Cataracts – why is my dog's vision suddenly deteriorating?

Cataracts describe the clouding of the lens in a dog's eye, which, similar to humans, is one of the most common causes of blindness. The condition therefore requires veterinary treatment, as modern surgical techniques can now preserve vision in dogs.

INHALT
Anatomy and development Classification Causes Symptoms Diagnosis Treatment Forecast Prophylaxis
Anatomy and development

To better understand the changes in the dog's eye, a brief excursion into anatomy is necessary.

The lens, together with the cornea and the iris, forms the front part of the eye. It consists of a rear and a front lens capsule and the centrally located lens nucleus. The lens is held in place by special muscle fibers. The cornea, lens, and vitreous body are among the transparent structures of the eye through which light enters the eye. The lens ensures that light is refracted and a sharp image is formed on the retina thanks to its dense and regular fiber structure. It consists of 65% water and 35% proteins and has no blood supply of its own in adult dogs. The vitreous body and the aqueous humor provide the necessary nutrients.

If excess fluid accumulates in the lens, the densely packed lens fibers swell, become "disorganized" and lose their transparency.

Schematic diagram of the eye Cataract
1 Eyelid with eyelashes (gray) and conjunctiva (pink) | 2 Cornea | 3 Lens (clouded) | 4 Nictitating membrane with nictitating membrane cartilage (brown) and nictitating membrane gland (blue) | 5 Sclera | 6 Choroid | 7 Optic nerve | 8 Retina
Classification

Several criteria are used to classify cataracts, some of which may apply simultaneously. The following types are distinguished:

  1. Time of onset: congenital (before the sixth to eighth week of life), juvenile (after the eighth week of life, usually between the first and fifth year of life) and senile form
  2. Stage of lens opacity: immature (retina still visible), mature (completely opaque lens) and overripe (dissolution of lens protein, yellowish color of the lens)
  3. Location of the opacity: anterior/posterior capsule, nucleus, anterior/posterior cortical layer, etc
  4. Hereditary form: most common form
  5. Secondary form: consequence of an underlying eye disease such as retinal detachment, lens luxation or increased intraocular pressure
  6. Metabolic form: occurs in 60% of all dogs with diabetes; the increased sugar content in the aqueous humor and lens leads to increased water retention

Causes

There are various causes for increased water absorption in the lens. On the one hand, almost all animals and breeds have congenital or hereditary forms of cataracts, and on the other hand, injuries or inflammation of the eye can also lead to lens opacity. Furthermore, toxins, radiation and general diseases such as diabetes mellitus can cause cataracts.

Symptoms

As the owner, you will usually only notice your dog's loss of vision when both eyes are affected and the lenses are already clouded in an advanced stage. Dogs that are used to their surroundings can compensate for impaired vision very well for a long time, especially if only one eye is affected in the early stages. Only in unfamiliar surroundings or in the dark will you notice that your dog is bumping into obstacles more often.

The clouding of the lens is visible as a bluish-white discoloration, but is usually not easily recognizable by the owner in the early stages. In most cases, this change is not painful for the animal. Only the subsequent symptoms, such as inflammation of the inner eye, lens dislocation, and glaucoma (increased pressure inside the eye), cause the animal severe pain.

If you suspect that your dog has lens opacity or impaired vision, you should consult a veterinarian immediately.

Diagnosis

Your veterinarian will perform a general examination and a special eye examination. Your dog's eye will be examined closely in all areas using an ophthalmoscope and a slit lamp, and the intraocular pressure will be measured. Using an ultrasound examination, the veterinarian can also assess the structures behind the lens, which are otherwise not visible due to the cloudiness. This allows the veterinarian to determine how advanced the lens opacity is and whether there is any further damage to the eye.

Treatment

Medication alone is not sufficient to restore the dog's vision, as the clouding of the lens cannot be stopped or reversed.

The only way to restore vision in the affected eye is through surgery. Before performing surgery, the veterinarian must carry out a number of further examinations to obtain precise information about the condition of the lens and the structures behind it. Only then can they decide whether all the conditions for a successful operation are met. During the operation, the clouded lens is replaced with an artificial lens. It is important to note that the eye is very sensitive to impact and other trauma immediately after the operation. To ensure the success of the operation, it is therefore essential to follow the rest period prescribed by the veterinarian for the dog.

Forecast

The chances of recovery depend on how far the lens clouding has progressed, whether there is an underlying disease and whether this can be successfully treated. In the case of primary cataracts, early surgery can significantly improve the chances of recovery. If complications (e.g. inflammation of the inner eye) have already occurred, the prognosis is worse.

Prophylaxis

Preventing cataracts is only possible to a limited extent. However, if there is an underlying condition such as diabetes or an eye disease, action should be taken quickly, as this can at least reduce the risk of secondary cataracts.

As a pet owner, you cannot prevent the occurrence of congenital or age-related cataracts. However, regular check-ups at the vet will ensure that any signs of lens clouding are detected early and treated so that your dog's vision is preserved for as long as possible.