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Why Does My Cat Have a Red Eye? Signs and Treatments

Spotting a red eye on your cat can be alarming. We get it – here at York Veterinary Hospital, we often hear from worried cat owners about this. A red eye could point to anything from a minor irritation to something more serious going on. The good news? Many of these issues can be effectively tackled with quick action and the right vet care, keeping your furry friend happy and healthy. Ready to learn more? We’ll walk you through the common reasons for red eyes in cats, what symptoms to look out for, how a vet diagnoses the problem, possible treatments, ways to prevent it, and when it’s time to rush to the vet. Our aim is simple: to make understanding “cat red eye” less daunting so you can confidently give your cat the best possible care.

Common Causes of Red Eyes in Cats

So, what’s behind that redness? Many things could be at play. Knowing what these possible causes are is the first step in getting your cat the help they need.

  • Conjunctivitis: Think of conjunctivitis in cats as the kitty version of pink eye, it’s inflammation of the conjunctiva, that protective membrane lining the eyelids and covering the white of the eye. Often, it’s caused by viral or bacterial infections, and it’s a pretty common reason for those red eyes. You’ll probably see your cat rubbing or scratching their eyes a lot. It’s itchy and uncomfortable for them.
  • Eye Infections: Just like us, cats can get eye infections from bacteria, viruses, or even fungi. These nasty invaders can spark inflammation and redness. A common culprit? The feline herpesvirus, especially in kittens. Fun fact: According to Cornell University‘s vet school, FHV-1 affects up to 80% of cats, often causing symptoms that keep coming back. Besides redness, you might see discharge and squinting.
  • Allergies: Believe it or not, cats get allergies, too! Pollen, dust mites, and certain foods – these allergens can irritate their eyes, just like when we get watery eyes during allergy season. You may even notice that a cat’s eye is swollen. Environmental allergens are often to blame, and a vet can help you pinpoint exactly what your cat is allergic to.
  • Eye Injuries or Trauma: We all know cats are curious creatures, and that can sometimes get them into trouble. A scratch from another animal, a run-in with a prickly plant, or even bumping into furniture can injure the eye, leading to redness and swelling. Corneal abrasions, which are often a result of these types of mishaps, can be seriously painful.
  • Glaucoma: Glaucoma means increased pressure inside the eye. This can damage the optic nerve and potentially lead to vision loss. Redness can be a key sign, particularly in sudden cases. Think of it like an overfilled balloon about to burst. The pressure causes discomfort and potential harm. Catching and managing glaucoma early can save your cat’s sight.
  • Uveitis: Uveitis is inflammation inside the eye, affecting structures like the iris. It’s often painful and can be related to other underlying health issues. Because it’s internal, it tends to cause more significant discomfort than surface-level issues. Infections, injuries, and immune problems can all trigger uveitis. A vet will need to figure out what’s causing it to properly treat it and make your cat feel better.
  • Foreign Objects in the Eye: Just like us, cats can get stuff stuck in their eyes – think dust, eyelashes, or tiny seeds. This can cause irritation, redness, and extra tearing. If your cat spends a lot of time outdoors, especially in grassy areas, this becomes more likely.

Signs and Symptoms to Watch For

Redness is the big one, but spotting other signs can point to a bigger problem brewing. Pay close attention to your cat and note any weird behaviours – it can really help your vet figure things out.

  • Redness in One or Both Eyes: This is the obvious one – redness in the white part of the eye (sclera) or around the eyelids. How intense it is can depend on what’s causing it and how bad it is. Figuring out if it’s just in one spot or all over is an important clue.
  • Swelling or Discharge: Keep an eye out for any swelling in or around the eye or eyelids. Discharge can be clear and watery or thick and pus-like, depending on the cause. The colour and consistency are important details for your vet because they can give insights into what’s going on and what kind of medication your cat needs.
  • Squinting or Pawing at the Eye: If your cat keeps squinting or pawing at their eye, it’s a strong sign they’re in discomfort or pain. It’s a protective reaction telling you something’s wrong. Pawing at the eye is instinctive when it feels irritated or painful, but it can sometimes make the condition worse.
  • Cloudiness or Changes in Vision: Any cloudiness popping up in the cornea (the clear front of the eye) or changes in how your cat sees things need to be checked out. You might notice them bumping into things or seeming less confident when they move around. This could suggest corneal damage, cataracts, or other vision-impairing issues.
  • Behavioural Changes Like Irritability or Hiding: Pain and discomfort can really mess with your cat’s behaviour. They might get grumpier, play less, or hide more than usual. Knowing what’s normal for your cat is super helpful for your vet to make an accurate diagnosis. Changes in eating habits, grooming, or how they interact with you can also provide valuable clues.

