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Looking ahead to the New Year

I can’t believe the way time has sped along here in the Northeastern United States. We have gone from storm to storm this year, enduring “hurricanes” in the summer to heavy snow at Halloween which combined for almost 2 weeks of life without power at both my home and the clinic. No good sales on generators this holiday season you can bet! Thanks to battery powered equipment, we were able to cobble together a service for those of you with non-surgical problems that inspection, conversation and medication could provide an answer. Thanks to all who survived these times and even greater hardships. We fortunately had no structural damage here or at our homes and hopefully most of you did as well. And if you did, I also hope you had a community of family and friends to get you through.

So as we look forward to a winter season ahead (more tame than last?), I thought I would talk a bit about what dogs see when they look ahead. We commonly get the “are dogs color blind?” question and occasionally deal with visual acuity issues, so a little education on the subject seemed timely.

charlie and tess

VISION IN THE DOG

When we talk about vision in any animal, the first thought that needs to come to mind is “what does this animal do?”. In fact, just about every adaption within a species is there to facillitate it to do its job. I took a course at UC Davis when I was an undergrad called The Functional Anatomy of Vertebrate Structure. Within that course, we examined primarily the bone structure of different animals to see how it helped them fly, dig, swing or swim, for example. Adaptations such as hollow bones in birds to decrease their weight to help them fly or large flat bones to increase the surface area of the feet of turtles for pushing water were some of the many differences that we investigated. The same goes for the eye. Some animals hunt in the dark, others have to adapt to both a water and air environment, some must be able to focus accurately and quickly as they move through a complex environment. And yet the basic anatomy of the eye is same. A dog’s vision is different than ours because dogs are built to perform different tasks from a different perspective for a different reason. A fascinating book by a fellow named Walls called the Vertebrate Eye and its Adaptive Radiation gives his view on the subject of anatomical adaptations from an ocular standpoint. Let’s look at some of these variations that make the dog’s vision different than ours.

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Perspective is a good place to start. We perceive our world from on average 5-6 feet above the ground. Some small dogs may be inches above ground and others are up to waist-high level for some big dogs. Think of your children walking through a crowded event with their noses in the backs of the adults also in line. Many dogs will be in a similar line of sight when the grass is high and they are running through a field. Or how about the Shih Tzu or Sheepdog with the long haircut covering their eyes? Not only are they operating from a low vantage point, they have a curtain of thick hair to peer through. The following three pictures are taken from the exact same location just different heights off the ground to give you an idea of what your dog may be seeing. Take into consideration this does not reflect total field of view, focus or color, just the forward perspective!

Small dog perspective

Small dog perspective

Medium-sized dog perspective

Medium-sized dog perspective

Average human view

Average human view

Field of view and a feature called binocular overlap become important. The more forward your eyes are placed on your skull equates to better stereo vision and depth perception but you see a smaller amount of space around you. Predators commonly have more forwardly placed eyes so they can focus accurately on their prey when attacking. Prey, on the other hand, often have eyes placed more on the sides of their head, like a rabbit for example, so that they can see the predator sneaking up behind them. Their only defense is often to run early before the strike if they can detect the stalking prey. Dogs have forward placed eyes that give them a visual field in front of them that is approximately 240 degrees wide with 60 degrees of binocular overlap. Humans, for comparison, have a smaller visual field of 200 degrees but 140 degrees of binocular overlap since our eyes are more forwardly placed.

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Visual acuity and color vision are features that are commonly assessed in people and thus our curiosity leads us to question if they are similar in our pets. It is difficult to determine these values in non-verbal patients, but there are many tests to evaluate how well an eye focuses and processes light. Simply put, the ability of the lens to focus light on the retina and the retina’s sensitivity to this stimulus create acuity.

