From: Subject: =?Windows-1252?Q?=D8jenspecialisten?= Date: Sat, 4 Jan 2003 11:33:15 +0100 MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_000_0040_01C2B3E5.12220FA0"; type="text/html" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1106 This is a multi-part message in MIME format. ------=_NextPart_000_0040_01C2B3E5.12220FA0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.oejendyrlaegen.dk/arvelig_graa_staer.shtml =D8jenspecialisten

	Aarhus = Dyrehospitals=20 =D8jenafdeling

Gr=E5 St=E6r
Arvelig Cataract

Cataract

Cataract er en af = de arvelige=20 =F8jensygdomme, der optr=E6der i mange racer, og hvor en = bek=E6mpelse er sat i=20 gang i et samarbejde mellem DKK, specialklubber, opdr=E6ttere og Den = Danske=20 Dyrl=E6geforenings panel af =F8jendyrl=E6ger.

Hvad er Cataract

Cataract er det gr=E6ske navn for en = uklarhed i =F8jets=20 linse.
Linsen er placeret lige bag pupillen og = regnbuehinden, og=20 en normal linse er glasklar og gennemskinnelig.
Linsen = hj=E6lper=20 med at bryde lysets str=E5ler og dermed danne et skarpt=20 billede.
Ved cataract findes en mindre eller st=F8rre = uklarhed i=20 linsen, som forhindrer lysets adgang.
Uklarheden kan = v=E6re=20 placeret forskellige steder i linsen, og det er netop = placeringen,=20 der kan v=E6re afg=F8rende for, om det p=E5g=E6ldende = tilf=E6lde bed=F8mmes som=20 en arvelig cataract.
Cataract kan optr=E6de i det ene = =F8je, men ses=20 oftest i begge =F8jne, og udviklingen af cataracten varierer = ofte=20 meget.

Hvordan p=E5virkes synet ?

I nogle tilf=E6lde er der kun tale om = ganske sm=E5=20 uklarheder i linsen. De kan v=E6re station=E6re eller = udvikler kun sig=20 meget langsomt og n=E5r aldrig et s=E5dant omfang, at hunden = har=20 synsbesv=E6r.

Golden Retreiver, 1 =E5r med en = typisk arvelig=20 cataract. Billedet viser en posterior polar subkapsul=E6r = cataract. En=20 cataract, der er placeret bag til i linsens pol og under=20 linsekapslen. cataracten ligner et omvendt Y.	Golden retriver, 18 m=E5neder med = en typisk=20 arvelig cataract. Billedet viser en posterior polar = subkapsul=E6r=20 cataract. En cataract, der er placeret bag til i linsens pol = og=20 under linsekapslen. cataracten ligner et omvendt = Y.
I andre tilf=E6lde modnes en cataract meget = hurtigt,=20 og linsen bliver totalt uklar og m=E6lkehvid. Det = medf=F8rer, at hunden=20 bliver blind p=E5 det ene eller begge =F8jne.	Golden Retreiver, 2 =E5r En = fuldmoden=20 cataract
Miniature Puddel, 5 =E5r. En = sekund=E6r=20 cataract er udviklet som f=F8lge af sygdommen PRA.	Cataract kan hos nogle racer optr=E6de som = en sekund=E6r=20 =F8jensygdom, opst=E5et som f=F8lge af, at den prim=E6re = sygdom er=20 Progressiv Retina Atrofi (PRA).
Cataract for=E5rsager ingen=20 smerte.

Hvordan opst=E5r cataract = ?

Der findes mange =E5rsager til cataract. = Kraftig vold=20 mod =F8jet, stofskifteforstyrrelser, sukkersyge, = infektioner,=20 forgiftninger, radioaktiv str=E5ling og andre sygdomme i = =F8jet, som=20 f.eks. PRA og bet=E6ndelse i regnbuehinden.	Retreiverbl., 10 =E5r med = diabetes. En=20 fuldmoden cataract p=E5 begge =F8jne er udviklet i l=F8bet = af kort=20 tid.
En hyppig =E5rsag til cataract = er en=20 medf=F8dt arvelig fejl.

Hvorn=E5r opst=E5r cataract = ?

