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One caveat if, during gestation, there is evidence of ill-health in the dam, cataracts may be the result of damage to the developing puppies. Most experienced breeders are very aware of the need to keep pregnant dams well-nourished and free from exposure to potentially damaging viruses and chemicals in the environment. In the event that a litter is delivered and one or more pups develop cataracts, the breeder has a responsibility to 1) seek veterinary diagnosis and discuss treatment options for affected pups, 2) examine the breeding and pedigree of both dam and sire for similar problems (or the presence of other congenital defects from this paired breeding), and 3) refrain from breeding either sire or dam until the relationship of breeding to cataract development can be clearly determined. As noted above, hereditary cataracts were identified as a significant problem in the Miniature Schnauzer breed in the 1970s and 1980s. Following the leadership provided by breed associations, veterinarians and research scientists, this autosomal recessive trait was identified and bred against, resulting in a substantial decrease in the incidence of the disease in Miniature Schnauzers today. By identifying those dogs that are carriers of the disease and not breeding them, juvenile cataracts can be controlled and eventually eliminated. The importance of keeping accurate breeding records and long-term follow-up on litters cannot be understated. Potential owners need to do an extensive background check before purchasing a Westie from a breeder. These potential Westie owners need to be sure there are accurate records for each damn and sire, a solid bloodline, and no overt problems or diseases noted in each litter from the time of whelping. If Westie owners and breeders work together, this disease will eventually be eliminated from breeding stock. Treatment of Cataracts Although there is no cure for cataracts, treatment can be highly successful and is recommended for two reasons. First, the presence of cataractous lenses can lead to the development of serious eye diseases such as glaucoma. The breakdown of cataracts can cause inflammation in the eye (panophthalmitis), which leads to squinting, tearing or watering of the eye, and increased redness of the conjunctiva, the white part of the eye. Both glaucoma and panophthalmitis can be serious and progressive problems, potentially leading to blindness. Second, the presence of even small cataracts can lead to losses of visual acuity for affected dogs. In many cases, dogs will learn to compensate for small visual defects by head turning and memorizing their environment. However, if there is evidence that dogs with cataracts cannot find their way in the environment (bumping into objects, reluctance to walk or run, difficulty in finding sources of food and water), consultation should be sought with your veterinarian. Surgery to remove lenses with cataracts and replacement with artificial lenses is a common and effective method of treatment for dogs with cataracts. Surgery can be performed to remove the cataract, as long as the rest of the eye is healthy and the dog is healthy enough to undergo general anesthesia (although cataract removal in humans does not require general anesthesia, canines must be completely anesthetized for lens removal/replacement). A good outcome of surgery is dependent upon the selection of the patient, surgical technique, and perioperative (referring to the time period surrounding surgery, before, during, and after) screening and therapy. Patients are selected based on a number of different criteria including age, health, and progression of the disease. Increased age makes surgery slightly more risky because it will be harder for the animal to tolerate anesthesia and for the body to recover and heal itself post operatively.

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