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Dr. Altman
Dr. Altman, Veterinarian
Category: Dog
Satisfied Customers: 13015
Experience:  Practicing small animal veterinarian for 18 years.
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Would it be better in the long term to have my dogs eye removed

Resolved Question:

would it be better in the long term to have my dogs eye removed as he has cateracts in both eyes and glaucoma in one which is being treated with eye drops.
Submitted: 2 years ago.
Category: Dog
Expert:  Dr. Altman replied 2 years ago.
Welcome! I am Dr. Altman, a licensed veterinarian and I am happy to answer your questions.
This is a tough question and I will do my best to answer succinctly to each question.
With cataracts the eyes are not painful so removing them really would not be warranted unless the glaucoma becomes more of an issue for Charlie.
With glaucoma the reason to remove the eye is if the pressures are not able to be maintained at a healthy level with the eye drops and/ or Charlie seems to be uncomfortable with the eyes which can include rubbing, scratching, lethargy, panting. Typically if we can keep the globe and save the eye it is advised because the surgery can be a new source of pain that unless absolutely necessary I would prefer to avoid.
I am a minimalist when it comes to surgery because it can be painful and if he is comfortable with the level of cataracts and glaucoma is well controlled I would continue to monitor and put off surgery as long as possible.
Please let me know if this information makes sense and any additional questions I can assist with today.
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Customer: replied 2 years ago.

how long would you recommend Charlie uses the drops for before making a decision about his eye as the pressures in his eye have not dropped much. he is on his 2nd week of eye drops.

Expert:  Dr. Altman replied 2 years ago.
If the pressures are not dropping and are still high despite the drops then unfortunately enucleation should be considered... I am so sorry you both are in this predicament...
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