C10008983 / invoice 10000

Presented for -  dental and eyes check
BiB F'O thinks degeneration has suddenly occurred quicker not sure if cataracts present
also would like to talk about dental, O worried d/t anesthetic rxn at greencross but aware needs dental and still very healthy 

Current medications: acular OU sid, Ocu-glo
Parasite control: UTD

Mentation: BAR, loves treats
EDUF: nad
MM: pinkmoist
CRT: < 2sec
DS:2/4 plaque build up 204, base narrow
Skin tent: < 1sec
LN: wnl
Ears: clean
Eyes: dilated, cloudy corneas, nill light response
Thyroid: 
HR:  80 reg 
Chest Auscultation: normal bronchovesicular
Abdo Palpation: soft
BCS: 5/9
Temp: np
Rectal Exam:  np
Skin: intact
Joints/Gait: ambulating well in consult
Urogenital: nad
Vaccination status: UTD
 
Problem list: 
1) dental dx
2) retinal degeneration
3) anaesthetic rxn - dom/methadone pre-med- Green cross
DDx:

Treatment in clinic:
tanometry- R eye = 21
L eye = 21, menace present

Plan: booked for dental with TM- aware anaesthetic hx- next Tuesday
O would also like AG's and nails whilst under 
- admit booked for 0745 **  Bailey gets stressed in hosp would like later admit if sterile surg first **

Communication:

Dr. Rachael Wysocki

Friday, 28 November 2025

Dear Rachael:

Re Bailey, a 10 year old neutered male Border Collie  
Owned by Claire Sweeney, of 20 Roscommon Road, Floreat, WA  6014  
                
I re-examined Bailey on Friday, 28 November 2025.

History:
Bailey presents for an initial examination today on 24.4.25 due to owner concern regarding vision decline over the last 9-12 months. 
Owner reports that Bailey has difficulty seeing owners at the park when off lead. More reluctant to go down the stairs. Hesitating jumping into the car. A month ago, went to parents house and didnt seem to be able to see anything at all. Wasn't coping with steps or stairs. Bumping into doors not realizing if they were open or closed. 
Current medications: 
Sentinel tablet once a month (has been on for several years) 
Vaccinations up to date
No access to horses or ivermectin 
No known access to toxins

Eye examination:
Right eye:
Comfortable
Palpebral reflex +ve
Menace response weak +ve
Dazzle response weak but present 
PLR sluggish and incomplete  
Oculovestibular Reflexes normal
Lids - Unremarkable
Third Eyelid - Unremarkable
Conjunctiva - Unremarkable
Tear film - Unremarkable
Episclera / sclera - Unremarkable
Cornea - Unremarkable
AC - Unremarkable - no flare or cell 
Iris - Pupil mydriatic at rest 
Lens - Posterior polar cataracts (incipient) with some equatorial vacuole formation 
Ciliary Body - Unable to examine
Vitreous - Unremarkable
Fundus - moderate retinal vessel attenuation with only main dorsal retinal vein present. Diffuse increase in tapetal hyper-reflectivity. 
The intraocular pressure was14 mmHg.
The Schirmer Tear Test was 22 mm/min.
Fluorescein negative 


Left eye:
Comfortable
Palpebral reflex +ve
Menace response weak +ve
Dazzle response weak but present 
PLR sluggish and incomplete
Oculovestibular Reflexes normal 
Lids - Unremarkable
Third Eyelid - Unremarkable
Conjunctiva - Unremarkable
Tear film - Unremarkable
Episclera / sclera - Unremarkable
Cornea - Unremarkable
AC - Unremarkable - no flare or cell
Iris - mydriatic at rest 
Lens - Posterior polar cataracts (incipient) with some equatorial vacuole formation
Ciliary Body - Unable to examine
Vitreous - Unremarkable
Fundus -  moderate retinal vessel attenuation. Diffuse increase in tapetal hyper-reflectivity.
The intraocular pressure was 14mmHg.
The Schirmer Tear Test was 22mm/min.
Fluorescein negative

Diagnosis and comment:
Bailey's eyes are similar to the last visit, with advanced retinal degeneration leading to vacuolar changes in the subcapsular lenses. There has not been progression to actual cataract in these areas,  so maybe the OcuGlo is working well?  I recommend continuation of the OcuGlo if it is affordable.

Treatment:
Acular OU SID 
Ocu- Glo dog & mature cat  4 chews once daily- owner can have more as required


Plan:
I would like to re-examine Bailey in  6 months unless there is any cause for concern in the meantime.

Thank you once again for this referral. If you have any questions regarding Bailey please do not hesitate to contact me. 

Yours sincerely,

Dr Anita Dutton BSc BVMS (Hons) Dip ACVO MANZCVS
Specialist in Veterinary Ophthalmology

Presented for vaccination
- blind (retinal degeneration)
- needs dental and had some anaesthetic complications last time (at Greencross)
- gets a bit anxious when groomer comes to bath and clip nails - mostly since losing vision

Current medications:  nil
Parasite control: sentinel

Mentation: bright
EDUF:  nad
Diet: 
MM:  pink
CRT:  imm
DS: 2/4 moderate tartar.  104 is displaced but not affecting other structures.  204 is base narrow and impacting hard palate (there is a defecit at contact point) - but hard palate is not currently ulcerated
LN:  nad
Ears: nad externally
Eyes:  pupils dilated in room light - minimal light response.  No inflammation
HR:  120
Chest Auscultation: nad
Abdo Palpation: soft, relaxed
BCS: 5/9
Temp:  not assessed
Rectal Exam:   nad externally
Skin:  nad
Joints/Gait:  somewhat stiff both carpi but gait normal, other joints normal
Urogenital: nad

Problem list: 
1. needs dental - TM to read previous hx and work out different anaesthetic plan - looks like just over reacted to fairly standard dom / methadone premed, then swung wildly as reversed whilst under GA.  Happy to do GA here with different protocol (ACP / lower dose methadone) - TM or one of the other senior vets to do.
2. blind - coping well
3. supply anxiolytics for grooming

Vaccine Batch numbers:

Nobivac KC: 2434514
*took vacc off Reminder from Subi - check if due for c5 or kc next year