如何治疗犬青光眼：临床见解和病例经验

导言

Canine glaucoma is both painful and sight-threatening. Understanding 狗的青光眼治疗 requires a combination of clinical knowledge and practical decision-making. This article reviews pathophysiology, early warning signs, diagnostic protocols, and highlights a veterinary case to illustrate 如何治疗狗的青光眼 when the condition is advanced.

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病理生理学

Glaucoma is caused by imbalance between aqueous humor production and outflow. Chronic pressure damages retinal ganglion cells and optic nerve fibers. In dogs, progression is rapid compared to humans, making immediate intervention essential.

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Symptoms of 狗狗的青光眼

• Eye redness with engorged scleral vessels
• Corneal edema with cloudy appearance
• Dilated, unreactive pupil
• Eye enlargement (buphthalmos)
• 突然失明
• Pain indicators: pawing, depression, avoidance of light

这些 狗患青光眼的症状 are often first recognized by observant owners.

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诊断评估

• 眼压测量 confirms elevated IOP.
• Fundus exam shows optic disc cupping.
• Gonioscopy reveals angle anomalies.
• Ultrasound helpful when cornea opaque.

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Glaucoma in Dogs Treatment

Emergency Management

• IV mannitol
• Topical prostaglandin analogs (latanoprost)
• Topical dorzolamide + timolol combination

Long-Term Therapy

• Continued topical medication
• Prophylactic therapy in the contralateral eye

Surgical Options

• 激光环形光凝术
• Shunt implantation
• Enucleation if vision lost and pain uncontrolled

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Case Study: Secondary Glaucoma from Uveitis in a Labrador Retriever

病人: 10-year-old spayed female Labrador
历史: Chronic anterior uveitis, sudden worsening with corneal haze and severe discomfort
Exam:

• IOP: 72 mmHg OD
• Vision absent
• Uveitic flare with posterior synechiae
  治疗:
• Mannitol infusion + topical dorzolamide
• Pain control with oral NSAIDs
• Enucleation performed due to irreversibility
  成果:
  Dog recovered well post-enucleation, pain eliminated. Left eye monitored closely with prophylactic therapy.

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预后

Even with treatment, many dogs lose vision. The focus is ensuring comfort, preventing unnecessary suffering, and protecting the unaffected eye.

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结论

Glaucoma in dogs is a progressive, destructive disease. Recognizing the 狗患青光眼的症状 and knowing 如何治疗狗的青光眼 with medical and surgical approaches allows veterinarians to preserve quality of life even when vision cannot be saved.