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Eye health · Dogs & cats

Eye problems in dogs and cats: redness, ulcers, dry eye and glaucoma

Understand red, painful or cloudy eyes in dogs and cats, veterinary tests, conjunctivitis, ulcers and dry eye.

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Quick answers

Is a blue-grey haze in an older dog or cat always a cataract?

No. An older dog or cat can develop nuclear sclerosis, an age-related lens change that creates a blue-grey haze but usually causes little meaningful loss of sight.

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Can a vet diagnose the cause of a dog's conjunctivitis just by looking?

Not usually. The appearance of a dog's inflamed conjunctiva often cannot show which infection, irritant or underlying eye problem caused it.

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How does a vet test a dog for dry eye?

A veterinary team can measure a dog's tear production with a Schirmer tear test, using a small paper strip placed at the eye.

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Painful eyes, urgent changes and glaucoma

Why can a sudden painful or cloudy eye be urgent in a dog or cat?

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A suddenly painful, red or cloudy eye, an enlarged-looking eye or a sudden change in vision can be a warning sign of glaucoma and needs prompt veterinary assessment.

Glaucoma raises pressure inside the eye, causing pain and damage to the retina and optic nerve that can rapidly become irreversible. The signs are not specific to glaucoma, so an eye examination and pressure measurement are needed to distinguish the cause. [1]

Why is my dog or cat squinting or keeping one eye closed?

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Squinting or holding an eye partly closed often means that the eye is painful, and a corneal ulcer is one important possible cause.

An ulcer may also cause tearing, mucoid discharge, redness or cloudiness on the eye surface. Because ulcers can worsen quickly and threaten sight, a newly painful or tightly closed eye needs prompt veterinary examination. [2]

Can a cloudy eye in a dog or cat be a sign of glaucoma?

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Yes. Cloudiness can be one sign of glaucoma in a dog or cat, especially when it appears with redness, tearing, pain or loss of vision.

Cloudiness does not identify glaucoma by itself, but glaucoma can damage sight rapidly. A sudden cloudy or painful eye therefore needs prompt veterinary assessment, including measurement of pressure inside the eye and examination of the optic nerve. [1]

Can a red eye in a dog or cat be glaucoma rather than conjunctivitis?

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Yes. Glaucoma can make a dog or cat's eye red, so redness should not automatically be assumed to be simple conjunctivitis.

Glaucoma may also cause cloudiness, tearing, pain, an enlarged-looking eye or reduced vision. Because pressure-related damage can progress rapidly, this combination needs prompt veterinary assessment and measurement of pressure inside the eye. [1]

What is the difference between primary and secondary glaucoma in dogs?

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Glaucoma in dogs is classified as primary or secondary.

Primary glaucoma begins with an inherited problem in the eye's drainage system and concerns both eyes even when only one is affected at first. Secondary glaucoma develops because another disease or injury blocks fluid outflow and may be linked to inflammation, a displaced lens, an advanced cataract, an eye mass or trauma. [1]

Can glaucoma cause sudden blindness in a cat?

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Yes. Raised pressure in a cat's eye can damage the retina and optic nerve and may lead rapidly to irreversible blindness.

Glaucoma is also painful, but signs can be vague: redness, cloudiness, tearing, an enlarged eye or a change in vision. Measuring eye pressure and examining the optic nerve are central parts of assessment. [1]

Corneal ulcers and checks for healing

What is a corneal ulcer in a dog or cat?

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A corneal ulcer is a break in the protective surface layer of the clear window at the front of a dog or cat's eye.

A shallow ulcer affects the surface cells, while a deeper ulcer extends into the supporting corneal tissue. Depth matters because deeper damage is more difficult to repair and poses a greater threat to the eye. [2]

Why is a deep corneal ulcer serious in a dog or cat?

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A deep corneal ulcer can weaken the wall of a dog or cat's eye and may eventually cause the eye to rupture or perforate.

The surface appearance does not reliably show an owner how far an ulcer extends. Veterinary examination is needed to judge its depth, look for an underlying cause and decide whether specialist assessment is warranted. [2]

How does a vet check a dog or cat for a corneal ulcer?

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A veterinary team commonly checks for a corneal ulcer with fluorescein, a coloured stain that adheres where the protective surface cells are missing.

The damaged area fluoresces green under blue light, making a surface defect easier to see. The wider examination then assesses the ulcer's depth and looks for an anatomical problem or infection that could interfere with healing. [2]

What causes corneal ulcers in dogs?

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Many corneal ulcers in dogs begin with surface trauma, such as a scratch, a foreign object, rough play or rubbing the eye.

