Cataracts

Fasb's Owner

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Over the weekend, we were told Fasb is developing cataracts.

He’s been having a little trouble with night vision since last fall (summer?). Not a huge issue, but we noticed he had some trouble on steps after dark. Most of the time he did fine, but sometimes he seemed to pick his way down steps slowly. Didn’t really stop him from going up or down steps, or affect him otherwise, so we weren’t too concerned. We asked our vet about it, and he dismissed it and suggested we try a nightlight. He didn’t appear to be concerned.

Things seem fine if we turn on a light or nightlight after dusk. Really haven’t noticed any issues or odd behavior except when he tries steps. Hasn’t gotten any worse.

We’ve mentioned it to the vet a couple times since. He’s never seemed particularly concerned. This weekend, my wife mentioned the nightlight in passing and the vet looked at Fasb’s eyes and told her he was developing cataracts. Examining his eyes closely ourselves, we’re not sure if we’re seeing anything out of the ordinary. Sometimes we think we see a bit of hazinesss, usually not. If there is a cataract, it’s not something we’d notice if we weren’t looking for it. We’ve seen cataracts in dogs before and the issue is usually quite noticeable. Fasb’s eyes look normal to us compared to other dogs. I'm guessing this means the cataract is immature?

I’m assuming the diagnosis is correct, but I’m going to get a second opinion anyway. For one thing, our vet was no help in explaining things to my wife or answering her questions. I’m hoping I can get a different vet to answer questions for us. The nearest vet ophthalmologist is about two hours away.

I’m kinda wondering how others experiences with cataracts/declining vision have gone? I feel like Fasb’s still seeing fairly well right now, though it’s hard to tell how much is just him compensating and not letting on that there’s a problem. This isn’t a small decision for us. It’d be a major expense right now, though that’s not a big issue if we’re think it’s the right thing to do for Fasb. Our main concern, right now, is the trauma for him. Fasb’s never traveled well, and, at his age (13), it’s hard to make the 10 minute drive to the groomer without him stressing out. My wife’s first comment was that it’d be traumatic to transport him to one of the ophthalmologists the vet recommended. The nearest one is 2 hrs. away. The center the vet prefers is 3 to 4 hours away.

I feel like we need more information before we go forward. I’d like to get his eyes checked by an ophthalmologist so we have more information and a more certain diagnosis before we commit to a long road trip, but that doesn’t seem like it will be possible. I’m going to take him to another local vet for a second opinion and hope that he can/will answer questions better than our regular vet, but Fasb probably needs a specialist to get a certain diagnosis.

We’re wondering if we should wait until he shows more signs of difficulty before we consider surgery, but we don’t want him to suffer. I dunno. Are we horrible “parents” if we’re not on the phone scheduling surgery tomorrow (today’s a holiday?) Do people simply not get the surgery done? We see dogs around with obvious severe cataracts so I assume they haven’t gotten surgery. I expect the vet’s diagnosis will be proven out, but I wish I could see for myself a cataract. We feel like he either still sees well, or is doing an exceptional job compensating. The vet just assumed we would want a referral to one of the eye centers this week (according to him, they won’t see us unless Fasb’s been seen and referred by his local vet).

I’ve just kinda venting here. Opinions are welcome. I have misgivings about committing to a road trip and fairly major surgery unless we’re sure of the circumstances and understand what we’re getting into, but I also don’t want to withhold a treatment that would improve Fasb’s quality of life. In researching the issue, I read that cataracts in elderly dogs with no other contributing issues (like diabetes) are usually small enough that they don’t require surgery. Since we can’t tell what we’re looking at, if anything, we wonder if that could be the case.

Mostly, I worry about Fasb, although he seems normal at the moment, so we’re not sure how much his quality of life is actually being affected.

Not sure how to proceed. I don’t think we ever really expected to have to deal with the prospect of him going blind.

Anyway, thanks. Any opinions or similar experiences would be appreciated.
 
