ISSN 2398-2969      

Cataract

icanis
Contributor(s):

Paul Gerding


Introduction

  • Important cause of visual disability.
  • Cause: inherited (juvenile or later onset), or secondary to systemic disease, eg diabetes, or ocular abnormality, eg uveitis or progressive retinal atrophy.
  • Signs: ocular opacity.
  • Treatment: surgery.
  • Prognosis: good following surgical removal of lens (with or without intra-ocular lens implantation).
    Print off the owner factsheet on Cataract to give to your client.

Pathogenesis

Etiology



Inherited
  • Posterior subcapsular (triangular), eg Labrador, Golden Retriever.
  • Nuclear cataract, eg Miniature Schnauzer Nuclear cataract Miniature Schnauzer 6 months old.
  • Equatorial/posterior cortex, eg Afghan Hound.
  • Posterior/anterior cortex, eg American Cocker Spaniel.
  • Posterior sutures/nuclear, eg Boston Terrier.
  • Nuclear cortex, eg Chesapeake Bay Retriever.
  • Equatorial cortex, eg Standard Poodle.
  • Nuclear/posterior cortex, eg Welsh Springer Spaniel.
  • Posterior sutures, eg West Highland White Terrier.
Metabolic Secondary

Pathophysiology

  • Diabetes mellitus → increased lens glucose → accumulation of insoluble sugars with osmotic potential →water influx→ cataract.
  • Uveitis →inflammation→ cataract.
  • Trauma → free radical formation (possibly) → cataract.
  • Generalized progressive retinal atrophy → complex mechanisms (not fully understood) → cataract.
  • Lens luxation.
Subsequent progress
  • Cataract development varies: cortical cataracts generally progress more quickly than capsular lesions.

Timecourse

  • Very variable: diabetic cataracts progress rapidly; post-trauma cataracts develop at very varying rates.

Diagnosis

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Treatment

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Adkins E A & Hendrix D V H (2005) Outcomes of dogs presented for cataract evaluation: a retrospective study. JAAHA 41, 235-240 PubMed.
  • Denis H M, Brooks D E, Alleman A R, Andrew S E & Plummer C (2003) Detection of anti-lens crystallin antibody in dogs with and without cataracts. Vet Ophthalmol (4), 321-327 PubMed.
  • Williams D L, Boydell I P & Long R D (1996) Current concepts in the management of canine cataract: a survey of techniques used by surgeons in Britain, Europe and the USA and a review of recent literature.​ Vet Rec 138 (15), 347-353 PubMed.

Other sources of information

  • Nasisse M P & Davidson M B (1999)Surgery of the lens.In:Veterinary Ophthalmology.3rd edn. Lippincott, Williams & Wilkins. pp 827-856.

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