Low tear production, inward-turning eyelids, abnormal eyelashes, chemicals and infection can also damage the cornea. When irritation continues, finding the underlying cause matters because the ulcer may not heal normally.

Chronic ear problems can also contribute when head shaking or facial rubbing causes superficial damage to the eye. [2]

What are the signs of a corneal ulcer in a dog?

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A dog with a corneal ulcer often squints or keeps the painful eye closed, with tearing, mucoid discharge, redness or surface cloudiness.

Not every ulcer shows every sign, and a small surface defect may still be very painful. Fluorescein staining during an eye examination is used to confirm whether the protective corneal surface is missing. [2]

Why can a dog's corneal ulcer get worse instead of healing?

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A dog's corneal ulcer can worsen when it is deep, infected or repeatedly irritated by an eyelid, eyelash, low tear film or another underlying problem.

Corneal damage can progress quickly and eventually threaten vision or the structure of the eye. Prompt re-examination lets the veterinary team check healing and decide whether more advanced assessment is needed. [2]

Can dry eye cause a corneal ulcer in a dog?

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Yes. Inadequate tears leave a dog's corneal surface less lubricated and protected, which can contribute to corneal ulceration.

Tears nourish the cornea and help clear debris and infectious agents. When the tear film is deficient, irritation, bacterial conjunctivitis, pigmentation, scarring and impaired vision can develop alongside an ulcer. [5]

Cataracts and age-related cloudiness

What is a cataract in a dog or cat?

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A cataract is an opaque area within the lens of a dog or cat's eye, where clouding can interfere with light reaching the retina.

Cataracts can be present from birth or develop with inflammation, metabolic disease, injury or ageing. The effect on sight depends largely on how much of the lens has become opaque. [3]

Is a blue-grey haze in an older dog or cat always a cataract?

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No. An older dog or cat can develop nuclear sclerosis, an age-related lens change that creates a blue-grey haze but usually causes little meaningful loss of sight.

Cataracts can look similar from the outside but are true lens opacities and may impair vision. A thorough eye examination can tell the two changes apart and check for inflammation or other complications. [3]

Conjunctivitis in dogs

What is conjunctivitis in dogs?

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Conjunctivitis is inflammation of the thin membrane lining a dog's eyelids and covering the white part at the front of the eye.

This membrane helps protect the eye and contributes to tears and corneal healing. When inflamed, it can become red and swollen and may produce watery, mucoid or pus-like discharge. [4]

What does conjunctivitis look like in a dog?

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Conjunctivitis in a dog commonly causes redness, swelling around the cornea, eye discharge and mild discomfort.

Those visible changes do not reveal whether infection, irritation or another problem is responsible. A veterinary history and examination, sometimes supported by tear testing or conjunctival samples, are used to investigate the underlying cause. [4]

What causes conjunctivitis in dogs?

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Conjunctivitis in dogs can be linked to infection, environmental irritation, allergy, a foreign object, dry eye or an eyelid-shape problem.

Because several different problems inflame the same membrane, the word conjunctivitis describes what the eye is doing rather than why it started. Identifying the underlying trigger is important when signs persist or return. [4]

Why does my dog have conjunctivitis in only one eye?

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Conjunctivitis in only one of a dog's eyes can be associated with a foreign object, inflammation around the tear drainage system or dry eye.

The one-sided pattern is a clue rather than a diagnosis. A veterinary history and examination, often including tear measurement and checks for foreign material or eyelid problems, help identify why the conjunctiva is inflamed. [4]

What can conjunctivitis in both of a dog's eyes mean?

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Conjunctivitis affecting both of a dog's eyes commonly occurs with viral or bacterial infection, although environmental irritants and allergens can also inflame the conjunctiva.

The both-eye pattern is a clue rather than a diagnosis because the visible appearance usually cannot identify the cause. The veterinary assessment uses the dog's history, physical examination and selected eye tests to investigate it. [4]

Can a vet diagnose the cause of a dog's conjunctivitis just by looking?

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Not usually. The appearance of a dog's inflamed conjunctiva often cannot show which infection, irritant or underlying eye problem caused it.

The assessment may combine the dog's history and eye examination with tear measurement, corneal staining or a sample from the conjunctiva. The tests chosen depend on the pattern, severity and duration of the signs. [4]

Can allergies or irritants cause conjunctivitis in dogs?

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Yes. Environmental irritants and allergens are recognised causes of conjunctivitis in dogs, and they may affect one or both eyes.

Similar redness and discharge can also come from infection, dry eye, a foreign object or an eyelid problem. Repeated or persistent episodes therefore need the underlying cause considered rather than being labelled as allergy from appearance alone. [4]

Dry eye and ongoing care in dogs

What is dry eye in dogs?

