Veterinary Ophthalmology

Veterinary services for pet’s It’s been said that “eyes are the windows to the soul” and certainly when you look into the eyes of your beloved pets, you can see the affection and loyalty reflected there.  Unfortunately, some owners look deep into their pet’s eyes and see problems.  When your pet’s vision is at stake, veterinary ophthalmologists stand ready to take action! Veterinary Services as part of your pet’s regular check-up, the veterinarian will spend time peering into the depths of the animal’s eyes.  In the majority of cases, the doctor will see eyes that are bright, clear and free of any sort of abnormality. Occasionally though, pets present to their veterinarian with injuries, scratches or irritation to their eyes or eyelids.  Some pets have inverted eyelids (entropion) or even extra eyelashes that grow on the inner surface of the eyelid (distichiasis).  Short-faced dogs and cats often find themselves with scratched corneas from normal play and roughhousing with other pets.  Some pups will end up with a condition known as “cherry eye” where the gland of the third eyelid protrudes up and away from its normal position. In many of these cases, your veterinarian can flush the eyes, provide the right medications or possibly even perform minor surgery to protect the pet’s vision.  But, if the issue is complex, not resolving or when serious eye problems, like glaucoma, cataracts or even retinal detachments occur, veterinary ophthalmologists are often called to help the pet and pet owner. These eye specialists undergo intensive training and testing of veterinary services in order to obtain certification from the American College of Veterinary Ophthalmologists (ACVO).  After completing veterinary school, candidates for certification often complete an internship before starting a rigorous residency.  All of this extra education must be completed before the doctor attempts to pass the “board exam”.  It is not unusual for a veterinarian to spend an additional 3-4 years in preparation for a testing process that spans four days and includes written, practical and surgical sections.  All told, there are less than 375 veterinary eye specialists in the United States. These dedicated professionals often have the needed expertise and special equipment that your pet’s regular veterinarian does not have.  Delicate surgical instruments and unique diagnostic tools are just a few of the devices available to veterinary ophthalmologists.  Some of these eye doctors even have special mazes set up at their practice in order to more fully test your pet’s vision capabilities. Beyond helping dogs and cats, it is not uncommon to see ophthalmologists working with horses, birds and even zoo animals, like sea lions or dolphins! Each year, the ACVO and its members provide free eye examinations to the thousands of service animals helping disabled individuals around the country.  Partnering with veterinary companies, the ACVO has helped screen more than 6,000 animals for eye problems and donated more than $250,000 in free services to treat issues they have found.   Individuals with service animals are encouraged to visit www.acvoeyeexam.org to find locations and doctors for this annual event. In addition to this great work, the ACVO has also established the Vision for Animals Foundation.  This not-for-profit organization supports research into many of our pet’s eye disease.  More than $150,000 has been granted to researchers who are focused on eliminating the most serious problems affecting the vision of our pets. Pet owners can help their veterinarian and the veterinary ophthalmologist by addressing any eye issue promptly.  It’s important to have the eyes examined if there is any irritation or injury and to avoid using over the counter or previously prescribed medications.  Some of these might contain steroids which will hinder the healing process.  Signs that your pet is uncomfortable to include continual squinting, pawing at the eyes or even severe redness.  If you note any of these symptoms, or even your pet just doesn’t seem to see as well as he or she ages, an examination with your veterinarian is warranted. Your veterinarian will work closely with the veterinary ophthalmologist in order to do what is best for your pet and to protect his or her vision.

Itching Pets

It’s a common occurrence: Pet owners expressing feelings of frustration, helplessness and even despair from a single symptom. Their pets itch and scratch, itch and scratch — and it is not a flea problem!  Although this may not seem like a big deal, these owners suffer through sleepless nights as their pets scratch and chew and lick, all in an attempt to get some needed relief. If it’s not fleas, what can this common problem be? Atopy Seeing a beloved pet scratch often leads many owners think their pets have fleas. When trips to the veterinarian and doses of flea products fail to resolve the itchiness, it is time to think about environmental allergies, or atopy. Just like people, our pets can suffer from allergies and sensitivities to particles in the air. Many times, pollen, certain grasses and trees or even dust mites can trigger this reaction in pets. Unlike people though, our pets rarely sneeze and show signs similar to “hay fever”. Instead, our pets are itchy and they will do anything to relieve that sensation. Some pets scratch constantly, others lick and chew at certain spots, like their feet and still others might rub against carpets and furniture. This behavior, and the consistent noises and thumps produced, is often too much for many pet owners.  Sadly, some pets are relinquished to shelters or rescues due to a condition that is actually manageable. Whenever your pet is itchy, it is important to remember that external parasites or even food allergies can cause very similar symptoms. Your veterinarian must help you distinguish between flea bite allergies, food allergies or atopy. According to Dr. Kimberly Coyner, a board certified veterinary dermatologist with the Dermatology Clinic for Animals in Las Vegas, about 10% of dogs suffer from atopy and some cats can develop this condition as well. Many pets will start showing signs as early as six months of age and most will occur before the animal is five years old. Beyond the itchiness (known medically as pruritus), pets might also show recurrent skin and ear infections or seem to be obsessed with licking their paws. These symptoms most commonly occur in warm weather for pets with pollen or dust allergies, but can also occur year round in some cases. A Closeup of Dogs’ Allergy Skin Test Diagnostic tests for atopy try to determine what allergens are causing your pet’s problems. Blood tests are often convenient since they can be done by most veterinarians, but Dr. Coyner cautions that this method has drawbacks. Skin testing (similar to scratch testing in people) is the gold standard for determining what is causing your pets allergies and is more accurate than blood tests. While not simple, atopy can be managed with baths, medications, managing the environment and sometimes with immunotherapy. You’ll need good communication with your veterinarian and maybe a veterinary dermatologist! First, for pets that suffer seasonal allergies, being prepared ahead of time is key. Some mildly suffering pets can benefit from daily cool water rinses and a fragrance free shampoo one to two times weekly.  Clipping longhaired pets decreases the allergen load and makes bathing easier. Pollen counts in the home can be reduced by asking family and visitors to remove their shoes at the door. Routine vacuuming of areas that the pets frequent and washing of pet bedding in mild, fragrance free detergents can also limit the allergen exposure inside. Some pet owners opt for antihistamines to help provide relief, but experts caution that they are only effective in 30-40% of dogs. Other owners insist that “steroid shots” or pills are the answer. However steroids simply decrease the symptoms and do not solve the problem — and they are not without secondary side effects. Immunotherapy Vials Ideally, all pets with atopy would undergo skin testing and then start an allergen specific immunotherapy, guided by a veterinary dermatologist. By slowly exposing the pet to increasing quantities of the allergen, this immunotherapy can actually “desensitize” the pet and, over time, help reduce the severity of the symptoms. Dr. Coyner says that 70-75% of allergic pets respond to this treatment and it takes several months to become effective, so it is not a certain cure or a “quick-fix”.