| Disorders of the
lens are a common canine eye problem. The most frequent lens problem is
cataracts. A cataract is defined as any opacity of the crystalline lens or
its capsules. The opacities can range from minute areas that are barely
detectable to complete cataracts in which the lens suffers a total loss of
light transmission, resulting in blindness. If cataracts are extensive and
bilateral, total blindness results. Cataracts in dogs can arise from a
variety of causes such as inherited defects in lens metabolism, trauma,
nutritional deficiencies, diabetes mellitus, retinal degeneration, or
spontaneous developmental abnormalities. They may be acquired or
congenital.
The exact cause of a cataract observed in an individual dog is often
difficult to determine. Congenital cataracts may or may not be inherited.
Cataracts may be primary or secondary. Primary cataracts are the type
observed when no other ocular abnormality is present. Secondary cataracts
are those that are associated with or accompany another eye disorder, such
as generalized Progressive Retinal Atrophy (PRA). Genetic cataracts in
dogs may be either inherited in a dominant or recessive mode, or both.
Genetic factors are the most important cause of cataracts in the dog. The
age of onset, initial appearance, and rate of a cataract's progression are
often predictable for a given breed. The specific pathogenesis (mechanism)
of inheritable cataracts in dogs has not been defined, but likely results
from a variety of different defects in lens cellular metabolism.
Dominant
Cataracts: Dominant means that
only one of the two genes of a pair must be affected in order for the
individual to demonstrate the characteristic controlled by that gene. In a
true dominant, only one parent must carry in order for the offspring to be
affected. Unfortunately, it is possible to have a dominant with incomplete
penetration; i.e., transmission of the trait to offspring will result in
presence of the gene but not its expression. It is also possible to be
incompletely dominant: the phenotype differs between heterozygote and
homozygote with respect to the gene in question.
One type of cataract due to a dominant gene is a posterior polar cataract
appearing as an inverted Y or triangle, or irregular circle of opacity, at
the pole, and not associated with the hyaloid artery. These cataracts show
little tendency to progress until senile changes occur. Other types of
cataracts include those occurring in the cortical region of the lens,
cortical and polar region, and total. These are usually, but not always,
bilateral and symmetrical. Cortical cataracts progress and dogs show
defective vision at 1-3 years of age. Congenital cataracts often reveal a
posterior capsular deformity. The capsular defect in this condition
appeared as a homogenous (hyaline) staining material lacking in
continuity.
Breeds in which cataracts have been reported suggestive of a dominant type
of inheritance include Golden Retrievers, Labrador Retrievers, Pointers,
German Shepherds, and Beagles.
Recessive Cataracts: Recessive
mode of inheritance requires both genes to be present in order for a
characteristic to be expressed in an individual; i.e., both parents must
carry the gene in order for the offspring to be affected. The
recessive type cataracts are usually bilateral, symmetrical, and
progressive. This type is observed earlier, sometimes as early as a few
months of age, and progresses until total and mature at 2-3 years of age.
Marked variation in age of onset and mode of progression of cataracts is
present, especially in different breeds, and some heritable cataracts
don't become apparent until middle age. A cataract appears dense with
flecks in the pupillary region, often roughly in the form of the suture
lines. Cortical and peripheral opacities are also seen and the most dense
part is in the nuclear region of the lens.
Autosomal
recessive and Polygenic:
In veterinary ophthalmology, the two most common modes of inheritance of
cataracts are autosomal recessive and polygenic. For autosomal recessive
traits to be expressed, both parents must pass an affected gene to the
offspring, while polygenic traits are those in which many genetic factors
interact to determine the expression or lack of expression of a trait.
Those animals that have the ability to pass on autosomal recessive traits,
although they do not express the traits themselves, are carrier animals.
The most frequent type of cataracts in dogs
apparently results from a simple autosomal recessive. This type usually
occurs at a younger age than does the dominant type and progresses until
the dog is completely blind, usually between 2 and 5 years of age.
The incidence or
frequency of occurrence of cataracts varies. It is also possible that both
dominant and recessive types of inheritance could occur within the same
breed. To understand how various ocular disorders are inherited and how
their frequency can be reduced requires knowledge of both the age of onset
and the mode of inheritance of the disease.
Congenital
vs. Non-Congenital Cataracts: Two
categories represent the ages at which heritable eye diseases first become
apparent: congenital problems (problems that are present at birth) and
disorders that occur later in life. Not all congenital eye diseases are
heritable; congenital diseases, therefore, do not necessarily indicate
defective genes in a line of dogs. Two
characteristics typical of many heritable ocular disorders are late onset
and the presence of carriers. Many heritable eye problems are not apparent
until the animal is middle-aged, between 5 and 9 years old (in Newfs, late
occurring cataracts seem to appear between 18 months and 3 years).
Consequently, prospective pet owners are unable to detect a problem when
obtaining a puppy. For the same reason, it is difficult for dog breeders
to choose breed stock that is free from potentially heritable ocular
disease.
Occasionally a dog or some of its litter mates have signs of a heritable
eye disease, although the sire and dam appear normal. In this situation,
the parents are considered carriers of the disease. All of the siblings
should be considered carriers as well, unless test matings indicate
otherwise. The most prudent and appropriate approach is for those presumed
carriers to not be used in a breeding program.