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Dry eye, also called keratoconjunctivitis sicca or KCS, occurs when a dog's tear film is too small in quantity or poor in quality.

A healthy tear film lubricates and nourishes the cornea while helping remove debris and infectious material. When it is deficient, the exposed eye surface becomes irritated and vulnerable to further damage. [5]

What does dry eye look like in a dog?

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Dry eye in a dog commonly causes painful, red eyes with thick, sticky or mucoid discharge, and it often affects both eyes.

The discharge can be mistaken for a simple infection, while chronic surface irritation may gradually cause pigment, blood vessels and scarring on the cornea. Tear testing helps identify the underlying tear-film problem. [5]

Can untreated dry eye affect a dog's sight?

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Yes. Ongoing dry eye can cause pigment, new blood vessels and scarring across a dog's cornea, which may eventually interfere with vision.

The poorly protected surface is also more vulnerable to ulcers and bacterial conjunctivitis. These complications explain why dry eye is more than a comfort problem and why regular reassessment is part of long-term care. [5]

How does a vet test a dog for dry eye?

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A veterinary team can measure a dog's tear production with a Schirmer tear test, using a small paper strip placed at the eye.

The number is interpreted alongside the appearance of the cornea and tear film, the dog's signs and results from other eye tests. A normal tear quantity does not completely exclude poor tear quality. [5]

Is dry eye in dogs usually a long-term condition?

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Yes. Dry eye in dogs commonly requires lifelong management and regular follow-up to maintain comfort, protect the cornea and monitor tear production.

The response can change over time, and surface damage may progress if control is lost. Follow-up examinations allow the veterinary team to check both tear-film function and complications such as ulceration, pigment or scarring. [5]

Conjunctivitis and herpesvirus in cats

What is conjunctivitis in cats?

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Conjunctivitis is inflammation of the thin membrane lining a cat's eyelids and covering the white part at the front of the eye.

It is common in cats and can arise from infection, irritation or another eye problem. The inflamed tissue often looks pink or red, becomes swollen and produces watery or thicker discharge. [6]

What does conjunctivitis look like in a cat?

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Conjunctivitis in a cat commonly causes redness, swollen conjunctival tissue, eye discharge and mild discomfort.

Those visible changes do not identify whether herpesvirus, bacteria, irritation or another problem is responsible. The veterinary assessment uses the cat's history, physical examination and selected tests to investigate the underlying cause. [6]

What causes conjunctivitis in cats?

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Conjunctivitis in cats is often linked to feline herpesvirus, but bacteria, foreign objects, environmental irritants and other eye problems can also cause it.

More than one factor can be present at once, particularly when a viral flare is followed by a secondary bacterial infection. The cause affects which general veterinary approach is appropriate. [6]

Why does my cat have conjunctivitis in only one eye?

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Conjunctivitis in only one of a cat's eyes can be associated with a foreign object, inflammation of the tear sac or dry eye.

Infectious conjunctivitis can also begin on one side before spreading, so laterality is only one clue. The cornea, eyelids, tear film and drainage system all need consideration when the problem remains one-sided. [6]

Why can a cat's conjunctivitis spread from one eye to the other?

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A cat's conjunctivitis can start in one eye and then involve both when a viral or bacterial infection is responsible.

The spread does not identify a particular organism, and environmental irritants or allergens can also cause conjunctivitis. Appearance alone is not enough, so the cat's history, examination and selected tests provide the wider clinical context. [6]

Can a vet diagnose the cause of a cat's conjunctivitis just by looking?

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Not usually. The visible appearance of a cat's conjunctivitis often cannot show whether infection, irritation, dry eye or another problem is responsible.

The assessment can combine history and a full eye examination with tear testing, corneal staining or laboratory examination of conjunctival material. Results are interpreted alongside the pattern and severity of the cat's signs. [6]

Can feline herpesvirus cause repeated conjunctivitis flare-ups?

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Yes. After exposure to feline herpesvirus, virtually all cats remain persistently infected, and many later develop one or more episodes of recurrent disease.

A flare can affect the conjunctiva or cornea, causing conjunctivitis, corneal ulceration or keratitis. Because recurring eye disease is part of persistent infection, a new bout does not necessarily mean the cat was exposed again. [7]

Can feline herpesvirus cause a corneal ulcer?

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Yes. Acute feline herpesvirus eye disease can cause conjunctivitis, corneal ulceration and keratitis, and it may be severe and painful.

