Author Topic: Cataract - what do you do?  (Read 1407 times)

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Offline Hel

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Cataract - what do you do?
« on: September 17, 2007, 08:01:26 PM »
My parents' cocker bitch Molly, aged 8, has a very large cataract in one eye and is developing another in the other eye. The vet has suggested surgery on the large one at a specialist hospital.

My mother is very concerned about the pain from the op and aftercare that Molly will face - we humans in the family have a family history of needing nasty eye ops which is making my mother worry about the pain for Molly. She has no objection to the op itself - she is just very worried that she will be causing Molly so much pain and is not convinced it is worth it. The vet did say that dogs with cataracts who go blind manage to cope amazing well. We as a family have had 'blind through age' dogs up to 17 but I'd rather it wasn't on an 8 yo whose sight could be saved.

Does anyone have experience of a dog having a cataract operation? If so, could you let me know either here or by PM how it went, the recovery period and after?

Offline shonajoy

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Re: Cataract - what do you do?
« Reply #1 on: September 17, 2007, 08:34:57 PM »
Indie has cataracts (congenital) in both eyes, and manages well. I wouldn't consider the op until I'd seen a specialist- I work in a vets, and have asked there, and they have said dogs have a much bigger immune response to eye trauma (for example the operation) than we do, and it's nowhere near as successful an op as the one for cataracts is in humans.

I think you'd need specialist advice though- it's not an op a normal vet would do I don't think.
Shona, Indie(5) and Hamish (4)

Offline louis mum

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Re: Cataract - what do you do?
« Reply #2 on: September 17, 2007, 08:48:05 PM »
Louis has them too and my vet also explained that dogs adjust well and that surgery was not always successful. We havnt noticed Louis change in any way, indicating just how well they do cope.

Offline Nuffi

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Re: Cataract - what do you do?
« Reply #3 on: September 17, 2007, 09:37:51 PM »
Hi. Different response from me: My dog Jerry has had successful cataract surgeries on both eyes, and I am so glad we had them done!

Jerry was 20 months old when our regular vet discovered that he had cataracts in both eyes. We immediately saw a specialist/ veterinary ophtamologist who confirmed that he had hereditary juvenile cataracts. One, in the right eye, was almost mature (vision significantly affected/ basically blind), and one in the left eye, which was still very small. The vet recommended surgery, he does them on a routine basis.

We brought Jerry in at 8am in the morning and were able to pick him up, still groggy, at 5pm. I was quite stressed out at the time. Actually the vet had intended to operate on both eyes, but ended up doing only the right eye, as, during the op, he found some sort of unusual lense instability at the back of the lense (another hereditary eye problem a little more unusual in cockers). This meant that the risk of  post-surgery complications would be higher for Jerry than normal, i.e. the vet said during the first 6 weeks after surgery there was a risk that the retina would detach. That would have been horrible, since that is a problem which is almost impossible to fix and generally results in permanent blindness. Fortunately with Jerry, though, the worst-case scenario never happened. Post-surgery he had to wear an elizabethean collar and had to be restricted (no running off leash) for two weeks. Seriously, that was the worst aspect of the whole procedure! He had to go for re-exams 2 days, 2 weeks and 6 weeks after surgery. Jerry got used to the collar and was back to normal within about 24 hours! Never whined or showed discomfort about pain, there was absolutely no problem at all. It was great to see his eye clear and dark again!! Nowadays, an artificial "contact lense" can be inserted into the eye, which will restore perfect vision to the eye. Without it, the dog can see, but is far-sighted. Due to the lense problem, the vet was not able to insert an artificial lense into any of Jerry's eyes, but really, his far-sightedness does not  bother him much at all.

After the first surgery had been successful the vet felt comfortable enough to operate on the left eye about half a year later. Within a week or so (!) the cataract in that eye had grown to almost mature! This time the surgery was absolutely flawless. I was much less worried and when we picked Jerry up, he was already bouncing around again (with the collar...). All re-exams went great, there were never any complications and the only problem was fighting Jerry's boredom and energy during the two weeks of restrained exercise. Again, Jerry never showed any signs of pain or discomfort. It was so easy. Today, he has two clear eyes, sees much better, and we know the cataracts cannot come back.

Here are a few points that I would note though:

- Juvenile cataracts are different from the lense opaqueness some breeds develop at an older age, for example poodles. Since your dog is 8 years old, I would consult the vet what kind it is and whether surgery is worth it. Of course, the older the dog, the higher the general risk of surgery. I know an older poodle who still copes quite ok with limited vision and in that case, of course, surgery would be totally unwarranted.