Different species have various ranges of accomodation, meaning whether they can focus on something in the distance as well as focus on something close by without aid. The lens can change shape via muscles and their attachments to the lens which allows it to focus. Some species may even move the lens backwards or forwards to acheive the same goal. Think of a nice camera where we twist the lens to focus the image in the viewfinder. We are changing the distance from the lens to the film until the image is sharp. Our lens does the same thing as we try to read a book. We may be able to relate to the need for reading glasses as we age which relates to stiffening of our lens and its inability now to change shape enough to focus clearly on the film, our retina. Different species can change the shape of their lens to different degrees base on their environment and needs. In addition, the resting shape of the lens varies from completely round (fish) to more oval (humans) or even bell-shaped (some owls) depending on the environment in which they live. Dogs have a more oval lens like us but less ability to change its shape and thus have a smaller range of accomodation.

dog_color_vision

The retina plays a role in image quality as well with the number, type and density of the rods and cones accounting for its function. This is a very complex area that is difficult to summarize, but dogs have a rod-rich retina which makes them better for seeing in low light and for movement. The cones are better for color vision and acuity. We have a cone-rich retina with a macula, an area with a high density of cones that is the “sweet spot” of our vision. Dogs don’t have a macula but rather a strip of retinal tissue that is more cone dense than the surrounding region but not as dense as a macula. In addition, dogs have a tapetum which is a reflective layer that helps amplify light which is another mechanism in addition to the rods to help them see when the lights are dim. Color vision is not too helpful for them for hunting and finding a mate, like in birds for example, so they are a little red-green color blind but still see a yellow-blue spectrum. I guess if dogs were more brightly colored and ate pretty flowers for dinner, their retinas may have evolved to differentiate those colors as well. But a brown dog looking for a brown meal or mate doesn’t really need good color vision to survive and thus genetics have moved them another direction. All things considered, dogs are best corrected at 20/80 meaning what we see clearly at 80 feet, they need it to be 20 feet away from them to be in clear focus. Glasses won’t improve this since the limitation is at the level of the retina, not the lens.

I could go on and on about species differences in vision but I think you get the idea. Our sensual world is different than a dog’s but we both do fine with our limitations and our specializations. Wouldn’t it be cool to experience their world for a day? I wonder what we would see, hear and smell then?

My Ten Year Anniversary

Sassie and Dr. Stuhr

Sassie and Dr. Stuhr

It has been a decade since I became the sole owner of the Animal Eye Clinic in Wilton and it stuns me to think of all that has happened over that time. When Dr. David Covitz gave me the keys and I promptly found the basement in the old clinic had flooded the next morning, it hit me right between the eyes that this was now my baby to care for and shape into the practice I wanted it to be. Ten years later, I can gladly say that the journey so far has been a pleasure and that I am happy and proud of what my business here represents to those who use our service.

From the get go, our mission has been to create a warm and friendly atmosphere where our professionalism and expertise creates an atmosphere where you as the client and your pet feel comfortable and reassured that you are in good hands. Our new location (since January 2010) is perfect as we renovated a beautiful house on a hillside property right on Route 7 to accomodate our needs as an out-patient facility. It is bright and cheery, clean with spacious exam rooms to allow examination of all your pets, big and small. My experience is that without the stress, odor and tension of a multispeciality hospital or general practice, most pets here are very comfortable and allow examinations more readily than in those other environments. We hope you will share that feeling.

But the variable that makes us shine is the personality of the staff that supports my philosophy of excellent care in a nurturing environment. My office manager, LisaMarie, technicians Chris and Christina, and receptionists Suzanne and Katie define our excellence by taking care of each individual with great pride and compassion. We take the approach that if we give you the time to learn, make educated decisions and trust the people that are handling your pets, you will be able to make a better and more confident decision than when given the facts alone in a more hectic and less friendly environment. I hire staff based on their skills in handling these situations and insure that we are a cohesive group when it comes to your pet’s care. As a single doctor practice, I rely on my staff to make many phone calls to doctors and clients to pass along information promptly. I trust my staff implicitly in this facet and they have rewarded me with their loyalty of many years devotion to this business. I could not operate without them!

I approach each client in a personal fashion, presenting the the information in the best way I feel gives you the facts in a clear and concise manner. If you need your hand held, we’ll hold it. If you are busy and need to cut to the chase, I do. And if we can’t fit you in but we can schedule a drop off and you accept a phone call with the information later, that can work for us too. We won’t skip the details to lessen the time, just have to make the time to get the information to you from me or my staff. And if we don’t have time to do the best job we can, unfortunately we might have to talk with your veterinarian on the phone and/or potentially recommend you go elsewhere to those with a different philosophy.