Secondary
Cataracts: A secondary
cataract, for example those occurring secondary to progressive retinal
atrophy, may begin as a cortical type, often posterior with typical
appearance of vacuoles (clear spaces) arranged in a wedge-shaped area from
the periphery of the lens. These are progressive and ultimately mature to
total opacity, thus not allowing examination of the retina for presence of
retinopathy (retinal disease).
Summary
Types of inheritance have been reported and described above. Dominant
and recessive forms of this condition should be tested for and positive
breeding animals should be eliminated.
Heritable ocular disease can be passed to offspring by a genetic carrier
who does not manifest the disease or by affected dams and sires that are
too young to exhibit the disease. It is best not to use any suspected
carriers. This is the most effective way to eliminate a recessive trait
from a population. Families of dogs that have a greater occurrence of
heritable eye disease tend to have a greater number of disease carriers as
well. Animals chosen for breeding, therefore, should be distantly related,
or not related at all, to affected animals. Any
dog with cataracts for which no underlying cause can be found is
considered to have a genetic predisposition for cataract formation; these
dogs should not be bred. Depending upon the proposed mechanism of
inheritance, various recommendations against breeding relatives of the
affected animal may be made.
Breeders should have their breeding stock checked annually by a Diplomat
of the American College of Veterinary Ophthalmologists (ACVO). With early
detection, affected animals can be eliminated from a breeding program,
thus helping to decrease the frequency of the condition in that breed.
The Canine Eye
Registry Foundation
(CERF) is a nonprofit organization that registers
dogs of various breeds as being free from potentially heritable eye
disease. Registration is renewed yearly following examination by an ACVO
Diplomat. Although CERF registration does not guarantee that an animal
will never develop an ocular disorder, it does indicate that a breeder is
both knowledgeable and conscientious with regard to heritable eye disease.
CERF currently
lists four disorders for which the recommendations against breeding is the
same for all breeds:
1) Progressive Retinal Atrophy (PRA)
2) Cataract: Breeding is not recommended for any animal demonstrating
partial or complete opacity of the lens or its capsule unless the examiner
has also checked the space for "significance of above cataract is
unknown". The prudent approach is to assume cataracts to be
hereditary except in cases specifically known to be associated with
trauma, other causes of ocular inflammation, specific metabolic diseases,
persistent pupillary membrane, persistent hyaloid or nutritional
deficiencies.
3) Retinal dysplasia - geographic or detached
4) Retinal detachment
Types
of Cataracts and Recommendations
Posterior
Polar Subcapsular Cataract
Implications for the Pet Owner: Dogs affected with the
posterior subcapsular triangular cataract rarely if ever become blind.
Implications
for the Breeder: Affected dogs should not be used for breeding. The
parents should be re-examined to determine which is involved in the
transmission of the disease, although there are numerous instances in
which the manifestation of the cataract has been delayed to 6 years or
more. Although it can be argued that the lesion does not result in
blindness, breeding of two affected animals has been known to produce
blind puppies.
Anterior
Subcapsular Cataract:
Implications for the Pet Owner: The condition will not generally
interfere with the function of the animal.
Implications for the Breeder: The pattern of inheritance has not
been studied, primarily because of the late onset and relatively benign
course of the trait. But again, it is most prudent not to breed these
animals.
Peripheral
Cortical Cataract:
Implications for the Pet Owner: There is a possibility that affected
dogs will develop visual deficiencies, and regular ophthalmoscopic
evaluation of the progression of the cataract is indicated. The presence
of progressive retinal atrophy must be excluded. Cataract surgery by a
veterinary ophthalmologist is an option for those dogs with visual
impairment due to cataracts. Blind dogs are generally good pets, if kept
indoors and away from dangerous situations.
Implications for the Breeder: Although the genetic characteristics
are not known, the concerned breeder should withdraw the affected animal
from the breeding program and should make an effort to have parents,
siblings and progeny of the affected dogs carefully examined. Control will
be difficult given the late onset of this type of cataract.
Article
by Cathy Sands.
References
Ophthalmologic
Diseases; Disorders of the Lens, pp 1120-1121.
Abnormalities of the Companion Animals: Analysis of Heritability, C W
Foley, J F Lasley, G D Osweiler, Iowa State University Press.
Common Congenital and Heritable Ocular Disorders of the Dog, Paul H
Scherlie, Jr., DVM, and Stephanie L. Smedes, DVM, Cornell University, Kal
Kan Foods, Inc., 1989.
Ocular Disorders Proven or Suspected to be Hereditary in Dogs, American
College of Veterinary Ophthalmologists, 1992.
Inherited Eye Diseases in Purebred Dogs, Lionel F Rubin, DVM, University
of Pennsylvania, 1989.
Special Thanks
to Glenn A Severin, DVM, DACVO and
Steven M. Roberts, DVM, DACVO of Colorado State University who have
answered endless questions for me. September 1996
For more
information about Canine Cataracts
read the article by
Wendy Shepard Chisholm V.M.D. at:
amchessieclub.org/aeyedis1.html
Part 2 at: amchessieclub.org/aeyedis2.html
Also see the
CERF site on Cataracts:
vmdb.org/feb01.html#dxspot
More articles about Canine Eye
Disorders from the CERF site:
vmdb.org/dxspot.html
Treatment
available for Canine Cataracts:
cvm.uiuc.edu/petcolumns/showarticle.cfm?id=340
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