Adult onset entropian in a cat

Re: Adult onset entropian in a cat

Gareth Dowdeswell — Thu, 15 Nov 2012 18:48:41 GMT

Rather belated update on this case, but it's a very quiet evening at the branch surgery!

The cat did improve on Metacam, Acular and artifical tears, the upper eyelid entropian corrected completely and the lower eyelid entropian was better but was still causing some irritation so went ahead with surgery 4 weeks ago, cat has been fine since. Thanks for all the advice!

Re: Adult onset entropian in a cat

Rajat — Mon, 13 Aug 2012 17:35:38 GMT

[quote user="Louise Alexander"]applying proxymetacaine to the eye to check for pain as a cause of the entropion, ie if it is pain and you apply proxy met, the entropion should lessen.[/quote]

I'd second this, tend to check for the spastic component of the entropion (i.e. secondary to eye inflammation) with local and if persistent then it's likely primary. Worth sending a day or so supply mhome with O as I'll find the patient anticipates you poking it in the ye with the next instrument/drop of torture and just carries on squinting local or no local!!

Re: Adult onset entropian in a cat

Louise6732 — Mon, 13 Aug 2012 16:12:27 GMT

I had a similar case last year, 10yr FN DSH, sudden onset entropion L eye, this caused a corneal ulcer. We healed the ulcer but the entropion returned. Initially I placed tacking sutures to correct the entropion temporarily, we removed these after about 2-3weeks. She was fine for about 5months when it then returned, so we fixed the entropion surgically at that point. That was back in May and so far no word from them so I assume all is well!

Opthalmologist that I spoke to about the case suggested applying proxymetacaine to the eye to check for pain as a cause of the entropion, ie if it is pain and you apply proxy met, the entropion should lessen.

Louise

Re: Adult onset entropian in a cat

Gareth Dowdeswell — Mon, 13 Aug 2012 08:44:12 GMT

Thanks for the advice so far. He's just an ordinary moggy, and quite a chubby one, so I'd be suprised if it was fat loss causing a change in conformation.

I didn't prescribe the Tiacil on either occasion for him, inherited the case from other vets, prefer Fucithalmic as my first line treatment as I think it's lubricating base helps with any eye inflammation.

Sounds like the best plan intially will be to stop the Tiacil, put him onto eye lubricants and Acular and then reassess.

Re: Adult onset entropian in a cat

Evelyn Barbour-Hill — Sat, 11 Aug 2012 13:49:25 GMT

I'm not an ophthalmologist but ( ) :

[quote user="Sarah Keir"]In my limited experience, I find that any eye inflammation can cause a tempary entropion, though in this case it is diffiucult to tell cause and effect.[/quote]

Exactly so. And some times the entropion becomes virtually permanent as the case gets into a vicious circle. I've cured such cases by reducing inflammation (with anti-inflammatory and lubricating topical treatment) as much as possible then doing the entropion operation.

[quote user="Sarah Keir"]Tiacil could well be enough to cause the severe inflammation - some ophthamologists would have us shot for using it [/quote]

Oh. I didn't know that

[quote user="Sarah Keir"]consider using topical steroids to get that inflammation under control[/quote]

The ophthalmologist who advises me shrieked with horror at the idea of a topical corticosteroid. I'd suggest you use Acular: I've found it very effective.

Re: Adult onset entropian in a cat

Sarah Keir — Sat, 11 Aug 2012 11:58:41 GMT

In my limited experience, I find that any eye inflammation can cause a tempary entropion, though in this case it is diffiucult to tell cause and effect. Tiacil could well be enough to cause the severe inflammation - some ophthamologists would have us shot for using it - so try a different eye preparation and consider using topical steroids to get that inflammation under control to tell if more cause or effect.

My tuppence,

Sarah

Re: Adult onset entropian in a cat

Noweia — Sat, 11 Aug 2012 11:04:17 GMT

Chlamidophila?

Re: Adult onset entropian in a cat

Rajat — Sat, 11 Aug 2012 10:23:52 GMT

Hi greg

Happens commonly in maine coons and such breeds as they get older. loss of periorbital fat soemtimes plays a role as older cats get skinny and the eyelids get baggy. surgical correction is curative. not aware of any diseases that predispose to it..maybe someone else will chime in..