I, of course, had a freak out the night before my 8 year old
dog Mason’s surgery. I was unsure
if I was making the right decision.
It’s a lot of pressure making a big decision like that for another
being. I was put at ease after I did a couple hours of late-night Google
searching and read so many amazing recovery stories of dog eye removal,
however, I found very little about tooth removal and nothing about getting both
surgeries done at once. I wanted
to be that resource for other anxious dog moms and dads.
Mason's History:
I adopted Mason when he was 3 years old from
a rescue in Delaware, but he is originally from Taiwan. His pregnant mom was abandoned in an
apartment. The rescue took her in
and she gave birth to mason and his sister. They were in people’s homes until Mason was adopted out to a
family in Taiwan. They kept him
for 1.5 years, until they had a kid.
That’s when he was flown to the US to the sister shelter in Delaware. I think his temperament has a lot to do
with the fact that he’s never been a shelter dog. I would argue that he’s the
best dog I know, and I think many friends and anyone he’s met him for at least
5 minutes would support that claim.
He’s relatabley awkward, charms people by scratching his mustache on their legs, doesn’t beg (unless he knows you are weak), and loves getting
pets although he won’t wag his tail to show it (a clear sign of weakness). His striking good looks are only out shined by his good
behavior. He’s very low energy aka
chill, and we bring him everywhere – from local bars to friends’ parties to
weddings to art studios, and even on long canoeing and camping trips.
Mason as a puppy in Taiwan
Mason on the nose of a kayak
Mason being zip lined over a treacherous river during a camping trip
Mason on one of our many canoe and camping trips
Mason (in his altered tube with a plywood floor) and I tubing the Delaware River
Mason wearing his backpack on a hiking/camping trip with a similar sized buddy
Mason with me at work
Mason’s eye history: Mason has had a cataract in his left eye (from here on out
referred to as his “bad eye”) for at least the past couple of years. His eye looked really white and
cloudy. We’ve always figured he
didn’t have very good vision even before the cataract. He ran into a fence
once, and he loses track of his ball (excuse me, I meant sacred orb) when we
throw it often.
A stupid alley cat really threw this story off. There’s a stray cat who has a litter of
7+ kittens every season and likes to give birth to those kittens in our
neighbors alley, which is adjacent to our alley (We live in Philly – everyone
has an alley!). Mason and our
friends’ dog Banjo were of course out in the alley trying to see the cat and
kittens through the fence.
Apparently Banjo’s owner discovered a scratch on her eyebrow the next
day and thought it was probably from the momma cat. I figured Mason must have
gotten whacked too. He had a few days of squinting in his bad (left) eye. After that eye started to get better
his third eye lid would show in the evenings when he got tired on his right
eye. Another few days after that
both his eyes weren’t looking very good – constant squinting and the third eye
lid showed up in the evenings still.
I started doing hot compresses on his eyes (he had eye problems before
and the vet recommended this and it really help) for a couple of days and when
that didn’t help anything I scheduled an appointment with the vet.
Mason's eyes after the cat incident
Mason's third eyelid showing
I started going to a new vet with this appointment
(explained later) and she definitely wasn’t an ophthalmologist. She did all the eye tests and
everything was normal except he had a mature cataract (duh) and had high eye
pressure. Her pressure readings
were all over the place from 21-50 I think because she wasn't the best at taking the readings. In comparison, his other healthy eye
has consistently had the pressure of 9.
His weird eyes were not a result of the cat. They were caused by glaucoma. The vet recommended I see an ophthalmologist
in the next two weeks and she sent Mason home with a glaucoma eye drop. I found
three doggie ophthalmologists in the Philadelphia area: Upenn in Philly, VSEC
in Levittown, and Center for Animal Referral and Emergency Services (CARES) in
Langhorne all had a range of wait times for new patients from 3-12 weeks. I scheduled a far-out appointment for two
of them and told them to call me if anything opened up. CARES called back with an appointment
for Mason after a week. I was
thrilled because I had scowered the internet for info on these doctors, and the
CARES ophthalmologist had great reviews mentioning her. Dr. Martha Lowe gave
him a full exam for $135 (half the price of the other two ophthalmologists) and
I was, and still am, very impressed with her. His pressure measured 21, but he still was able to see light
and shadow in that eye. She prescribed him with two glaucoma eye drops: Cosopt (dorzolamide/timlol) and
Prednisolone acetate. On the
following visit his pressure was still high and she said he had lost the
ability to see light and shadow.
She also prescribed a third eye drop, Latanoprost, and that’s when I
noticed an improvement in Mason’s eye.
It started to look less blood shot and he started chewing rawhides
again. His pressure ended up
stabilizing in the low-mid 30s for a few visits and then it got very high
again. The ophthalmologist said
that a pressure in the 30s can be comfortable, but it’s likely the pressure
spikes and drops throughout the day, so it’s possible he’s in pain at
times. With the pressures like 50,
he definitely has a constant headache.
