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Eye Inflammation in Cats

"Inflammation of the cornea, known as keratitis, can cause discomfort and pain in cats. Recognize the signs and find out treatment options for keratitis, with guidance from our veterinary professionals."

Feline Keratitis Examined: An Article by Joanna Woodnutt, MRCVS, Reviewed by Catherine Barnette,...
Feline Keratitis Examined: An Article by Joanna Woodnutt, MRCVS, Reviewed by Catherine Barnette, DVM, Published on July 15, 2020, and Last Reviewed on July 31, 2025

Eye Inflammation in Cats

Eosinophilic Keratitis (EK), a chronic inflammatory disease of the ocular surface in cats, is commonly linked to an immune-mediated hypersensitivity reaction, often associated with the feline herpesvirus-1 (FHV-1) infection.

Causes and Risk Factors

EK is typically caused by hypersensitivity reactions, which may be triggered by viral infections such as FHV-1. However, the immune system's overreaction can also lead to eosinophilic infiltration and corneal inflammation. Other allergens or irritants may also play a role, although the viral association is most reported.

Preventive measures can help reduce the risk of EK in cats. Choosing kittens with a reliable vaccination history and keeping flat-faced cats indoors when they're young can help prevent keratitis.

Diagnosis and Treatment

Diagnosing EK requires a veterinary examination. The vet will examine the cat's cornea under natural light and in the dark, using a light source and applying fluorescein dye. Eosinophilic plaques take up the dye, making them visible.

Treatment options for EK include topical corticosteroids or immunosuppressive agents to reduce inflammation and suppress the immune-mediated response. Antiviral medications may be used if FHV-1 infection is confirmed or suspected to control viral replication and prevent flare-ups. Symptomatic care, such as lubricating eye drops, is also essential to maintain corneal health.

In refractory cases, other immunomodulatory therapies may be considered under veterinary guidance. In severe cases, oral antivirals and injectable steroids may be required, or surgery may be used to remove damaged cornea portions or repair damage. In some cases, contact lenses may be used as a bandage for the eye.

Cost and Prevention

The cost of treating EK in a cat can vary significantly, with a simple case costing between $100 and $200, and a complicated case costing between $750 and $1000. Preventing keratitis can be challenging, but regular vet check-ups, maintaining a healthy environment, and choosing a kitten with a reliable vaccination history can help.

In conclusion, EK is a complex condition that requires veterinary diagnosis and management. Effective treatment often involves a combination of topical medications in the form of eye drops and, in some cases, surgery or oral medications. Preventive measures can help reduce the risk of EK, making regular vet check-ups and a healthy lifestyle essential for your feline friend.

Science plays a crucial role in understanding medical-conditions like Eosinophilic Keratitis (EK), especially its association with feline herpesvirus-1 (FHV-1) infection. Eye-health is paramount in managing EK, as it affects the ocular surface of cats. To maintain the overall health-and-wellness of cats, fitness-and-exercise, mental-health, and skin-care are additionally important aspects to consider. Balanced nutrition is essential for supporting the immune system, which could potentially lessen the risk of EK developing.

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