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FELINE: Conjunctivitis


What is conjunctivitis?

Any medical term that ends in -itis means "inflammation of". Conjunctivitis is defined as inflammation of the conjunctiva. The conjunctiva is a mucous membrane, similar to the lining of the mouth and nose. This membrane, a layer of epithelial cells with mucus-secreting cells, covers the eyeball and lines the eyelids. The cat has a third eyelid, or nictitating membrane, in the inner corner of the eye, which is also covered by conjunctiva. In normal cats, the conjunctiva of the eyelids is not readily visible and has a pale, pink color. When conjunctivitis occurs, the conjunctival membranes become red and swollen and bulge from the lids. There is an increase in tear production and the tears may become cloudy. Conjunctivitis can affect one (unilateral) or both (bilateral) eyes.


What are the clinical signs of conjunctivitis?

If you see excessive tearing or watering from one or both eyes, cloudy, yellow or even greenish discharge, and prominent or reddened conjunctival membranes, your cat may have conjunctivitis. The cat should be examined immediately by your veterinarian. Your cat may squint or keep its eyes closed, because of either discomfort or photophobia (a reluctance to be in bright light) or, in severe cases, the conjunctival tissue or the third eyelid may be so swollen that it may partially or fully cover the eye.


How is conjunctivitis diagnosed?

"Because there are causes of conjunctivitis that do not directly involve the eye, a specific diagnosis may involve blood tests."


A diagnosis of conjunctivitis is made after the veterinarian rules out conditions such as a foreign body in the eye, a blocked tear duct preventing normal drainage of tears, or a corneal ulcer or other injury to the eye. Because there are causes of conjunctivitis that do not directly involve the eye, a specific diagnosis may involve blood tests.


What are some causes of conjunctivitis?

Causes of conjunctivitis can be roughly divided into two categories: infections from bacteria, viruses or other infectious organisms and non-infectious causes.


Infectious Causes of Conjunctivitis

Infectious agents such as bacteria, viruses, and fungi are the most common causes of conjunctivitis in cats. In many cases, viruses such as Feline Viral Rhinotracheitis (FVR), also known as feline herpesvirus, or Feline Calicivirus are the initial cause of inflammation. Primary viral infections are often complicated by secondary bacterial infections with a variety of bacteria including Streptococci and Staphylococci. Two special organisms, Chlamydophila felis and Mycoplasma are also capable of initiating primary conjunctivitis.


Non-infectious Causes of Conjunctivitis

Breeds such as Persians, Himalayans and other longhaired breeds may be born with a turning in of the eyelids called entropion. Entropion causes corneal irritation when the eyelashes constantly rub against the eyeball. Foreign bodies such as dust or sand may become trapped inside the eyelids, or exposure to irritant chemicals may initiate conjunctivitis that may become secondarily infected. Allergies are believed to be a common cause of conjunctivitis, but the specific allergens can sometimes be difficult to identify or avoid.


How is conjunctivitis diagnosed?

Since secondary bacterial infections cause many of the symptoms, and because there is a need to reduce the immediate pain and inflammation, treatment is usually begun without a specific diagnosis. Most viral infections resolve within five to fourteen days. In cases that are not improving or where there are other animals at risk, further testing will be performed to reach a definitive diagnosis.


Specific tests will be performed, based on the medical history and results of an examination of the eye and surrounding tissues. Your veterinarian may measure the tear production and intraocular pressure (pressure within the eyes) for each eye. The cornea may be stained with fluorescein dye, to look for underlying corneal injuries or ulcers, and conjunctival scrapings or biopsies may be obtained and sent to a diagnostic laboratory for specialized testing. The nasolacrimal or tear ducts may be flushed to ensure proper drainage. Blood tests should be performed to determine if the conjunctivitis is related to a systemic condition.







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