A corneal ulcer is a break in the clear surface of the eye. Repeated herpesvirus flare-ups can also cause progressive corneal damage that may ultimately affect sight. [7]

Can repeated feline herpesvirus eye flare-ups damage a cat's sight?

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Yes. Repeated bouts of feline herpesvirus eye disease can cause progressive damage to the cornea and may ultimately lead to blindness in an affected cat.

This does not mean every flare-up will damage vision. The risk comes from repeated disease affecting the clear corneal surface, so recurring eye problems are worth taking seriously. [7]

Ulcers and dry eye in cats

What are the signs of a corneal ulcer in a cat?

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A cat with a corneal ulcer often squints or keeps the painful eye partly closed, with tearing, discharge, redness or a cloudy area on the eye surface.

The defect may not be obvious without fluorescein staining, while an ulcer can worsen quickly and threaten sight. These signs therefore warrant prompt veterinary examination even when the visible mark on the cornea looks small. [2]

Can cats get dry eye?

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Yes. Cats can develop dry eye when tear production is inadequate, although the condition is less common in cats than in dogs.

In cats, long-term feline herpesvirus infection is one recognised association. Too little tear fluid leaves the corneal surface less lubricated and less able to clear debris, which can sustain irritation. [8]

What problems can dry eye cause in a cat?

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Dry eye can cause persistent conjunctivitis with thick discharge in a cat, as well as slow-healing corneal ulcers and scarring.

The problem begins with inadequate tear production, leaving the corneal surface less protected and less able to recover. A recurring discharge can therefore reflect a tear-film problem rather than a simple isolated infection. [8]

Make the most of your vet appointment

Bring these questions and observations to the conversation.

  1. When did the eye change begin, and is one eye affected or both?
  2. Have you noticed squinting, discharge, cloudiness, rubbing or changes in vision?
  3. Which eye medicines or other treatments has your pet already received?
  4. Which tests are needed, and how will healing or long-term eye health be checked?

About the clinical review

Clinical content reviewed by Madison Blakeman BVetMed MRCVS · RCVS 7530153 on . The Paw Post prepared this guide from the reviewed answers, incorporating the reviewer's requested corrections. Answers with unresolved review comments are not included.

Published by The Paw Post. Last updated . This is general educational information; decisions about diagnosis, treatment and medicines belong with the veterinary team caring for your pet.

Sources

Open the original reference, or return to the answers it supports.

  1. acvo.orgHaeussler, D. J., Jr., & Korb, C. (2018, February 2). Glaucoma. ACVO Public. https://www.acvo.org/common-conditions-1/2018/2/2/glaucoma
    Used in 5 answers
  2. acvo.orgAmerican College of Veterinary Ophthalmologists. (2020, May 13). Corneal ulcers. ACVO Public. https://www.acvo.org/tips-treatments-tricks/corneal-ulcers
    Used in 8 answers
  3. acvo.orgConway, E. (2023, April 14). Cataracts vs. nuclear sclerosis. ACVO Public. https://www.acvo.org/tips-treatments-tricks/cataracts-vs-nuclear-sclerosis
    Used in 2 answers
  4. merckvetmanual.comGelatt, K. N. (2024, September). Disorders of the conjunctiva in dogs. Merck Veterinary Manual, Pet Owner Version. https://www.merckvetmanual.com/dog-owners/eye-disorders-of-dogs/disorders-of-the-conjunctiva-in-dogs
    Used in 7 answers
  5. acvo.orgHaeussler, D. J., Jr., & Korb, C. (2018, February 2). Dry eye (keratoconjunctivitis sicca). ACVO Public. https://www.acvo.org/common-conditions-1/2018/2/2/dry-eye-keratoconjunctivitis-sicca
    Used in 6 answers
  6. merckvetmanual.comGelatt, K. N. (2024, September). Disorders of the conjunctiva in cats. Merck Veterinary Manual, Pet Owner Version. https://www.merckvetmanual.com/cat-owners/eye-disorders-of-cats/disorders-of-the-conjunctiva-in-cats
    Used in 6 answers
  7. pmc.ncbi.nlm.nih.govGould, D. (2011). Feline herpesvirus-1: Ocular manifestations, diagnosis and treatment options. Journal of Feline Medicine and Surgery, 13(5), 333-346. https://doi.org/10.1016/j.jfms.2011.03.010
    Used in 3 answers
  8. merckvetmanual.comGelatt, K. N. (2024, September). Disorders of the nasal cavity and tear ducts in cats. Merck Veterinary Manual, Pet Owner Version. https://www.merckvetmanual.com/cat-owners/eye-disorders-of-cats/disorders-of-the-nasal-cavity-and-tear-ducts-in-cats
    Used in 2 answers