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| + | {{review}} |
| + | |
| + | ==Introduction== |
| + | [[Image:Cataract donkey.jpg|right|thumb|250px|<small><center>Complete visual impairment from advanced cataract |
| + | with continual miosis. (Image courtesy of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary])</center></small>]] |
| + | A high proportion of [http://drupal.thedonkeysanctuary.org.uk The Donkey Sanctuary’s] herd is elderly and so acquired, diffuse cataracts are very common. These are easily diagnosed. |
| + | |
| + | ==Clinical Signs== |
| + | |
| + | * The '''lens is obviously opaque''' and the '''pupil fully dilated in severe cases''' |
| + | * There is '''reduced vision''', especially in dim light |
| + | * '''Lack of a pupillary light response''' (PLR) indicates an advanced condition |
| + | * They can be unilateral or bilateral |
| + | |
| + | ==Diagnosis== |
| + | |
| + | '''Pupillary dilation''' should be achieved prior to ophthalmoscopy to check the extent of the cataract, to rule out [[Lens Luxation - Donkey|lens luxation]] and to check the fundus for [[Uveitis - Donkey|recurrent uveitis]], which will eventually cause cataracts. As most cases are secondary to [[Uveitis - Donkey|recurrent uveitis]], '''posterior synechiae''' develop due to the inflammatory response. |
| + | |
| + | <u>'''Nuclear sclerosis'''</u> can be mistaken for cataracts. This is a normal ageing response as the lens hardens and takes on a |
| + | ‘pearl-like’ appearance. However, the fundus is still visible through this. |
| + | |
| + | ==Treatment== |
| + | |
| + | '''Surgery'''' to remove the lens is useful in cases of''' congenital cataracts'''. The optimal age for surgery is during the first few months. If [[Uveitis - Donkey|recurrent uveitis]] has occurred then the success rates are lower. |
| + | |
| + | ==References== |
| + | |
| + | * Grove, V. (2008) Conditions of the eye In Svendsen, E.D., Duncan, J. and Hadrill, D. (2008) ''The Professional Handbook of the Donkey'', 4th edition, Whittet Books, Chapter 11 |
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