Applying Eye Drops To Your Cat

Here are some hints and tips for applying eye medication to your pet prescribed by your veterinary surgeon.

It can be helpful to have an extra pair of hands to help hold your pet.

Firstly if there is any discharge around the eye, this should be wiped away with a damp piece of cotton wool. If you need to clean both eyes, separate pieces of cotton wool should be used to avoid cross contamination.

Gently, but firmly hold your pet’s head and tilt their nose so it points upwards. Depending on which medication has been prescribed, you may have an ointment or drops.

Ointment will be in a tube and it is important not to directly point the nozzle at the eye. Using your finger and thumb gently part your pet’s eyelids. Holding the tube approximately parallel to the eye, gently squeeze a small amount of ointment across the eye.

Your pet will usually, automatically close their eye and you can gently massage their closed eyelids to disperse the ointment evenly over their eye. Drops will usually be in a dropper bottle and this should be held vertically, upside down about half a centimetre from the eye. A drop can then be squeezed onto the eye and then massaged as mentioned above.

If you are applying medication to both eyes it is important to apply to the unaffected eye first and avoid touching the eye with the nozzle to keep cross contamination to a minimum and avoid damaging the eye.

If you have any difficulty applying the medication please let your local branch of Cinque Ports Vets know as they will be happy to help. Veterinary nurses offer free appointments during which they can apply the medication for you.

Click on the video below to watch how to apply eye drops to your cat.

Applying Eye Drops To Your Dog

Here are some hints and tips for applying eye medication to your pet prescribed by your veterinary surgeon.

It can be helpful to have an extra pair of hands to help hold your pet.

Firstly if there is any discharge around the eye, this should be wiped away with a damp piece of cotton wool. If you need to clean both eyes, separate pieces of cotton wool should be used to avoid cross contamination.

Gently, but firmly hold your pet’s head and tilt their nose so it points upwards. Depending on which medication has been prescribed, you may have an ointment or drops.

Ointment will be in a tube and it is important not to directly point the nozzle at the eye. Using your finger and thumb gently part your pet’s eyelids.

Holding the tube approximately parallel to the eye, gently squeeze a small amount of ointment across the eye.

Your pet will usually, automatically close their eye and you can gently massage their closed eyelids to disperse the ointment evenly over their eye. Drops will usually be in a dropper bottle and this should be held vertically, upside down about half a centimetre from the eye. A drop can then be squeezed onto the eye and then massaged as mentioned above.

If you are applying medication to both eyes it is important to apply to the unaffected eye first and avoid touching the eye with the nozzle to keep cross contamination to a minimum and avoid damaging the eye.

If you have any difficulty applying the medication please let your local branch of Cinque Ports Vets know as they will be happy to help. Veterinary nurses offer free appointments during which they can apply the medication for you.

Dry Eye (Keratoconjunctivitis Sicca KCS)

Dry Eye, or Keratoconjunctivitis sicca (KCS) is a very common ocular condition in dogs. One in 22 dogs are affected and in some breeds it is almost double this. Cocker Spaniels, Cavalier King Charles Spaniels, West Highland White Terriers and Shih Tzus are prone to the condition.

An adequate supply of tears is essential in eye function.  A film of tears covers the surface of the eyes.  This protects the surface of the eye, removes foreign material and debris from the eye’s surface, helps with passage of oxygen and nutrients into the eye and possesses antibacterial properties.  In most cases Dry Eye is caused by the immune system destroying the tear producing cells in the lacrimal gland.

Symptoms

Dry Eye can vary in severity. It can progress slowly and early cases may show only an intermittent conjunctivitis.  It can also be so severe that vision is lost.  Usually both eyes are affected although one may be worse than the other.

When tear production is low eyes will become itchy, feeling like the have grit in them, and a thick discharge will be produced.  The lack of protective tears means the eye will be prone to infection or ulceration.  Scarring and pigment in the surface of the eye will cause blindness, which can be permanent.

Common signs:

  • Uncomfortable, itchy eyes
  • Sticky or crusty discharge
  • Red, inflamed eyes
  • Frequent conjunctivitis, eye infections or corneal ulcers
  • Changes to the surface of the eye (cornea) e.g prominent blood vessels, patches of dark pigment 

Diagnosis

A Schirmer Tear Test will be performed if your vet suspects Dry Eye. This involves placing a special paper strip under the lower eyelid for approximately 60 seconds. This test is painless and gives an immediate result.  Wetting of the strip by tears moves a dye along the strip which changes colour. The amount of the strip which is wetted within 60 seconds is recorded. In normal dogs the dye will move 15-25mm in a minute.

Treatment

A patient with Dry Eye usually requires life-long treatment.  Regular check-ups will be an important part of monitoring your dog’s condition and their response to treatment.

Optimmune (Ciclosporine) is an eye ointment used to treat Dry Eye. It targets the altered immune response controlling painful inflammation and increasing natural tear production. This is the only treatment which addresses the underlying cause of the disease.  A small droplet, about the size of a grain of rice is applied. Twice daily treatment will usually be advised. An increase in tear production should be seen within 2 weeks although it can take up to 6 weeks to reach maximum benefit.

Other treatments:  Various tear replacement products are available to help lubricate and protect the eye. Unfortunately these need to be reapplied very frequently to keep the eye adequately moist (As often as every 30 minutes in some cases). For this reason artificial tear products alone are not practical to control Dry Eye. They are often used in the early stages. Sometimes life long tear replacement is needed in addition to Optimmune although in many cases this treatment can be stopped once natural tear production has improved.

Concurrent eye infections may be treated with antibiotic drops. Sometimes anti-inflammatory treatments will also be used until symptoms have improved.

A surgical treatment is available for Dry Eye but the procedure is not without complications and is usually only advised for cases which have failed to respond to medical treatment. Your pet would be referred to an ophthalmologist for this procedure.

Applying Optimmune

A tube of Optimmune contains 3.5g of product but is packaged in a tube that can hold up to 10g of ointment.  There will be air in the tube when you first use the product.

Store the tube at room temperature.  The ambient temperature will affect the consistency of the ointment.

Only a small droplet, about the size of a small grain of rice is needed.  This can be applied onto the eye surface or by pulling down gently on the lower eyelid and applying the ointment to the conjunctiva. A second pair of hands can be useful to hold your pet still.

Any unused product should be discarded after 1 month.

If you have any questions about your dog’s condition please contact your vet at your local branch of Cinque Ports Vets.

Our veterinary nurses are also happy to demonstrate the proper application of eye treatment.

Please see our guide to ‘Applying Eye Medication To Dogs’.

For more information please read ‘Optimmune Owner Advice Leaflet.’ or go to www.dog-dry-eye.co.uk