Cataract kan opst=E5 p=E5 et = hvilket som=20 helst tidspunkt i livsforl=F8bet.
I enkelte tilf=E6lde er den arvelige = cataract medf=F8dt,=20 men optr=E6der hyppigst i de f=F8rste =E5r af hundens = liv.	Dv=E6rg Schnauzer, 5 mdr. En = cataract, der=20 endnu kun omfatter linsesk=E6rmen.
Hos =E6ldre hunde kan ses den = s=E5kaldte=20 senile cataract. I nogle tilf=E6lde kan en cataract = v=E6re=20 for=E5rsaget af PRA. Hos alle =E6ldre hunde ses en = gr=E5bl=E5 uklarhed af=20 linsen, en s=E5kaldt senil linsesclerose, der ofte = forveksles med=20 cataract.
Ved linsesclerose er der tale om en normal=20 fysiologisk udvikling, der sj=E6ldent er =E5rsag til nedsat = syn hos=20 hunden.	Hest, 20 =E5r med = linsesclerose. Linse er=20 diffus gr=E5bl=E5lig uklar.

Hvilke racer har arvelig cataract ?

Arvelig cataract er fundet hos mange racer = her i=20 landet, bl.a. hos Afghansk Mynde, Amerikansk Cockerspaniel, = Boston=20 Terrier, Engelsk Cocker Spaniel, Dv=E6rg- og Mellempudel,=20 Retrieverracerne, Alaskan Malamute,Welsh Corgi, Dobermann,=20 Rottweiler, Gravhunde, Tibetansk Terrier, Samojedhund, = Siberian=20 Husky og flere andre racer er under mistanke. =

Hvordan nedarves cataract ?

Arvegangen er kendt hos flere racer, hvor der er tale om en = simpel=20 recessiv (vigende) nedarvning, medens arvegangen hos andre racer = anses for=20 at v=E6re dominant med forskellig gennemslagskraft (penetration). = Hos mange=20 racer er arvegangen ukendt.

Hvordan afg=F8res om en hund har cataract = ?

En dyrl=E6ge, der er medlem af Den Danske=20 Dyrl=E6geforenings =F8jenpanel, foretager en unders=F8gelse = af alle =F8jets=20 afsnit.
Denne unders=F8gelse er smertefri. Inden = unders=F8gelsen=20 dryppes =F8jnene for at udvide pupillen, hvorved hele linsen = og =F8jets=20 baggrund kan ses.
De indre dele af =F8jet og =F8jets = baggrund=20 unders=F8ges med et oftalmoskop og med speciel henblik p=E5 = linsen=20 benyttes et biomikroskop (spaltelampe), hvorved selv sm=E5 = uklarheder=20 i linsen kan ses, og placeringen af disse kan afg=F8res.=20

=D8jendyrl=E6gen bruger et=20 biomikroskob/Spaltelampe til at unders=F8ge = linsen.
Biomikroskobet=20 giver en forst=F8rrelse p=E5 10-25 x.

Stregtegningen viser det = tv=E6rsnit af linsen,=20 som dyrl=E6gen ser ved brug af spaltelampen i=20 biomikroskobet.

Er der tale om en arvelig cataract ?

De fleste tilf=E6lde af arvelig cataract skal opfylde = f=F8lgende=20 krav:

Cataracten er for den p=E5g=E6ldende race placeret et = typisk sted.=20
Cataracten forekommer i begge =F8jne.=20
Cataracten udvikler sig med tiden, i nogle tilf=E6lde = meget=20 langsomt.=20
Cataract optr=E6der hos racen med en stigende = frekvens.

I de fleste tilf=E6lde kan det med sikkerhed afg=F8res, = om der er=20 tale om et tilf=E6lde af arvelig cataract.
Vanskeligere = er det,=20 hvis uklarheden i linsen er meget lille, eller har en for = den=20 p=E5g=E6ldende race us=E6dvanlig = placering.
Unders=F8gelse af for=E6ldre og=20 afkom kan v=E6re n=F8dvendig for at afg=F8re, om der er tale = om en arvelig=20 cataract.

