A Clinical Case from the Archives : 07/09/2005

This 12 year old cat is brought to you as an emergency with haemorrhage in the eye. What might be the causes for this and how might you elucidate which is responsible?

This could conceivably be trauma or anterior uveitis but notice that the rest of the iris is pretty normal. In a cat of this age I’d be worried about a hypertensive episode. What is the other eye like? Here we can see a detached retina suggestive of hypertensive retinopathy. Blood pressure was 220/180mmHg and treatment with amlodipine at 0.625mg/day orally prevented any further haemorrhage and eventually yielded a relatively normal retina in the fellow eye.

 

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