The Animal Eye Clinic continues to evolve over time, both in our services and our expertise. I continue to attend meetings and purchase equipment to keep our skills current. The American College of Veterinary Ophthalmologists (www.ACVO.org) is our core governing body that organizes these meetings and other continuing education seminars. It plans the annual Service Dog Month and has developed a list serve that the diplomates of the college can share to ask questions of each other about difficult cases. I continue to educate as well, speaking to local veterinary associations like in Hudson Valley this month and Fairfield County next month. All in all, we hope that if you use our service, you and your pet will be comfortable, confident and happy with the experience here in Wilton.

The Confusing World of Drugs

An ongoing concern for both doctor and patient is the use, accessibility, cost and delivery of medications for ourselves and our patients. You can’t go a day without reading in the newspaper about a recall of a drug, an unexpected side effect or misuse of a medication that created significant complication. Whether a drug is for human or veterinary use or both, there will always be questions as to how to treat, when to treat, where to get, what to expect and how cheap can I get it to make life easier for all involved.

Left me wax poetic a bit

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Spring has sprung…and with it…

Well, finally the snow has cleared and the Northeastern United States is no longer looking like the Arctic. The only snow that remains around here are the frozen remnants of the largest piles of plowed snow with bits and pieces of driveway gravel left in its wake. After a long period of hibernation, out peeks a crocus and the hints of daffodils which harken to warmer days that we strain to remember. And in a flash, people wil be complaining about the humidity and be hunting for shade! The joy of living in a seasonal climate!

As the Spring season begins,

Continue reading Spring has sprung…and with it…

Too Much White Stuff!!!

Ok, enough already! I get it, we live here for a reason, get to enjoy all the seasons and the diversity they bring to our lives. I like to ski, go sledding with my kids, build the occasional snowman. I have lived in more temporate and more severe climates so I have a nice barometer on weather variation and I do love the activities that each season allows. But I think we all agree….enough of the white stuff already! We have got nowhere to put it!

In all seriousness, we are trying our best, like most businesses, to keep ourselves

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Christmas Cheer at the AEC!!!

I had to post this picture of Ozzy Posey and his family with his festive Elizabethan collar! Fortunately his corneal erosion has finally healed. The bad news is he won’t be needing the collar any more! Merry Christmas, Ozzy!!!

Season’s Greetings!

The AEC reception area

Welcome to the Holiday edition of the Animal Eye Clinic in Wilton, Connecticut!

To date I have posted medical information and photographs of some disease states that may be of interest. But today, as Thanksgiving has quickly passed us by and the Christmas holiday bears down on us, I decided to wax poetic about something I feel strongly about: Customer Service.

I am one of those folks who really enjoys this time of year. One of the reasons is that many people seem to embrace the Christmas spirit and actually start treating people nicely, are thinking of giving

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Cataracts in the Dog

We see a lot of patients of all species that present with a complaint of cataracts in either or both eyes. I decided to post our owner information sheet that we give out if cataracts are present and cataract surgery is a consideration. A few basic points that I thought I would stress. 1) Nuclear sclerosis is an old aging change of the lens where the lenses appear grey but are not truly opaque and are often misconstrued for cataract. This is an increase in density of the lens that we see commonly in older patients. 2) Cataracts are

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The Pigmentation Continues!

We talked about melanoma in the dog and cat in the iris and iris cysts in my last post, but what about pigment on the surface of the eye? There are a number of diseases that create pigmentation on the surface in the dog and cat that are worth exploring!

Limbal Melanoma

The junction between the clear cornea and the white sclera is called the limbus and is a circular line that separates them. Melanoma can arise from here and is also considered benign. Growth, however, can occur and is more common in young animals than in old where it may remain

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Here Comes the Sun!

I can’t believe it is almost summer! Although not technically summer, the Memorial Day weekend, especially when sunny and warm, brings out the BBQ in all of us. Swimsuits come on, picnics for graduation appear, a relative’s wedding takes a weekend and the next thing you know the whole family is spending more time outdoors. This is a favorite time of year for our family with our two active boys and a growing puppy which makes us break out the hats, bug spray and the sunscreen to protect us from the newly changing environment. Fortunately, too much sun and

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