Miranda thinks Freddie
might be going blind.
On their evening walks, he seems a bit
more hesitant when he approaches sidewalk curbs and
occasionally will run into objects. The impact is not
full-bore; instead, he sort of bumps the object. Miranda
likens it akin to him feeling for something.
The 9-year-old cocker spaniel has been
in good health, except for a few ear infections.
When Miranda started to notice the
change in Freddie about four months ago, she began
paying attention to his eyes. At first, she noticed
nothing abnormal, but now she perceives a color change,
a sort of bluish-gray to his eyes. She is concerned that
he might have cataracts.
Changes to sight are natural,
especially with aging. Humans go through the same
process. But decreasing eyesight can be difficult to
spot in pets, especially if there is a gradual onset.
Dogs have powerful senses of smell and hearing and, as a
result, are able to compensate for decreasing sight.
Even when totally blind, dogs are adept at negotiating
their environment.
When grossly assessing a dog's
eyesight, I place several objects on the floor of a
small room and allow the dog to walk through and around
them. If there is no sign of compromised eyesight, I
repeat the test with the objects in a different pattern
with lower light conditions. If there is less success
with this step, I can then assume some compromise of
site in lower light conditions. This is most compatible
with lenticular sclerosis, which involves a decrease in
clarity of the lens within the eye. This process is
usually a normal occurrence with aging and it does
affect eyesight. This is especially apparent in lower
light situations as the lens does not pass light through
to the back of the eye, the retina, as well as it would
if it were clear.
This condition can occur at younger
ages and is considered to be progressive, although there
are many dogs that have this condition and do not
eventually go blind.
Lenticular sclerosis is often mistaken
for cataracts, which are a more focal change within the
lens. Cataracts occur as a crystallizing process that
blocks light transmission through the lens. They can be
progressive and often lead to blindness. Cataracts are
commonly seen with patients that have diabetes.
Freddie needs to be evaluated to
determine the cause in his ability to see. Lenticular
sclerosis is not a process that is generally treatable;
however, if cataracts are involved, there are good
options for treatment.
Cataracts, even when diabetes is the
underlying cause, are curable.
The cure involves surgical removal of
the lens, which can then be followed by insertion of a
new lens to restore vision.
An important pre-operative evaluation
of these patients needs to include vision assessment.
There are cases where a patient is blind or has greatly
compromised vision caused by other changes associated
with the eye along with cataracts. Removal of the
cataracts will not restore vision to these patients.
———
(Jeff Kahler is a veterinarian in
Modesto, Calif. Questions can be submitted to Your Pet
in care of LifeStyles, The Modesto Bee, P.O. Box 5256,
Modesto CA 95352.)