We performed a Schirmer Tear Test (STT) to determine
if Lily was producing the normal amount of tears from each eye. Both eyes showed normal tear production. So, no “dry eye” or KCS (Keratoconjunctivitis sicca). Next, we performed a Fluorescein eye stain to look for
any scratches, abrasions or ulcers of the cornea or surface of the eye. This is an orange-green fluorescent stain that is applied to the surface of the eye. Any irregularities in the sur- face of the cornea will glow, noting an abnormality. This was not the case for Lily. Her eye stain test was negative. Lastly, we performed Tonometry (a testing of the eye
pressure) on both of her eyes. The normal left eye was 14, but the right affected eye was 50. Normal range for eye pressure is between 10-20. This significant abnormality of the eye pressure of the right eye was diagnostic of Glaucoma. So, what is Glaucoma? Glaucoma is increased
pressure within the eye. There are cells inside the eye that produce a clear fluid that maintains the shape of the eye and feeds the tissues inside the eye. This fluid drains from the eye into the blood stream. So, fluid is produced and drained to maintain normal eye pressure. If the drain becomes blocked, then the fluid can’t exit the eye and the pressure builds. If this pressure imbalance isn’t treated, then irreversible blindness can occur.
Glaucoma can be an inherited condition in many dog
breeds. American Cocker Spaniels, Basset Hounds, Chow Chow, Shar Pei, Parson Russel Terrier, Shih Tzu, Husky and Elkhounds are predisposed breeds. Glaucoma is commonly secondary to other diseases that
decrease drainage of the fluid from the inside of the eye. Inflammation, cataracts, cancer, lens luxation (movement of the lens from its normal position) and detachment of the retina at the back of the eye are other examples requiring diagnosis and treatment. In Lily’s case, there was a luxation of the lens, blocking
the drainage of the fluid from her eye. It was suspected that the cataract affected the lens and allowed the lens to become displaced, thus causing the glaucoma. We prescribed eye drops and oral medication to reduce the pressure in her eye as well as oral medication for the pain. We referred Lilly to a Veterinary Ophthalmologist for
further care. The displaced lens was surgically removed and the topical eye medications continued to control her eye pressure. She continues to have her eye pressures checked every four months since she is predisposed to recurrence of glaucoma in her right eye or new occurrence in the left eye. Clara, her pet parent knows that with proper care and
monitoring, Lily can continue to see the world for all its beauty and splendor (and her treats). U
Free, Sight-Saving Screening Exams Throughout May For Service Dogs. The American College of Veterinary Ophthalmologists (ACVO) is launching the 7th Annual ACVO National Service Animal Eye Exam throughout the month of May. 250 board certified veterinary ophthalmolo- gists across the country and Florida, including Clearwater, Tampa, Sarasota, Gainesville, Maitland West Palm Beach, Miami, Melbourne and Coral Springs, are participating. Service animals include: Guide, handicapped assistance, detection, military, search and rescue and registered therapy animals. Register by April 30 at
www.ACVOEyeExam.org
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