Bek=E6mpelse

N=E5r arvelig cataract optr=E6der i en = race, er det=20 vigtigt at alle opdr=E6ttere medvirker i bek=E6mpelsen af = denne=20 alvorlige =F8jensygdom.
Derfor b=F8r hunde, der ing=E5r i = avlen,=20 =F8jenunders=F8ges i 1 =E5rs alderen og for hanhundes = vedkommende hvert =E5r=20 og t=E6vehunde f=F8r hver parring.
Mange raceklubber har = gjort=20 =F8jenunders=F8gelsen obligatorisk, og det har betydet, at i = mange racer=20 er antallet af tilf=E6lde af cataract nedbragt v=E6sentligt. =

Behandling

Fransk Bulldog, 5 =E5r.
Total = moden=20 cataract.

En moden cataract medf=F8rer blindhed, og der findes ingen = medicinsk=20 behandling.
En operation for cataract kan gengive hunden=20 synet.
S=E5fremt cataract ikke optr=E6der sammen med sygdomme i = nethinden=20 eller andre alvorlige =F8jensygdomme, er det den enkelte ejer der = sammen med=20 dyrl=E6gen afg=F8r, om man vil give hunden synet igen ved en=20 operation.

=D8nsker du vejledning om en =F8jensygdom kan du = kontakte=20 =F8jendyrl=E6gen p=E5 Tlf. 86 28 27 88 eller udfyld her

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Gr=E5 St=E6rArvelig Cataract

Cataract

Hvad er Cataract

Hvordan p=E5virkes synet ?

Golden Retreiver, 1 =E5r med en = typisk arvelig=20 cataract. Billedet viser en posterior polar subkapsul=E6r = cataract. En=20 cataract, der er placeret bag til i linsens pol og under=20 linsekapslen. cataracten ligner et omvendt Y.

Golden retriver, 18 m=E5neder med = en typisk=20 arvelig cataract. Billedet viser en posterior polar = subkapsul=E6r=20 cataract. En cataract, der er placeret bag til i linsens pol = og=20 under linsekapslen. cataracten ligner et omvendt = Y.

Golden Retreiver, 2 =E5rEn = fuldmoden=20 cataract

Miniature Puddel, 5 =E5r.En = sekund=E6r=20 cataract er udviklet som f=F8lge af sygdommen PRA.

Hvordan opst=E5r cataract = ?

Retreiverbl., 10 =E5r med = diabetes.En=20 fuldmoden cataract p=E5 begge =F8jne er udviklet i l=F8bet = af kort=20 tid.

Hvorn=E5r opst=E5r cataract = ?

Dv=E6rg Schnauzer, 5 mdr.En = cataract, der=20 endnu kun omfatter linsesk=E6rmen.

Hest, 20 =E5r med = linsesclerose.Linse er=20 diffus gr=E5bl=E5lig uklar.

Hvilke racer har arvelig cataract ?

Hvordan nedarves cataract ?

Hvordan afg=F8res om en hund har cataract = ?

=D8jendyrl=E6gen bruger et=20 biomikroskob/Spaltelampe til at unders=F8ge = linsen.Biomikroskobet=20 giver en forst=F8rrelse p=E5 10-25 x.

Stregtegningen viser det = tv=E6rsnit af linsen,=20 som dyrl=E6gen ser ved brug af spaltelampen i=20 biomikroskobet.

Er der tale om en arvelig cataract ?

Bek=E6mpelse

Behandling

Fransk Bulldog, 5 =E5r.Total = moden=20 cataract.

Gr=E5 St=E6r
Arvelig Cataract

Golden Retreiver, 2 =E5r
En = fuldmoden=20 cataract

Miniature Puddel, 5 =E5r.
En = sekund=E6r=20 cataract er udviklet som f=F8lge af sygdommen PRA.

Retreiverbl., 10 =E5r med = diabetes.
En=20 fuldmoden cataract p=E5 begge =F8jne er udviklet i l=F8bet = af kort=20 tid.

Dv=E6rg Schnauzer, 5 mdr.
En = cataract, der=20 endnu kun omfatter linsesk=E6rmen.

Hest, 20 =E5r med = linsesclerose.
Linse er=20 diffus gr=E5bl=E5lig uklar.

=D8jendyrl=E6gen bruger et=20 biomikroskob/Spaltelampe til at unders=F8ge = linsen.
Biomikroskobet=20 giver en forst=F8rrelse p=E5 10-25 x.

Fransk Bulldog, 5 =E5r.
Total = moden=20 cataract.