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Diagnosis by a Veterinarian

When you bring your cat to York Veterinary Hospital for a red eye, our experienced vets will do a complete exam to figure out what’s causing it. This usually involves a few steps:

  • Physical Eye Examination: First, the vet will carefully check your cat’s eye for any signs of inflammation, discharge, cloudiness, or anything else that looks off. They’ll use bright light and magnifying lenses to get a really detailed view of the eye’s structures. This thorough check lets them spot subtle changes that you might not notice with the naked eye.
  • Tests for Infections or Underlying Conditions: After the initial check, they might recommend specific tests to diagnose any infections or deeper issues. This could involve taking samples of any eye discharge for bacterial or viral cultures. These cultures help pinpoint exactly which infectious agents are at play, so they can prescribe the right treatment.
  • Assessing Intraocular Pressure for Glaucoma: To rule out glaucoma, the vet will use a tonometer to measure the pressure inside your cat’s eye. It’s quick and painless. Regular pressure checks are especially important for older cats, since glaucoma can creep up over time.
  • Using Fluorescein Dye to Detect Scratches or Ulcers: Vets use a safe orange dye called fluorescein dye to help spot any scratches or ulcers on the surface of the eye. They put the dye in the eye, then shine a special blue light on it. If there are any corneal defects, they light up green, making them easy to see and diagnose.

Treatment Options

How a red eye in cats is treated all boils down to tackling the root cause. 

  • Prescription Eye Drops or Ointments for Infections: The vet will prescribe medications like eye drops or ointments specifically to fight the infection and prevent further problems. Sticking to the medication schedule is key!
  • Anti-Inflammatory Medications: Medications that reduce swelling – either steroids or non-steroidals – might be prescribed to help with pain and related issues. It’s important to give these exactly as prescribed.
  • Pain Relief if Needed: Making sure your cat is comfortable is key. If they’re in pain, your veterinarian might prescribe medication.
  • Surgery in Severe or Chronic Cases: In cases of advanced glaucoma or corneal ulcers, surgery might be necessary to address the underlying condition. Surgical removal can bring your pet comfort, plus procedures to save their vision can be an option, too.
  • Home Care Tips to Support Treatment: Besides the vet’s medical treatment, there are things you can do at home to help your cat recover:
    • Keep it clean: Gently wipe away any discharge using damp towels.
    • Stop the scratching: An Elizabethan collar (the cone of shame!) can prevent your cat from causing additional trauma.
    • Create a comfy zone: Ensure your friend can rest well in a quiet and comfortable area.

Preventive Measures

While you can’t prevent every cause of red eyes, here are some tips to help minimize the risk:

  • Keep Cats Indoors or Safe From Injuries: Creating a safe outdoor space reduces the risk of trauma and other injuries a lot.
  • Avoid Exposure to Irritants and Allergens: Steer clear of things that might irritate your cat’s eyes and keep your home clean. Regular cleaning reduces certain risks.
  • Regular Vet Check-Ups for Early Detection: Vet visits allow for eye examinations and proper diagnosis of any upcoming problems.

When to Seek Immediate Veterinary Help

Some situations are mild and might resolve on their own, but here are a few reasons to seek immediate vet attention:

  • Persistent Redness With Swelling: Contact your vet if the redness sticks around for more than a day or if there’s any swelling.
  • Sudden Vision Changes: Contact a professional when you see any sudden changes – immediately!
  • Trauma to the Eye: Always get it checked when something happens to your cat’s eye.
  • Excessive Discharge or Pain: When there are signs of significant pain or anything that seems “way too much discharge”, contact a medical professional right away.

Seeing your cat with a red eye can be stressful, but knowing what causes it and what the treatment options are can help you keep them safe. Because it could be a sign of something bigger, diagnosis through proper measures is key.

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