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Symptoms Cats > Trauma to or foreign object in the eye
Trauma to or foreign object in the eye
Epiphora and conjunctivitis may be signs of a foreign body in the eye or eye injury due to trauma. So it’s a good idea to examine your cat’s eye thoroughly whenever there are such signs. If epiphora and/or conjunctivitis are unilateral (on one side) only, are accompanied by squinting, pawing at the eye, or other signs of pain, a thorough examination for a foreign body or eye injury must be made. The first thing to do when examining your cat’s eye is to get in a good light. Slight but extremely important changes in the eye are easily overlooked in dim light. Place the thumb of one hand just below the edge of the lower lid of the affected eye and the thumb of the opposite hand just above the edge of the upper lid. This rolls the lids away from the eyeball, allowing examination of the conjunctiva and most of the cornea. The surface of the cornea should look smooth and completely transparent. (If in doubt, compare it to the opposite, probably uninjured, eye.) Be sure to look along the edge of the third eyelid to see if there is anything protruding from behind it. It is a good idea to look under the third eyelid, but most cats with a painful eye will not allow you to lift this eyelid without some form of anesthesia. You can, however, moisten a cotton-tipped swab and move it gently along the inner surface of the lids and under the third eyelid. Occasionally a foreign body will cling to the swab and be removed, or the swab will sometimes bring a hidden foreign body into view. This must be done with extreme care to avoid injury to the cornea and should be attempted at home with only the most cooperative cat to avoid damage to both you and the pet. If you see a large object (e.g., foxtail), you can grasp it with your fingertips or a pair of tweezers and remove it. Small foreign bodies are most easily removed with a moistened cotton swab or a piece of tissue. Any foreign object not easily removed should be entrusted to a veterinarian, and any sign of irritation that persists more than a few hours following foreign body removal is reason to have the eye examined by an expert.

Examining the eye for foreign object
In most cases of foreign body in the eye or trauma to the eye examination is best performed by a veterinarian. Since a cat can’t tell you when there is eye irritation, it is often easy to overlook small but significant eye damage. Veterinarians use special eye stains to color the surface of the cornea. These stains show the presence of corneal damage not otherwise evident. Veterinarians also can give local or general anesthetic to relieve pain during examination, allowing a more thorough search.

Prolapsed third eyelid
The third eyelid (nictitating membrane, haw, see Anatomy) often moves from its normal position near the medial corners of the eyes to partially obscure the eye. When this occurs on one side only and intermittently as if blinking, it is often a sign of local irritation to that eye, such as a foreign body or damage to the cornea. When it occurs in both eyes (often described by owners as a “film over the eye”) and for prolonged periods of time (several hours to several days), it sometimes interferes with vision and can have many causes.
The most common cause of this second type of third eyelid elevation (third eyelid prolapse, haws syndrome) in a cat who seems relatively healthy is a gastrointestinal upset. Signs that often accompany this kind of third eyelid prolapse are a change in appetite, a loose stool, or transient vomiting. When the gastrointestinal disturbance is corrected, the third eyelids will return to their normal positions. Third eyelid elevation accompanied by more serious signs of illness (fever, weight loss, complete absence of appetite) should prompt you to have your cat examined by a veterinarian, since serious systemic illness such as autonomic polyganglionopathy (Key-Gaskell syndrome), a nervous system disorder, may be accompanied by third eyelid prolapse. Third eyelid prolapse that occurs in an apparently healthy cat displaying no signs of illness (not even mild intestinal disturbance) is frequently without apparent cause. It usually disappears spontaneously. If, after performing a physical examination, you feel confident that your cat is healthy you may then choose to wait and watch your cat for a few days in hopes that the problem will quickly correct itself. If prolapse is severe enough to interfere with vision, your veterinarian can supply you with a prescription for eye drops that will provide temporary symptomatic relief, if no evidence of general illness is found when he or she examines your cat.



 
 
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