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The Vet Eye Guy

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Atlanta, GA
The Vet Eye Guy

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Providing accessible (sometimes entertaining) information on veterinary ophthalmology for owners and veterinarians.
👁️ 🏥 ➡️

10/15/2026

The “right” treatment is what works best for the pet’s and owner’s situation.

My 15 year old boxer patient couldn’t have anesthesia due to heart disease but had a massive eyelid mass encompassing the entire eyelid. Even if we could anesthetize her to surgically remove the mass, it would involve reconstruction of the upper eyelid that would be immobile.

We decided to try a less invasive approach under sedation and local nerve blocks. We completely debulked the mass and performed cryotherapy. While the mass will likely grow back with time, we hopefully have bought this senior lady a good amount of comfortable time with a functional eyelid.

09/30/2026

Can anyone spare a hand? One week a year veterinary ophthalmologists disappear nationwide to attend our annual conference.

Kudos to the brave souls that stay behind to support our patients, clients, and referral communities. Phone calls, surgeries, and consults abound.

09/23/2026

Nerves were struck. We are all tired of corporate systems that make it harder for pharmacy and vet staff to do our jobs. Let’s be squeaky wheels.

09/21/2026

Yo’ boy and staff are tired of the rigmarole. DEA numbers should only be provided for controlled substances per the DEA. Veterinarians do not have an NPI number. I understand pharmacies need a way to validate that we are official providers…and guess what…they can! Use our state license numbers. It’s their corporate computer systems that don’t allow our license numbers. Can we have a software update, please?

09/19/2026

Pupillary light reflexes (PLRs) are vital to localizing a lesion.

In the above case, I couldn’t see the retina or optic nerve in the left eye, but I know there’s a problem there. The left pupil remains mydriatic when stimulated and the right pupil also doesn’t move either. This indicates the left retina or optic nerve are affected. I looked at the right retina and there was severe retinal degeneration.

Tips:
• Dilated pupil + no direct PLR, but consensual PLR works → problem with the nerve controlling that pupil or iris atrophy

• Shine light in one eye → neither pupil constricts → problem with the retina or optic nerve (CN II) of the eye you’re testing

• Blind + normal PLRs + normal dazzle → think brain/visual pathway/SARDS

• Blind + no PLRs + no dazzle → think severe retina or optic nerve disease, like optic neuritis

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