- Surgery is really expensive. All in all we paid around US$3,000 for both surgeries plus re-exams. It also requires some effort with pre-treating the eye in the days before surgery, with lots of eyedrops and some pills, to reduce/prevent inflammation of the eye. Post-surgery also means LOTS of eyedrops, first 4 times a day, after a few days 3 times etc. Now, about 2-3 months later we are still treating the left eye with 2 drops a day...

- Please consult a specialist in any case!! He/she will evaluate whether surgery is an option for you and take a good look at the eye and the stage of the cataract(s). Small, non-growing cataracts may not affect vision much at all. If there is (another) problem with the retina, surgery may not be possible at all. Simply not operating, however, can also cause problems. Leaving the cataract where it is can stress the eye, can cause constant inflammation (redness in the eye) and other complications. So it's about more than just the question of vision, and the eye(s) would have to be monitored in any event. Success rates for surgery, according to my vet, are around 97%.

All in all, again, I am so glad we had the surgery done. Jerry would have been blind by now otherwise, at age 2!! Ok, he is far-sighted but it does not bother him much. Because at both times of the surgery the other eye could (still) compensate, he could still cope really well and we hardly ever noticed any real problems with his vision - but occasionally, he did already start bumping into things -- and his cataracts grew so fast! Nowadays, while he still usually takes a little longer to find a tennis ball chucked far away, he has become a lot better in some games we play, so we do see a real difference and that is something that makes me so happy!

It was such a  scare when we first found out about his cataracts, but looking back, the surgeries went without any problems and I would always do it again - and worry much less!! I have in the meantime read so much about the subject -  please feel free to ask more or pm me!!






Veronika, with Jerry & Bonnie

Offline Andy

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Re: Cataract - what do you do?
« Reply #4 on: November 07, 2007, 11:51:04 PM »
Sorry I'm late in posting - I've not been around for a while.

Pepper had cataract surgery on both eyes about fourteen months ago. She was totally blind, although it sounds like her cataracts developed in a similar way to Molly's. She went blind in one eye first and then about six months later she went blind in the other. She was totally blind for a couple of months or so (I think) before the operation.

The operation was a total success. We dropped her off in the morning and picked her up in the evening (it was a very long day!). During the night she was a bit uncomfortable, we gave her some extra pain killers and I slept with her on the floor. In the morning she had a check up (we stayed in a hotel very near to the eye clinic) and everything was fine.

She had to wear a collar for a couple of weeks and had to have eye drops a few times a day for nearly 6 months.

From our experience, I would definitely recommend it. Obviously all cases are different so you should see the specialist first. He will check the eyes and make sure that an operation is the best route (There can be problems with the eye that can lead to complications after surgery).

We had the operation at this eye clinic: http://www.eyevetclinic.co.uk/ but they only work on referrals from vets so you can't book an appointment with them directly. Cost was about £2500 (no insurance - ouch!)

All in all, it was a hard decision to make because of the worry of any complications (especially the general anaesthetic - Pepper was 10 1/2) but now I'm so glad we had the operation. Pepper's absolutely fine, can see and it also allowed us to move house which we wouldn't have done if she was still blind.

Get advice from your vet, but if it was me I'd go for it!

All the best...

Offline jackie 14

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Re: Cataract - what do you do?
« Reply #5 on: November 08, 2007, 12:31:10 AM »
Ellie was only 7 months old when my daughter noticed a white spot in her right eye. went to our local vet then passed on to a specialist, who confirmed a fast growing cataract , that was in the november 05, but she didnt have the eye op till just before her frist birthday in the april 06 as i had to make sure that the insurance company would pay for it, before it could go ahead, she was also spayed in between then to. I took her to him on the monday and i wasn't able to get her home till the friday, it was a very long 5 days, then needed a check up weekly, monthly, then 2 months, 6 months and now yearly, plus eye drops for the rest of her life, the other eye is okay at the moment and everything apears okay with the operated eye. She is in training for agility and doesn't seem to be holding her back , her nose works well to compensate any short sighteness she might have, we had to give it a go as she would have been completely blind in that eye by the summer of that year . does any one know how long the artificial len's last for ?

Offline JasperPop

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Re: Cataract - what do you do?
« Reply #6 on: November 09, 2007, 06:42:39 PM »
Just read this....Sorry to hear about your Molly's problems.  I am sure that whatever decision you all come to will be the best one for her.  I hope it all works out