Cloudy Eye in Cats
Overview of the Feline Cloudy Eye
A cloudy eye or increased opacity of the eye is associated with reduced transparency of either the cornea, the fluid media within the eye, or the lens. This change may be described as a “film” covering the cat’s eye or as an increased cloudy “whiteness” to the cat’s eye. Cloudiness of the eye may or may not be associated with a reduction in vision.
The causes of a cloudy eye in cats typically fall into one of the following categories:
Cloudiness of the cornea, which may occur with corneal infections, corneal scarring, infiltrative inflammatory diseases of the cornea, fatty infiltration within the cornea, or corneal edema (fluid accumulation)
Cloudiness of the aqueous humor, which is the fluid that circulates within the front chamber of the eye. This may be due to the accumulation of white blood cells, protein, fatty lipids or blood.
Opacification or whitening of lens from cataract formation.
Disorders of the vitreous body, which is a gelatinous fluid between the lens and retina. These may include hemorrhage or inflammation.
What to Watch For
Physical change in the appearance of one or both eyes
Possible decrease in vision with changes in behavior
Possible squinting. Some causes of a cloudy eye are painful; others are not.
Possible discharge from the eye
Possible redness to the eye
Diagnosis of Cloudy Eye in Cats
Diagnostic tests are essential in determining the precise cause of the cloudy eye. Tests may include:
Complete medical history and physical examination
Complete ophthalmic examination including fluorescein staining of the cornea, Schirmer tear test, tonometry, slit-lamp biomicroscopy and indirect ophthalmoscopy.
Complete blood count (CBC) and biochemistry serum tests
Additional diagnostic tests may include:
Cytology, or microscopic examination of any inflammatory changes in the cornea
Bacterial culture of an infected cornea
Aspirate and analysis of any cloudy fluid from within the eye
Ultrasound examination of the eye if the retina cannot be examined
Gonioscopy of the normal eye if glaucoma is suspected. This uses an optical instrument called a gonioscope to examine the angle of the anterior chamber of the eye.
Certain serologic tests for infectious diseases
Treatment of Cloudy Eye in Cats
Successful treatment depends on obtaining an accurate diagnosis as to what tissue of the eye is cloudy and what is the underlying cause of the problem.
Optimal treatment for your cat requires a combination of home and professional veterinary care. Follow-up examinations can be critical to your cat’s health. Also, do not delay in bringing your cat to the hospital for initial examination as some causes of a cloudy eye may result in a loss of vision within a very short period of time.
In addition, do the following:
Observe the eye at least twice daily. Signs that may indicate a worsening condition include more obvious inflammation (redness), increased or altered discharge from the eye, pain (usually evident as squinting) or loss of vision.
If your cat’s vision is compromised, minimize stress and risk of injury by confining him/her to a safe area until the cause of the problem is determined.
Do not allow your cat to rub or self-traumatize the eyes. To prevent self-inflicted damage you may need to obtain a protective collar (called an Elizabethan collar or E-collar) from your veterinarian.
Do not administer human over-the-counter medicines such as Visine or other ophthalmic products designed to “reduce eye redness” or irritation as the underlying cause of the problem must be identified.
Administer all medications as prescribed and alert your veterinarian if you have any difficulty treating your cat.
In-depth Information on Cloudy Eyes in Cats
Numerous changes in the cornea of the eye may result in cloudiness, including:
Corneal ulceration or infection from bacteria, fungi or yeast
Corneal scarring from congenital defects of the eyelids; inrolling of the eyelids; exposure of the cornea to foreign bodies, drying, heat, smoke, chemicals; eye injury or trauma; inability to blink properly and protect the eye; decreased sensation on the surface of the cornea and resulting poor protection of the cornea; prior corneal surgery
Corneal inflammation from inadequate tear production (keratoconjunctivitis sicca; dry eye syndrome), certain forms of keratitis, etc.
Corneal lipid deposition that may arise with other chronic corneal diseases
Invasion of the corneal with tumor cells (rare)
Development of corneal edema associated with age or with premature degeneration of the cornea, from glaucoma, in association with inflammation of the interior of the eye, secondary to prior surgery of the cornea, etc.
Numerous changes in the front chamber and fluid of the eye may cause visible cloudiness:
Cloudiness of the fluid in the front chamber from inflammation (uveitis), hemorrhage, trauma, or leakage of fatty material into the eye (from the blood stream)
Movement of the lens into the front chamber, particularly if the lens has developed an opaque cataract or is causing corneal edema
Collapse of the chamber with movement of the iris towards the front of the eye (secondary to penetrating trauma, lens movement, glaucoma, etc.)
Growth of tumor from the iris into the front chamber
Changes of the lens that cause cloudiness in the eye include:
Nuclear sclerosis (age-related lens hardening resulting in an ‘opalescent’ color change to the lens)
Changes of the vitreous that may cause obvious clouding of the eye include:
Vitreal opacities (floaters) that accumulate with inflammation around or within vitreous
Hemorrhage into the vitreous
Detachment and forward movement of an opaque retina into the front of the vitreous