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Cat Forum / Health and Behavior / December 2004Entropion surgery
Hello All, My cat is due to have surgery tommorrow on both eyes to correct inturning eyelids. He's 8 and I'm a bit concerned about anaesthesia at this age. It's being done at the Royal Veterinary College by an experienced eye specialist so he's in good hands. I'm just worried because of his age. :-( Denise In the US, vets can pretest animals to make sure they will be OK under anesthesia. I'm sure your boy will be fine. Gail > Hello All, > [quoted text clipped - 8 lines] > > Denise > Hello All, > [quoted text clipped - 6 lines] > > :-( Denise, I have never heard of this. Tell me, how does it affect him? > > Hello All, > > [quoted text clipped - 8 lines] > > Denise, I have never heard of this. Tell me, how does it affect him? Entropion is when the eyelids - which also makes the eyelashes - are turned in towards the cornea. It can occur after an eye wound heals - usually after a catfight. Entropion is also another inherited "improvement" in the brachycephalic breeds - especially Persians. Its painful and corneal ulceration will occur if its left untreated too long. I sure hope this cat hasn't lived with entropion for 8 years! I have a diagram of Trichiasis/Distichiasis on my site - The illustration of Trichiasis resembles entropion - same principal, different mechanism. http://www.maxshouse.com/Ophthal_Pics/Trichiasis-Distichiasis.jpg Phil > > > Hello All, > > > [quoted text clipped - 23 lines] > > Phil Hello, The entropion occurred fairly recently after treatment for a corneal ulcer (since healed) and a sequestrum (slowly disappearing). I'm assuming they are related but I'm not sure. I adpoted the cat earlier this year just as the ulcer was developing. I'm beginning to think that he'll never be free of eye problems. Denise > > > > Hello All, > > > > [quoted text clipped - 33 lines] > > Denise Hi Denise, I'm sorry to hear about your cat's problem. Usually, corneal ulceration occurs secondary to entropion as a result of the eyelashes constantly rubbing against the corneal surface (the clear layer at the very front of the eyeball). However, both can occur as a result of a cat fight. Unless your cat is one of the Persian breeds, I don't think his eye problems are genetic. hth, Phil "Denise" <denisejoynes@aol.com> wrote > > The entropion occurred fairly recently after treatment for a corneal > ulcer (since healed) and a sequestrum (slowly disappearing). I'm > assuming they are related but I'm not sure. I adpoted the cat earlier > this year just as the ulcer was developing. I'm beginning to think > that he'll never be free of eye problems. Denise, you are wonderful for taking care of this poor boy. I hope this surgery does the trick. Is he a Persian type, e.g. with the flattish face? Hi Denise, I don't consider 8y old for a cat:) I think the vet would do a blood panel before the op to check his kidneys etc are functioning ok but ask to make sure. Best wishes to your cat for tomorrow. Let us know how he gets on. Alison > Hello All, > [quoted text clipped - 8 lines] > > Denise > Hi Denise, > I don't consider 8y old for a cat:) I think the vet would do a blood > panel before the op to check his kidneys etc are functioning ok but > ask to make sure. > Best wishes to your cat for tomorrow. Let us know how he gets on. > Alison Indeed, a couple of years ago, when mine were about 7.5, the vet made a comment about "middle-aged cats". Nowhere near old age - which sets in after they turn 12-13 AFAIC. > > Hi Denise, > > I don't consider 8y old for a cat:) I think the vet would do a blood [quoted text clipped - 6 lines] > comment about "middle-aged cats". Nowhere near old age - which sets in after > they turn 12-13 AFAIC. Cats are considered geriatric at between 8 and 12 years old.  Signaturehttp://www.mindspring.com/~slywy/ > > > Hi Denise, > > > I don't consider 8y old for a cat:) I think the vet would do a blood [quoted text clipped - 8 lines] > > Cats are considered geriatric at between 8 and 12 years old. That's crazy. My old cat was the same at 8 as she was at 4, but quite different at 20. Hello All, Many thanks for your replies. Plimsole (daft name :-) given to him by his previous owner and I didn't want to change it) will be having a blood test prior to the operation. Even if the blood test doesn't look good I don't see how they cannot choose to operate at some point. Ultimately he may lose the eye, not to mention the continuing discomfort. I suppose I'm concerned because when my mother's cat, who is a few month's older than Plim (who is 8 and 3 months),had a few teeth out recently. The vet was a little concerned about her age and suggested that she didn't undergo anaethesia again. Plim also needs his teeth scraped and has gingivitis. Obviously I'd like to deal with this - but there is a dilemma. Is the gum/tooth problem more serious than the possible problems of anaesthesia? What about the discomfort if the teeth aren't scraped? Am I overconcerned? I'll post later to update. He should be in and out the hospital today. Hopefully I can give some information/reassurance that will help others who have cats with this problem. D > Hello All, > [quoted text clipped - 4 lines] > Ultimately he may lose the eye, not to mention the continuing > discomfort. I don't want to alarm you, but you really can't wait. I don't know how deep his ulcer is - some are very small, others are large and erosive and can even erode clear through the cornea and causing the eye to rupture - not to mention the constant pain. So, treatment is *urgent*. > I suppose I'm concerned because when my mother's cat, who is a few > month's older than Plim (who is 8 and 3 months),had a few teeth out [quoted text clipped - 4 lines] > possible problems of anaesthesia? What about the discomfort if the > teeth aren't scraped? Am I overconcerned? Its normal to be concerned about anesthesia with cats of *any* age - especially middle-aged cats. However, there are steps you can take to minimize the risks. If your vet offers an inhaled anesthetic agent such as Isoflurane and a rapid acting, ultrashort acting, non-cummulative, non-barbiturate induction agents such as Propofol, I'd opt for the few (actually more than a few) extra bucks. In the event of a complication, however