Monthly Archives: August 2014

Jack’s cataract surgery: Lessons learned

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 Jack watching (!!) my cat Hubert 4 days post-cataract surgery. (Jack’s face is a bit pink because I’d just cleaned the area around his eyes)

Jack and I have been sidekicks for about 5 years, and I’ve always considered his adoption one of the best things I’ve ever done. He’s a sweet, affectionate little guy and an absolute joy.

Several years ago, I noticed Jack bump into the curb during a walk. That made me wonder about his visual acuity (he has juvenile cataracts), and our vet referred Jack to a veterinary ophthalmologist for evaluation. The ophthalmologist tested both eyes and found that Jack had a detached retina (along with a cataract in his left eye), and had lost all vision in that eye. He also had a cataract in his right eye but she felt surgery wasn’t indicated at that point. We’ve had yearly checkups with the ophthalmologist since then, to monitor his eye health.

Fast forward to this spring when Jack had recurring inflammation in his right eye. We went to the ophthalmologist to get it checked out. She felt cataract surgery would be helpful for Jack’s right eye, and he was scheduled for further testing to better examine his eyes. His right eye was confirmed as a good cataract surgery candidate, and we started on the pre-surgical medication regimen (eye drops). 

The period prior to surgery was a little stressful, since Jack has a lot of chronic health issues that can be challenging to manage. Thankfully, his overall health remained stable and we started the more intensive pre-surgery medication regimen on schedule last weekend. Jack was able to have cataract surgery earlier this week. 

I really didn’t know what to expect in terms of outcome. My hope was that cataract removal would significantly reduce the ongoing inflammation Jack had been having, and that some level of vision would be restored — he’s become fearful of sounds outside as he’s lost his sight. I was blown away on surgery day when the ophthalmologist’s office left a voicemail saying Jack was awake and alert, surgery had gone well, and when he awoke the ophthalmologist had determined he could see again in his right eye!

There was a minor complication during surgery which precluded insertion of an intraocular lens. Although I’d hoped for lens insertion to give him the best possible vision, the ophthalmologist explained that despite not getting a replacement lens, he’s able to focus very quickly and his vision seems very good. This feels like a great example of not allowing the perfect to be the enemy of the good. He can see again…!

We went back for our 1-day post-surgery recheck on Wednesday. Here were the results:

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We still have several weeks of post-surgery care (medication and rechecks) and I’m so glad he’s off to such a great start.

I am so grateful the surgery was able to restore Jack’s sight! I’d hoped it would help, and when we go out for walks now (post-surgery), I feel an overwhelming sense of wonder and gratitude that he can see again. Even our “quick” walks have become longer since Jack likes to stand and gaze at birds (and neighbors when they’re out). He’s noticeably more confident about approaching and interacting with neighbors… before his surgery, he’d want to visit with neighbors but seemed reticent as they’d walk closer to him.

I hadn’t expected the restoration of Jack’s vision to be such a profound experience but it’s truly been awe-inspiring to see how quickly it’s improved his quality of life.

While contemplating pursuing cataract surgery for Jack, I read several client stories online to get a better sense of their (and their dogs’) experiences. Reading their stories was helpful to me. I share Jack’s story in hopes that it’s useful to others contemplating cataract surgery for their dog.