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Discussion Starter #1
Shala has had her eyes done every year, and for the past three years, she has had E1 cataract - suspect not inherited. From what I understood from the ophthalmologist who examined and submitted her report this year (same one as for the past 3 years), the only difference was that the cataract had grown, but is not affecting her vision at all because it is on the outer edge of her eye. But her report just got posted on OFA today and it says she is INELIGIBLE for her OFA number, and the reason is ABNORMAL IE2:Cataract.

Can anyone help me understand the difference between E1 cataract and 1E2 cataract? Thanks!
 

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I'm probably no help and really interested in following as well, but IE2 is a CAER ineligible code and I assume means "Inherited" E2. Maybe because the cataract grew the examiner decided it was more likely to be inherited?
 

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Kate
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Shala has had her eyes done every year, and for the past three years, she has had E1 cataract - suspect not inherited. From what I understood from the ophthalmologist who examined and submitted her report this year (same one as for the past 3 years), the only difference was that the cataract had grown, but is not affecting her vision at all because it is on the outer edge of her eye. But her report just got posted on OFA today and it says she is INELIGIBLE for her OFA number, and the reason is ABNORMAL IE2:Cataract.

Can anyone help me understand the difference between E1 cataract and 1E2 cataract? Thanks!
Can you show the notes on the previous and the current? Am curious if the ophthalmologist wrote something differently this time.
 

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Usually the shape is why- an inherited cataract is triangular or star shaped. Location is important- posterior is usually inherited. He should have drawn it on the form.
 

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Discussion Starter #5
Can you show the notes on the previous and the current? Am curious if the ophthalmologist wrote something differently this time.
I checked that, too, and there was nothing written by the ophthalmologist that suggested it was inherited (to my amateur eyes). She actually came out to the parking lot after the exam to talk to me about it and to tell me it had grown. And she wanted to know if Shala had had puppies or was meant to have one more litter (given her age, she thought it might be possible). But it was a no to both questions so we didn't really go further, though I think I remember her saying something like, had she had puppies previously, I might have wanted to inform the owners. Maybe that means she did see something that changed and suggested inherited.

I'm going to take a screen shot of the exam and post it here... stand by...
 

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Discussion Starter #6
Usually the shape is why- an inherited cataract is triangular or star shaped. Location is important- posterior is usually inherited. He should have drawn it on the form.
Let me try to get a screen show of the report and post it...
 

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Discussion Starter #7 (Edited)
Okay - here is the drawing on her latest exam. She didn't write any comments, but maybe it has to do with the box she checked? It's not just punctate.
EDIT TO ADD: I just looked at last year's report. Last year, she ticked the boxes to say Suspect not inherited. This year, she didn't. Part of me wonders if that was a mistake because she didn't mention that change to me. And why would they have been suspect not inherited last year and not this year?
eyes.jpg
 

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Was last year shown on equatorial cortex?
Those are not the shapes I'm used to seeing for juvenile cataracts, but here are the criteria for other cataracts to be suspected genetic:
"Classical" criteria for hereditary cataracts:

Cataract has been described in the breed

Cataract changes should be localized to the expected area

Cataract changes should be bilateral (there are exceptions)

Cataract changes should progress, but progression may be slow

And these are bilateral, as well as growing. So that's probably why. And maybe since you have relationship w her, you could call ask about whether you need to fret about them growing enough to rupture anything- that sounded odd, I know, but the only time I have ever seen a report w equatorial cataracts that dog had a rupture associated with them.
 

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Discussion Starter #9
Right, yes. Bilateral and progressing. The 2019 report does show them on her equatorial cortex. Here is the 2019 report. Really appreciate your insight.

eyes 2.jpg
 

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Kate
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OK - she failed because the specialist did not check off the "significance unknown".

Because the specialist did NOT tell you what's going on, I would go get a second opinion either from her or somebody else. Quite honestly, I'd aim to get one when things open up next year.

Less about worrying about passing or nonpassing - which isn't important since she's not a breeding dog. It is concerning because she's only 7 and quite honestly there's a few years more to go in her life. Ideal world, she will live to be 13 or 14. If her cataracts are worsening now, I'd want to know why, and if there's anything I could do to slow the progress. There's practical reasons to want more information and thoroughly talk the subject to death with somebody who has seen her eyes and can tell you what, why, etc.

Otherwise, it does sound like they knew the eyes were nonpassing based on what they asked you. Shame they didn't tell! But I always ask anyway even knowing my dogs eyes look clear. The first thing I always ask the specialist or as the case is right now, the tech running the dogs in and out - is "are they passing?" I don't leave before I know. But I'm more neurotic about some things...
 

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Discussion Starter #11
Thank you. I think I will take your advice and find another ophthalmologist here and get her eyes looked at again and get a more detailed report on what is going on. I did ask the specialist who looked at them a few weeks ago if her vision was affected, if I needed to get her to a specialist here and start to plan to get them removed - and she said no to all of the above, because the cataracts are not affecting her vision (due to where they are located). As an aisde, I am going to call her clinic out west tomorrow and see if I can talk to her and just make sure she forgot to check that box, as opposed to pointedly did not check the box. But yes, I am absolutely less worried about the fail, since she is not breeding, and way more concerned with her losing sight at some point. Thanks for taking the time to look at her tests and offer some insight.
 
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Discussion Starter #12
Just to tie a bow on this... I did get to communicate with the ophthalmologist who did her exam a few weeks ago, and she did indeed fail this time because of the progression of the cataract. I will definitely be staying on top of it, especially since she is only seven. I will find a specialist here and get it looked at regularly.
 
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