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Glaucoma And I M H A


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He mentioned surgery if these latest drops don't help, but not sure what type of surgery? I'll send a list of questions with my OH when she takes him next week.

Have you had experience with surgery? I'm not sure how I feel at the moment about trying to treat it with surgery, I kind of feel like Louis is on borrowed time after his IMHA, so wonder if it would be better to just have that eye removed and stop any discomfort from it.

This is his ophthalmologist.

Dr. Martyn King – Ophthalmology

BSc BVMS (Hons) DVOphthal, MANZCVSc MRCVS

Martyn graduated from Murdoch University in Perth, WA in 1985. He then travelled to England and worked in private practice. In 1996, Martyn completed a residency programme in ophthalmology at Bristol University and set up a successful ophthalmology specialist referral practice in the South of England. In 2002, after achieving his certificate and diploma with the RCVS, Martyn became a recognised specialist in veterinary ophthalmology, and held the position of president of the British Association of Veterinary Ophthalmologists.

Since 2005, Martyn has operated his ophthalmology practice from Rivergum Referral Services in Perth, Western Australia. He lectures at Murdoch University; was an examiner for the RCVS Diploma in 2011; and in 2012, was an examiner for the Australian and New Zealand College of Veterinary Scientists

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Some clinics do laser surgery to damage the cells that produce the fluid. Not all ophthal's offer it (or necessarily believe it works) but our clinic does. If the dog still has vision, it can be considered one last attempt to save the eye and save vision. If vision has already been lost and the IOP remains high, eye removal or having a prosthetic eye is the only real option.

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He mentioned surgery if these latest drops don't help, but not sure what type of surgery? I'll send a list of questions with my OH when she takes him next week.

Have you had experience with surgery? I'm not sure how I feel at the moment about trying to treat it with surgery, I kind of feel like Louis is on borrowed time after his IMHA, so wonder if it would be better to just have that eye removed and stop any discomfort from it.

This is his ophthalmologist.

Dr. Martyn King – Ophthalmology

BSc BVMS (Hons) DVOphthal, MANZCVSc MRCVS

Martyn graduated from Murdoch University in Perth, WA in 1985. He then travelled to England and worked in private practice. In 1996, Martyn completed a residency programme in ophthalmology at Bristol University and set up a successful ophthalmology specialist referral practice in the South of England. In 2002, after achieving his certificate and diploma with the RCVS, Martyn became a recognised specialist in veterinary ophthalmology, and held the position of president of the British Association of Veterinary Ophthalmologists.

Since 2005, Martyn has operated his ophthalmology practice from Rivergum Referral Services in Perth, Western Australia. He lectures at Murdoch University; was an examiner for the RCVS Diploma in 2011; and in 2012, was an examiner for the Australian and New Zealand College of Veterinary Scientists

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Hi

We are collecting health data to add to our system to help with breeding choices in the future - is this a registered pure bred dog?

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Some clinics do laser surgery to damage the cells that produce the fluid. Not all ophthal's offer it (or necessarily believe it works) but our clinic does. If the dog still has vision, it can be considered one last attempt to save the eye and save vision. If vision has already been lost and the IOP remains high, eye removal or having a prosthetic eye is the only real option.

Ok, thanks Kirty :)

Hi

We are collecting health data to add to our system to help with breeding choices in the future - is this a registered pure bred dog?

No he's not - he's from the UK Chinese Crested rescue group, we brought Louis and Daisy over with us when we moved. Poor bugger has had more than his fair share of issues :(

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Woo hoo, IOP has dropped right down to 12 in his right eye :happydance2: I was really worried as it seemed even redder than last week, but that may be caused by an inflammation from the new drug which we will have to monitor, but at least his IOP isn't rising and hopefully we don't have to worry about surgery for a little while yet :)

He has an anti-inflammatory now to add into the mix and re-check again next week.......

Edited by CrazyCresties
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  • 5 months later...

Louis had his regular 3 month check up last night and unfortunately the pressure has sky rocketed in his bad eye :( The drugs have reached the limit of what they can do and surgery is the next step. The ophthalmologist mentioned a Baerveldt Gonio Stunt as the surgery he would do, however Louis also has cataracts developing at a fairly steady rate.

I have to say I'm leaning toward just getting the eye removed, the pressure in his 'good' left eye has remained pretty stable and near normal over the past 15 months, so I think his vision in that eye will remain ok for a while.

With Louis recent health issues I don't think he's a dog that is going to make old bones :( So think removal maybe the simplest option for him.

What are peoples thoughts, am I being too hasty in dismissing a corrective surgery......?

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Sorry to hear this. :( If it were me, I would remove the eye. I'm assuming his vision is already pretty crappy in that eye, with the high IOP and cataracts. The glaucoma surgery can work, but it doesn't have the best success rate in my experience and it is also very expensive. You still need regular check ups, daily meds, etc. If I was in your situation, I would remove the bad eye and keep a SUPER close watch on his remaining eye - and maybe consider surgery on that eye down the track if needed.

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CC I wrote about my friends little foster dogs experience on facebook but I also know another lady who adopted a middle aged dog well over 10 years ago. She had to have one of her dogs eyes removed and a few years later the 2nd one was taken. By then her dog must have been at least 10 years old, so she was certainly a mature girl. She's now around 17 and still going strong ruling the roost so hopefully Louis has a few good years in him yet.

I really think the thought of removing an eye worries us alot more than it worries them. No more pain for him. Good luck with it and give him a hug from me.

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Thanks Kirty and Kirislin - decision made by the end of the day yesterday and he's booked in for removal of the eye on Wednesday. I don't want to put him through surgery that may or may not work, and then a possible second one down the track for the cataract anyway. My regular vet also agrees with removal. And yes Kirty, will watch that second one like a hawk!

I know he'll feel a lot better for it :)

Edited by CrazyCresties
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Poor Louis - he's had a tough deal, but he's a real battler. Just wanted to say a friend had to have an eye removed from one of her Cavs - went really well, and healed nicely - dog is coping brilliantly and quickly returned to obedience and rally. Fingers crossed things will go well for Louis next week.

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Sorry to hear this CC and hope all goes well.

Just want to remind you how amazing animals are at adapting - my one-eyed foster failure kitten (with barely half a good eye), Dizzy, is proof enough. Yes, he was just a wee thing when he had his eye removed but it still blows me away how gutsy and full of life he is. The funny things he does without thinking to make the most of what vision he has are seriously cool.

I took him to the vet to be PTS by the way.

Edited by The Spotted Devil
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