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Covid 19 Ophthalmology for Animals - June 14, 2021

We are pleased to announce that we will begin taking steps to reopen our offices to allow for face to face visits.

The safety of our clients and employees is our highest priority and we will continue to review all available CAL/OSHA and CDC recommendations as we work towards welcoming you back inside. We ask that you please be patient with us as the rules and regulations can change quickly.

Only Vaccinated people with DVM appointments will be allowed into the building at this time, and you may choose whether or not to enter the building.

In order to keep everyone safe all persons will be required to wear a face mask indoors

Our office can only accommodate one client per pet inside of our office as it will be difficult to maintain the proper distancing at all times. You will be asked to answer some questions prior to coming inside.

Allowing inside visits will periodically impact processes and wait times.

Plexiglas shields will be installed at our front desks and hepa filtration systems will be running throughout the building.

We ask that everyone maintains the social distancing practices and utilize the hand sanitizers at the front door and within the hospital.

Once again Masks will be required inside until further notice.

Medication pickups will still be curbside.

When you arrive for your appointment, you may choose to check in via phone or text.

Please do not enter the building without an escort at any time.

Thank you for your continued patience! We look forward to seeing you soon.

Golden Retriever Pigmentary Uveitis

pdfPDF version available for download here

Pigmentary Uveitis (PU) or Pigmentary Cystic Glaucoma (PCG) is a bilateral inherited disease of Golden Retrievers. The pathogenesis of the disease is still not well understood, but there is no underlying systemic illness associated with it.

Subtle signs of early disease, including redness, make it difficult to detect a problem at home until the disease is more advanced. A veterinary ophthalmologist can detect pigment on the lens and uveal cysts (fluid-filled structures behind the iris) as the earliest signs during the ophthalmic examination. The significance of uveal cysts is still being investigated, but a relationship between the cysts and development of glaucoma has been documented. Over time, signs can progress to pigment on the corneal endothelium (inside of the cornea), posterior synechiae (adhesions), fibrinous material in the anterior chamber, cataract in the lens, and eventually glaucoma (elevated pressure inside the eye).

golden retriever pigmentary uveitisThe prevalence of this disease among Golden Retrievers in North America is estimated to be between 5-10%. Most dogs diagnosed are over the age of 5 years, and the average age at the time of diagnosis is 8-10 years old. Unfortunately the overall prognosis for the eyes is guarded with many eyes becoming blind due to glaucoma. Glaucoma is a painful disease in which the pressure inside the eye increases and causes damage to the structures responsible for vision. Elevated intraocular pressure results in the clinical signs that you may have noted at home (cloudy eye, redness, squinting). The longer the pressure in the eye is elevated, the more damage occurs to the structures in the eye responsible for vision, eventually resulting in permanent blindness. In a normal eye, fluid is constantly produced by the ciliary body and drained out the iridocorneal angle (also called the drainage angle). The iridocorneal angle has a net-like meshwork with large spaces through which the fluid flows. Secondary glaucoma is caused by obstruction of drainage of fluid from the eye through the iridocorneal angle.

Because the duration of pressure elevation is a critical factor for prognosis, acute glaucoma is an emergency and should be treated as quickly as possible to decrease the pressure. Signs of glaucoma include redness, cloudy eye, tearing, loss of vision, an enlarged or “bulging” eye, lethargy, increased sleeping, or loss of appetite. The disease causes pain and headaches when the pressure is elevated.

Glaucoma is unfortunately difficult to treat and not all cases can be resolved. The goals of therapy are to maintain a normal intraocular pressure and treat the underlying cause of the glaucoma. Unfortunately, due to the nature of the disease many animals lose vision despite treatment. For blind, painful eyes permanent resolution of glaucoma is recommended via enucleation (removal of the eye), intrascleral prosthesis (replacing the contents of the eye with silicone), or chemical ciliary body ablation (destruction of the ciliary body with an intraocular injection). Not all options are appropriate for every patient and here are pros and cons to each of these treatments, which we are happy to discuss.

We Are Ready To Help

Request an appointment with one of our veterinarian specialists to see how we can help you and your beloved pet.

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