First of all, you are not remotely horrible parents to be taking time to access the situation and the available options before you make any decision for Fasb's eyes. Any surgery carries some risk and snap decisions are not always in the best interest.

I can't help you with any experience on staging/timing for when surgery would be appropriate if you decide to go that route. But I will share that I have had 2 senior rescues who were blind when we adopted them and to be honest once they became familiar with our home and yard they showed no overt sign of their blindness to the casual observer and led full and happy lives for the final months/years they had with us.

Please don't misunderstand and think I am advocating that you should ignore the problem and not look into all options...but if surgery is not recommended for other reasons and Fasb does lose eyesight his life will still have excellent quality as long as he has you and the environment he is used to living in. Dogs adjust so much faster and easier than we humans do to any level of handicap...and they don't wonder "why me?" or feel sorry for themselves. As long as no pain is involved, Fasb will be a 100% happy boy with or without good eyesight.

Trini
 
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First, I wouldn't equate cataracts with blindness. Upon an examination by a veterinary ophthalmologist at a CERF exam , a previous dog (not a Sheltie) was found to have a small cataract. (Our regular vet. didn't even find it and it was never a problem the eleven years the dog lived!) Aside from recommended annual appointments as per the veterinary ophthalmologist's advice, it turned out not to be a problem for the dog at all and a regular veterinarian was able to handle it in the dog's later years.

As to getting a second opinion before committing to surgery or even before bringing your loved one to see a veterinary ophthalmologist several hours away (when your dog doesn't travel well), that would be your call because you are the one who knows what your dog can tolerate. You aren't being a "bad pet parent" for wanting a second opinion. I think you are being caring.
 
Honey has cataracts and we've known since October... we have notice she doesn't go up the stairs in the dark, other than that she's fine in the dark. Honestly, I haven't even thought of the surgery bc I feel it's worse to put them thru that than vision issues. Honey's health alone is declining, I couldn't see myself ever putting her thru another surgery since her dental in November.

But it's all a matter of opinion. If you feel like it would benefit him and extend life, go for it. If you're not sure, give it time and think about it. Do some research.
 
Honey has cataracts and we've known since October... we have notice she doesn't go up the stairs in the dark, other than that she's fine in the dark. Honestly, I haven't even thought of the surgery bc I feel it's worse to put them thru that than vision issues. Honey's health alone is declining, I couldn't see myself ever putting her thru another surgery since her dental in November.

But it's all a matter of opinion. If you feel like it would benefit him and extend life, go for it. If you're not sure, give it time and think about it. Do some research.

Fasb's about in the same boat. Seems to do fine in the dark even in unfamiliar territory. He does go up and down steps at night, but seems kinda hesitant (going down, especially) if the overhead or nitelite isn't on.

Took him to a different local vet. They think he has a cataract developing (immature stage), but think it is a small one that won't require surgery. They recommended I follow up with a specialist, but thought I might want to wait and see if if affects his quality of life. They made the risks and recovery seem more serious.

We may decide to change vets. Fasb's had the same vet since he was 2 months old (we've gone elsewhere a few times, but always gone back). His vet seems good, but crusty. Communication is lacking. And, we were more satisfied when Fasb didn't require regular care for more serious issues. Part of it is that the vet is an old-school solo practitioner. But mostly, we're bugged by his cavalier attitude towards surgery. The guy never seems to have met a surgery he didn't recommend. I can't recall him telling us or any other patient that a surgery would be risky, recovery difficult, etc. Hip replacement? No problem. Recovery's a breeze. Eye surgery? Go for it. He'll be up and around in no time. Remove a tumor? 100% recovery.

He's generally conservative about medications. We find his attitude towards surgical risks odd.


Dogs adjust so much faster and easier than we humans do to any level of handicap...and they don't wonder "why me?" or feel sorry for themselves.

True, but in my opinion, that puts more stress on the human owner. Dogs will accept most anything, so it's my responsibility to make sure we don't put him through too much, even accidentally.
 
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