NAVLE Special Senses

Feline Cataracts Study Guide

Cataracts are opacifications of the crystalline lens that impede light transmission to the retina. While cataracts are relatively uncommon in cats compared to dogs, they represent clinically significant pathology because they are most often...

Overview and Clinical Importance

Cataracts are opacifications of the crystalline lens that impede light transmission to the retina. While cataracts are relatively uncommon in cats compared to dogs, they represent clinically significant pathology because they are most often secondary to underlying systemic disease, particularly chronic anterior uveitis. Understanding the unique etiology, diagnosis, and management of feline cataracts is essential for NAVLE success.

Unlike dogs where inherited and diabetic cataracts predominate, feline cataracts are predominantly acquired and secondary to intraocular inflammation. This distinction has important implications for diagnostic workup and prognosis.

High-YieldThe most common cause of cataracts in cats is chronic anterior uveitis, NOT diabetes mellitus or hereditary factors as seen in dogs. This is a critical species difference for board examinations.
Category Specific Causes Key Points
Uveitis-Associated (Most Common) FIP, FIV, FeLV, Toxoplasmosis, Bartonella, Systemic mycoses Chronic inflammation causes lens protein changes; usually slow progression
Hereditary/Congenital Persian, Himalayan, Birman, British Shorthair, Bengal, Russian Blue Usually bilateral; may be present at birth or develop in young cats; autosomal recessive suspected
Traumatic Penetrating wounds (cat scratches common), blunt trauma Usually unilateral; often associated with posterior synechiae
Nutritional Milk replacer deficiency (arginine, histidine), taurine deficiency Seen in hand-reared kittens; may be reversible if diet corrected early
Metabolic/Diabetic Diabetes mellitus (rare in cats) Cats have reduced aldose reductase activity in aging lens; diabetic cataracts much less common than in dogs
Lens Luxation Secondary Secondary to chronic uveitis, glaucoma Luxated lens rapidly develops cataract

Anatomy of the Feline Lens

The lens is a transparent, biconvex structure located posterior to the iris and anterior to the vitreous body. It is composed of approximately 60% protein and 40% water. The lens is enclosed within a lens capsule and held in position by zonular fibers (suspensory ligaments) attached to the ciliary body.

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