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Cataract


  Opacity of lens is known as cataract

Cataracts are the most common cause of
      treatable blindness in dogs
   severe cataracts
    cause blindness
   By disrupting the
    ability of the lens to
    focus light rays
    onto the retina
   toy poodle,
    miniature and
    standard poodle,
    English cocker
   Spaniel, Boston
    terrier, golden
    retriever, rottweiler,
    Labrador retriever,
   Miniature
    schnauzer, bichon
    frise, and chow
    chow
   prevalence of cataracts increases with age
    in dogs
   Diabetes mellitus is the second most common cause
    of
    cataracts in the dog
   less common causes include other metabolic
    diseases, toxins, drugs, congenital abnormalities,
    dietary deficiencies,
   trauma, radiation therapy, and aging
Tapetum
      Eyeshine
      occurs in a
      wide variety of
      colors
      including blue,
      green, yellow,
      pink and red.
   Incipient cataracts
    involves <10% to 15%
    of the lens
   Immature cataracts vary widely in
    appearance and may affect only a small
    portion of the lens to almost the entire lens
   By definition,
   a tapetal reflection is apparent with
    immature cataracts, although
   vision may be diminished if the cataract is
    well developed.
A mature cataract
affects the entire lens
A mature cataract
appears as a solid
white opacity of the
lens, and affected dogs
are severely impaired
visually
   Hypermature cataracts
    have undergone
    liquefaction and
    resorption


Hypermature cataracts
 often have a crystalline
 appearancewith
 wrinkling of the lens
 capsule
A tapetal reflection may
or may not be present.

Vision with hypermature
cataracts is variable
depending upon the
degree of liquefaction.
   Congenital/ aquired
   Complete/ partial
   Stationary / progressive
   Senile/toxic
   Juvenile cataract – prognosis is good
   Capsular/ cortical/
    lamellar(bet. Lens
    nucleus and
    cortex)/nuclear/diff
    use(entire lens
    substance)
 Themost common treatment for
 cataracts is surgical removal by
 phacoemulsification.(Phaco- lens
 and emulsification- liquifying/
 breaking)
   Tests indicated
   prior to surgery include a complete
    ophthalmic examination,
    complete blood count, biochemical
    panel, urinalysis, electroretinography
    (ERG), and ocular ultrasonography.
   Discission/      Treatment
    needling : ant .
    Capsule is incised
    in cruciate fashion,
    using a cataract
    needle –
    aqu.humour in
    contact with lens
    substance-
    facilitate resorption
    – repeated many
    times
   Removal of lens :
    intracapsular (with
    capsule)- difficult in
    animals – sus.lig is
    tough
   Extra capsular
    (without capsule)-
    successful
Procedure
   Extracapsular: fix the eye ball
   Canthotomy may be done to increase the
    exposure
   Incise the cornea at limbus- graefe’s knife/
    scissors
   Incise the anterior capsule of lens
   Catract scoop is used to remove the lens
    substance
   Suture the corneal wound
   In man dissolution of the opaque lens by
    using 0.02% trypsine has been reported.

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Cataract

  • 1. Cataract Opacity of lens is known as cataract Cataracts are the most common cause of treatable blindness in dogs
  • 2. severe cataracts cause blindness  By disrupting the ability of the lens to focus light rays onto the retina  toy poodle, miniature and standard poodle, English cocker
  • 3. Spaniel, Boston terrier, golden retriever, rottweiler, Labrador retriever,  Miniature schnauzer, bichon frise, and chow chow
  • 4. prevalence of cataracts increases with age in dogs  Diabetes mellitus is the second most common cause of cataracts in the dog  less common causes include other metabolic diseases, toxins, drugs, congenital abnormalities, dietary deficiencies,  trauma, radiation therapy, and aging
  • 5. Tapetum Eyeshine occurs in a wide variety of colors including blue, green, yellow, pink and red.
  • 6. Incipient cataracts involves <10% to 15% of the lens
  • 7. Immature cataracts vary widely in appearance and may affect only a small portion of the lens to almost the entire lens
  • 8. By definition,  a tapetal reflection is apparent with immature cataracts, although  vision may be diminished if the cataract is well developed.
  • 9. A mature cataract affects the entire lens A mature cataract appears as a solid white opacity of the lens, and affected dogs are severely impaired visually
  • 10.
  • 11. Hypermature cataracts have undergone liquefaction and resorption Hypermature cataracts often have a crystalline appearancewith wrinkling of the lens capsule
  • 12. A tapetal reflection may or may not be present. Vision with hypermature cataracts is variable depending upon the degree of liquefaction.
  • 13. Congenital/ aquired  Complete/ partial  Stationary / progressive  Senile/toxic  Juvenile cataract – prognosis is good
  • 14. Capsular/ cortical/ lamellar(bet. Lens nucleus and cortex)/nuclear/diff use(entire lens substance)
  • 15.  Themost common treatment for cataracts is surgical removal by phacoemulsification.(Phaco- lens and emulsification- liquifying/ breaking)
  • 16. Tests indicated  prior to surgery include a complete ophthalmic examination,  complete blood count, biochemical panel, urinalysis, electroretinography (ERG), and ocular ultrasonography.
  • 17. Discission/ Treatment needling : ant . Capsule is incised in cruciate fashion, using a cataract needle – aqu.humour in contact with lens substance- facilitate resorption – repeated many times
  • 18. Removal of lens : intracapsular (with capsule)- difficult in animals – sus.lig is tough  Extra capsular (without capsule)- successful
  • 19. Procedure  Extracapsular: fix the eye ball  Canthotomy may be done to increase the exposure  Incise the cornea at limbus- graefe’s knife/ scissors  Incise the anterior capsule of lens  Catract scoop is used to remove the lens substance  Suture the corneal wound  In man dissolution of the opaque lens by using 0.02% trypsine has been reported.