从症状到手术：狗狗青光眼治疗综合指南

Glaucoma is a painful and often blinding disease of the canine eye. Rapid progression makes it one of the most critical emergencies in veterinary ophthalmology. This guide explains the development of 犬青光眼, outlines the key 狗患青光眼的症状, and evaluates evidence-based approaches to 狗的青光眼治疗. A clinical case study demonstrates 如何治疗狗的青光眼 in practice.

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Disease Mechanism

Glaucoma is caused by impaired outflow of aqueous humor through the iridocorneal angle. Pressure buildup damages optic nerve fibers. Unlike humans, dogs progress rapidly, often losing sight in hours or days.

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狗狗青光眼的症状

• 角膜混浊或发蓝
• Red eye with dilated episcleral vessels
• Enlarged eyeball (chronic)
• Squinting or rubbing at the eye due to pain
• 突然失明
• General behavioral changes such as anxiety or hiding

Veterinarians emphasize that these 狗患青光眼的症状 warrant emergency intervention.

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Diagnostic Approach

• 眼压测量 confirms elevated IOP.
• Gonioscopy identifies abnormal drainage angles.
• Advanced imaging (OCT, ultrasound) may help in referral centers.

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Glaucoma in Dogs Treatment

Emergency Measures

• IV mannitol or hypertonic saline
• Topical prostaglandin analogs for rapid IOP reduction

Medical Long-Term Management

• Dorzolamide-timolol combination
• Prostaglandin analogs (latanoprost at maintenance doses)

Surgical Options

• Cyclodestructive laser therapy
• 前房分流术
• 带假体的去核或切除术 for non-visual painful eyes

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Case Study: Acute Glaucoma in a Siberian Husky

病人: 5-year-old female Husky
历史: Owner reported sudden bumping into furniture and a swollen, red eye.
Exam:

• IOP: 70 mmHg (OD)
• Corneal edema, fixed dilated pupil
• Menace response absent
  治疗:
• Immediate IV mannitol + topical latanoprost
• Stabilization followed by diode laser cyclophotocoagulation
• Preventive treatment started in the other eye with dorzolamide drops
  成果:
  Vision in the affected eye was lost permanently, but pain was controlled. The contralateral eye remained visual for over 3 years with regular monitoring.

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Prognosis and Owner Education

Owners must be informed that glaucoma often affects both eyes. Lifelong monitoring is essential. Even when vision cannot be preserved, veterinary treatment ensures pain control and quality of life.

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结论

狗的青光眼 is a progressive, painful disease requiring rapid action. Recognizing 狗患青光眼的症状 and applying tailored medical or surgical 狗的青光眼治疗 strategies are crucial in managing this condition.