur.  When too much pressure is exerted upon the nerve, it loses its ability to function.

Early detection of glaucoma is therefore extremely important in order for treatment to provide any chance for vision to remain.  Symptoms of a patient exhibiting signs of glaucoma include:  (1) Squinting of the eyelids (2) Bulging appearance to the eye (3) Pawing or rubbing at the eye (4) Painful behavior in regards to the eye.  Many patients sit quietly and appear lethargic to the owner.  Immediate attention must be sought if glaucoma is present, to try and preserve vision.

Determining the pressure of the eye is the first step.  Instruments to do so, are fairly accurate.  Elevated pressures inside the eyeball warrant immediate treatment with medications applied topically to the eye,  as well as medication given orally.  If pressures can be lowered successfully within 24 hours of glaucoma developing, than vision should be spared.

In cases when medications do not work, surgical intervention is necessary.  This type of procedure should be performed by a specialist in ophthalmology.  Your veterinarian should be able to refer you to a specialist in your area.

If glaucoma has persisted for a long time, and vision is permanently lost, other surgical options and procedures can be done to help alleviate the elevated pressures in the eyeball, and the subsequent pain for the patient.  These procedures are considered last step, in that their only goal is to achieve patient comfort, and not to restore vision.