His eye was always bloodshot, was visibly bulging, and started to get a
blueish tint to it. The vet said
the blueness was because the pressure was so high.
Mason's bad eye with mature cataract
Mason hates the vet. Leaving the door open while we waited for the doctor helped his anxiety a lot, which helps keep his eye pressure from spiking.
Here is a list with the date and Mason’s eye pressure
measurement:
- November 22nd, 2017: 21-50. prescribed Cosopt (dorzolamide/timlol) eye drop
- November 28th: 21. prescribed 2 eye drops: Cosopt (dorzolamide/timlol) and Prednisolone acetate
- December 12th: 50. prescribed a third eye drop (Latanoprost), declared blind in bad eye
- December 28th : 33
- January 12, 2018: 67. ran of Latanoprost so he missed a few doses which explains the very high pressure
- January 19th: 50
- February 2nd: 49
- February 6th: eye removed
Mason’s mouth history:
When I adopted Mason at three years old he had already had his teeth
professionally cleaned once. I go
through periods of brushing his teeth for 2-3 months and then I’ll get out of
the habit and not brush them for a month.
His bottom teeth look very white and clean and his top back teeth
weren’t looking too hot. The ones in the way back had a lot of yellow tarter
and it was even brown in some spots.
His breath was bad, bad enough to earn him the nickname “Mr.
Stink”. I noticed his breath would
improve a lot when I would brush his teeth often. He is a slow eater.
It would take him 3-4 minutes to finish a bowl of kibble.
Mason's teeth. That small tooth next to his canine has been pretty loose for a couple of months and I knew it would have to be pulled.
Information about Glaucoma and bad teeth
There is a wealth of information about Glaucoma on the
internet and I recommend you read that.
It’s even better if you get a good vet/ophthalmologist and ask them a
ridiculous amount of questions. This is just how I understand it – in layman’s
terms as they say.
“Dr. White” checking in! (I am not any sort of doctor, this
is just a funny joke – my last name is White and I’m giving medical advice, get
it)
“DR.” WHITE’S FACTS ABOUT GLAUCOMA:
The eye is filled with clear blood that
is constantly circulating through the eye. My dog’s ophthalmologist described the eye as having a
faucet and a drain that facilitates the movement of this clear blood. When a dog has glaucoma, it’s like the
drain is filled with a bunch of rice (presumably from when you washed out the
rice pot and didn’t empty the drain catcher – c’mon I hate that!). It will still drain, but it will drain
slower than it should and the eye’s pressure will rise as a result of this slow
draining. Mason was
prescribed two eye drops at first. I don’t remember which does which but one of
them was to slow down the rate of the “faucet”, and the other was to prevent
any other “rice” from building up in the “drain”. Fun fact: I asked the ophthalmologist where it drains to and
she said it is reabsorbed by the body.
No, your dog isn’t crying tears of clear blood.
There is primary and secondary glaucoma. Primary is genetic, and secondary
is caused by something else. Primary is often caused by the dog having too
sharp of angle to their drain and is more common in specific breeds. Secondary
is often caused by diabetes, as blood sugar levels can cause the pressure to
spike so high that the dog can go blind in a number of hours. ***Glaucoma is also caused by
cataracts*** This is something I had no idea of and was never told. Signs of glaucoma are squinting, watery
eye, bloodshot eye, and bulging.
If your dog has cataracts and then you notice these signs you need to
act quickly!! If the pressure gets
high enough it will cause permanent blindness. Another fun fact: Vets refer to
the eye as the “globe”.
There is no cure for glaucoma in dogs. Human glaucoma eye drops are prescribed
but they become ineffective in a matter of months to up to two years if you are
lucky. Even glaucoma surgery
doesn’t offer a permanent solution.
“DR.” WHITE’S FACTS ABOUT BAD TEETH:
This is loosely what my vet said interpreted by my bad memory: Pockets below the gum line form when
the gum disconnects from the tooth.
Bacteria can get inside these pockets and eat away at the tooth and at
the jaw bone that holds the tooth. The result is bone loss and the tooth
becomes unstable because its roots/support system are compromised. This can cause pain that your dog just
learns to deal with. If bad teeth
are left in for a long time the bone loss will continue. This can eventually lead to the jaw
bone being broken easily because of the weak points in it!! Someone I know even has a dog that's teeth got so bad that they just cut the front half of its bottom jaw right off! And its happy as can be. The vet said the body is able to refill
the lost bone once the teeth are gone.
She also said that she knows of dogs with no teeth that are still able
to eat dry kibble! Dogs really are
amazing and resilient and that’s a fact that both certified veterinarians and
“Dr. White” can agree on!
And if you would like to read a more professional description of glaucoma and it's treatments, I recommend this website: www.animaleyecare.net/diseases/glaucoma/
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