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CHRONIC
SUPERFICIAL KERATITIS (CSK) OR PANNUS
IN THE GERMAN SHORTHAIRED POINTER
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Another
condition that seems to affect the German Shorthaired Pointer,
though to a much lesser extent than others, is pannus (also
known as chronic superficial keratitis), a corneal disease
involving chronic inflammation, possibly brought on by an overly
sensitive immune system. This disease mostly affects German
Shepherds, though there are a handful of other breeds in which
the condition occurs, the German Shorthaired Pointer being one
of these. Exactly how the disease begins is unclear, though
there is evidence that environmental factors may trigger its
onset and influence how severe the disease gets; these factors
include altitude and ultraviolet light.
Essentially, this is a progressive disease in which the cornea,
or surface of the eye, conjunctiva and at times the third
eyelids (this is called atypical pannus) of dogs becomes
chronically inflamed; it does not seem to be a painful
condition. The lower outside surface of the eye is typically the
origin of any changes of the cornea and variations in
pigmentation, cholesterol deposits, dry eye and granulation
tissue can all develop. More often than not, both eyes are
affected, though there may be different regions that are
diseased between the two eyes. It first appears as a grayish
pink film that starts to spread across the dog’s eyes and
starts affecting vision. Your dog may present with redness and
tearing. Blood vessels and pigmented cells grow into the cornea
and the once clear structure turns opaque; thickening of the
cornea follows. Unfortunately, progression of the disease could
lead to total blindness; if left untreated, blindness can occur
within a period of years or in as short a time as a few months.
What causes pannus is still shrouded in mystery, though
scientists are almost certain that German Shorthaired Pointers
have a genetic predisposition. It seems as if a weakened or
abnormal immune system may also play a fundamental role in the
development of the disease. The majority of dogs in which pannus
develops are around middle age, but the disease has been known
to occur in young adults. Dogs diagnosed with pannus must be put
on life long therapy, usually consisting of steroid eye drops
and/or ointments; pannus is not usually cured. Other medications
may be added to prevent excessive scarring of the cornea and to
modulate the immune system. At times, sub-conjunctival steroid
injections may be done. On rare occasions, when medications fail
to lead to any improvement in the condition, a veterinarian may
suggest surgery and/or radiation treatment. Treatment is aimed
at delaying or even preventing the loss of vision, or keeping as
much vision as possible if there has already been some kind of
visual impairment. Treatment will not be as effective in dogs
that live at high altitudes or that are constantly exposed to
the sun’s ultraviolet radiation.
HELPFUL
LINKS ON PANNUS
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