unlikely, the effects of Iso can be quickly reversed by simply shutting off the gas. Iso is safe enough to be recommended for geriatric cats and cats with liver/kidney diseases. Nearly all Iso is eliminated via the lungs so there's negligible systemic clearence and no "stupor" or disassociated recovery. Instead of hours or days for a full recovery, with Iso and propofol cats usually fully recover in a few minutes after the Iso is discontinued. Because of the rapid recovery after surgery, pain management is extremely important. > I'll post later to update. He should be in and out the hospital today. > Hopefully I can give some information/reassurance that will help > others who have cats with this problem. Keep the faith! Phil > > Hello All, > > [quoted text clipped - 44 lines] > > Phil Thanks Phil, I've had repiles from you you before and they've always been informative and useful. Thank you! He's home now and quite frankly he looks pathetic! Both upper and lower eyelids have been worked on. I'm sure this will be of benefit but he looks so sad tonight. At least he's made it though this one. I hope this will relieve his discomfort. Thanks to all, Dx >>> Hello All, >>> [quoted text clipped - 56 lines] > > Dx Please keep us posted on his recovery. Poor baby. > > > Hello All, > > > [quoted text clipped - 52 lines] > sure this will be of benefit but he looks so sad tonight. At least > he's made it though this one. I hope this will relieve his discomfort. I'm happy he pulled through ok! The surgery sure will relieve his discomfort! Imagine your eyelashes scraping against your cornea until it became ulcerated. If an injectible anesthetic agent was used, he'll probably feel a little groggy for a few days. But when he finally recovers, he'll be one happy cat! Please keep updated. Good luck. Phil > Hello All, > [quoted text clipped - 19 lines] > > D I think your vet sounds nice--erring on the cautious side, if at all. You sound like you are in the UK--if so, I wonder if cats are considered older at earlier ages due to the tradition of allowing them to roam? (Many studies say that they live to half the age when allowed outside unattended--and if they regularly die at 6-10 years, eight would indeed be fairly old. (...) > (Many studies say that they live to half the age when allowed outside > unattended-- Which studies would those be, then? S. > (...) > > (Many studies say that they live to half the age when allowed outside [quoted text clipped - 3 lines] > > S. Do a Google search, Stevie. I don't work for you. > Cats are considered geriatric at between 8 and 12 years old. Not in NZ they're not. > > Cats are considered geriatric at between 8 and 12 years old. > > Not in NZ they're not. I'm talking about the scientific definition of geriatric, not the perception of growing old. I can't imagine that veterinarians in NZ are that much different than anywhere else. It also varies by lifestyle. Signaturehttp://www.mindspring.com/~slywy/ >> > Cats are considered geriatric at between 8 and 12 years old. >> [quoted text clipped - 3 lines] > perception of growing old. I can't imagine that veterinarians in NZ are > that much different than anywhere else. It also varies by lifestyle. And again, I repeat, that when my cat was 7.5 the vet referred to him as "middle-aged". I don't buy that he went from middle-aged to geriatric in 6 months. Some months ago, a poster to one of the cat groups posted a link to a cat/human comparative age page. I saved the link but it went AWOL with my computer, which was walked out the front door by some charming men with a crowbar. If that poster is in this group, I would be interested to see that page again. > And again, I repeat, that when my cat was 7.5 the vet referred to him as > "middle-aged". I don't buy that he went from middle-aged to geriatric in 6 [quoted text clipped - 3 lines] > with a crowbar. If that poster is in this group, I would be interested to > see that page again. Actually, I found a few through google, and they all give the same figures as this one http://www.the-cats-meow.ca/senior1b.html If the scientific definition of geriatric includes 48-64yo humans in western society, then it's way out of whack with the accepted everday definition. 74 (14 in cat years) and I'd start agreeing with you. > Actually, I found a few through google, and they all give the same figures > as this one > > http://www.the-cats-meow.ca/senior1b.html Humans are considered geriatric at 60-65, although, again, it varies by lifestyle. I'd also look for a site that cites the research upon which their figures are based. Signaturehttp://www.mindspring.com/~slywy/ >> Actually, I found a few through google, and they all give the same >> figures [quoted text clipped - 3 lines] > > Humans are considered geriatric at 60-65, cite please although, again, it varies by > lifestyle. And therefore, in the Western World ... >>> Actually, I found a few through google, and they all give the same >>> figures [quoted text clipped - 5 lines] > > cite please Actually, let me save you the bother, you are citing the National Library of Medicine's definition, which says geriatric in human terms is 65 and above, not 65. In cat years, we are talking above 12 years, not 8-10. > > I'm talking about the scientific definition of geriatric, not the > > perception of growing old. I can't imagine that veterinarians in NZ are [quoted text clipped - 7 lines] > crowbar. If that poster is in this group, I would be interested to see that > page again. You can look up the geriatric range of cats on any of a number of reliable sites, as I did. Or you can just keep repeating yourself. :) Signaturehttp://www.mindspring.com/~slywy/ > You can look up the geriatric range of cats on any of a number of > reliable sites, as I did. I did, and I posted the results. They all said geriatric = >13 > Or you can just keep repeating yourself. :) PKB! > > You can look up the geriatric range of cats on any of a number of > > reliable sites, as I did. [quoted text clipped - 4 lines] > > PKB! You and Steve just kill me. >> > You can look up the geriatric range of cats on any of a number of >> > reliable sites, as I did. [quoted text clipped - 6 lines] > > You and Steve just kill me. No, no, no! Don't die on us! ;-) |
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