(B) Another example of chronic herpetic ocular disease in a cat. It is often a hereditary defect. -->, Photos copyrighted by the individual photographers The cause of Jacobsen syndrome is unknown, despite the fact that it is thought to be the result of a genetic mutation. Viral, bacterial, or fungal infections can cause strabismus. Figure 14.12 Chlamydia conjunctivitis in a kitten. Eyelid neoplasms are not infrequent in older cats and account for 2% of all feline neoplasia. Primary infection in cats results in both conjunctival and respiratory infections, often complicated by secondary bacterial infections (Figure 14.10). The other is tiny and totally nonfunctional. The surgery didnt change that much about him, and it didnt change anything for me either. Eyelid movements and the depth of the conjunctival fornix can also be compromised. [14] A test is available to determine if a particular dog carries the mutated gene. I adopted a kitten with microphthalmia and he is the sweetest kitten I have ever encountered. Figure 14.9 (A) Early keratoconjunctivitis sicca (KCS) in a cat. Though Ive followed Safe Haven most of 4 years, the FB posts always come to me. text-decoration: none; Treatment of microphthalmia While theres no way to prevent or fully correct this birth defect, there are surgeries available for treating eye abnormalities that may be present alongside microphthalmia. (C) Apocrine hidrocystomas present as single to multiple masses often cystic and containing brown proteinaceous fluids as in this Persian cat. The lesions occur in the palpebral conjunctiva adjacent to the eyelid margins and appear as nonulcerated white nodules. The clinical signs and treatment of orbital inflammations in cats are similar to those in dogs. Figure 14.6 (A) Entropion or the inversion of the eyelid margin has resulted in blepharospasm and keratitis from the lidcorneal contact. The palpebral conjunctiva has adhered to the cornea, the conjunctiva of the nictitans, and to itself. Figure 14.16 (A) Feline herpesvirus1 can also cause corneal ulceration in the cat. In some affected individuals, the eyeball may appear to be completely missing; however, even in these cases some remaining eye tissue is generally present. In contrast to dogs, lid tumors in cats are highly malignant, locally infiltrative, and often require extensive surgery or a combination of therapies (surgical debulking, cryotherapy, radiation, and chemotherapy). The cataracts occur congenitally. The responsibility for the publication content rests with the publishers providing the material. Microphthalmia is a rare condition in kittens, but often these globes have multiple anomalies (Figure 14.1). Microphthalmia is also defined as eyeball with a total axial length that is at least two standard deviations below the mean for age 2. } (B) Lid squamous cell carcinoma in an aged cat. Microphthalmia is one of the most common conditions in the world. Slanting and a fold of skin (epicanthal fold) are normal in people of Asian descent. I was looking for your last name. The cat must wear an Ecollar during the time the tubing is in place. This explains why she could follow a moving toy quite easily. What do you do for the black crusting from the tears? Locally invasive, SCC metastasize late. Significant corneal scarring can eventually impair vision. In this young cat the eyelid agenesis affects both lateral upper eyelids. They may be raised, as seen in this cat, or flat. Entropion in cats most commonly affects solely the lower eyelid. I would not hesitate to adopt another. Dogs with this anomaly are expected to suffer from vision impairment with the development of various eye diseases later in . A large cat, such as a lion or a tiger, has round pupils. The third still totally closed . When they are relaxed, the eyes of a cat will be half-closed, and their ears will be relaxed as well. Corneal microdendritic ulcers can be detected with topical fluorescein or rose Bengal stain. So many people said to put her down once they found out she was blind. text-decoration: underline; The conjunctivitis is characterized by conjunctival hyperemia, chemosis, and serous to later mucopurulent conjunctival exudates. But that doesn't stop Cheese from doing everything that other cats can do. He was unsure of everything, but he welcomed my help with purrs and lots of rubbing on me to be petted, says Samantha. I was horrified to think that someone had hurt him intentionally. a:link { I hate to put her in total darkness if she can see a little light. Eyelids may be fully open, partially closed, or drawn into a squint. with respiratory signs. Veterinarians at the center determined that Melvin had microphthalmia, a condition in which the eyeball is smaller than normal. In contrast to the usual benign lid tumors in the dog, lid tumors in cats are usually highly malignant and histologic examination of the surgical margins is recommended. If your pet is experiencing several of the following, they may well be suffering from the condition: Excess production of tears. Often one eye and then both eyes are affected. Note: Some apparently eye-less cats have microphthalmia, where the eyes are present, but are tiny and (depending on the severity of the micropthalmia) may be partially functional. Together, we will Save Them All. He also stated that if the condition is present in both eyes it would then have to be considered genetic. Is this condition also associated with hearing or voice issues? Eyelid agenesis or lid coloboma is an infrequent disorder in kittens, affecting one or both eyelids (Figure 14.5). Fraser syndrome usually causes symptoms in infants or young children, but severity varies greatly. Congenital eye defects are caused by an abnormal condition in the eye during pregnancy. Thanks for the info.I was going to set up an appointment with the University of TN to confirm if my cat had microphthalmia but after these readings I am convinced and I will enjoy him for the way he is. Cats have slit pupils, but there are some species that have slit pupils in addition to all cats having pupil closure. Microphthalmia-associated transcription factor also known as class E basic helix-loop-helix protein 32 or bHLHe32 is a protein that in humans is encoded by the MITF gene.. MITF is a basic helix-loop-helix leucine zipper transcription factor involved in lineage-specific pathway regulation of many types of cells including melanocytes, osteoclasts, and mast cells. Very little of the bulbar conjunctiva can be seen in normal cats until the upper eyelid is manually retracted. Required fields are marked *, 2023 Designed by: Nicholas Hopp | Web Development & Design. Zeke lived to be 16yo and earned the nickname Man Whore for his friendliness towards everybody. If the baby is premature or has a congenital eye condition, he or she should be seen by a pediatrician or ophthalmologist. Microthalmia In A Pixie-Bob Kitten A medium-sized vertical slit indicates a cats self-confidence, relaxed demeanor, and overall positive attitude. A developmental abnormality in which one or both eyeballs are visibly smaller than they normally should be. 14 Feline Ophthalmology It is unilateral or bilateral. Some of her hair sits on her eyeball. Dont ever hesitate to adopt a blind cat. The Persian cross cat was another case of anophthalmia, this time with no other abnormalities. The upper temporal eyelid (lateral 1/3 to 2/3) fails to develop resulting in a full- or partial-thickness defect (Figure 1). (B) Symblepharon, or adhesion of the conjunctiva to the eyelids, the cornea, and to itself, in this kitten is obscuring visualization of a normalsized globe. At about 7 weeks, the main parts of the eye that enable sight the cornea, iris, pupil, lens, and retina start developing, and theyre almost fully formed just a few weeks later. One or more genes may be affected as a result of chromosomal abnormality. Feline Herpesvirus1 and the Cornea Hence, in most adult cats, ophthalmic FHV1 infections are recurrent (Figure 14.11; also Figure 18.29). (D) Cutaneous mast cell tumors have been reported in the eyelids of cats. The shape of a cats eyes is influenced by its position in its food chain. I love him so much and am so happy hes mine. Ingenta is not the publisher of the publication content on this website. Children with anophthalmia or microphthalmia may need to wear conformers (sometimes called expanders) plastic devices that help the eye socket grow to a normal size and shape. (D) Orbital lymphoma in this cat resulted in exophthalmos, deviation of the globe off its axis, and exposure. Many people with this condition have delayed development or intellectual disability ranging from mild to severe. Their eyes dont react to bright light being turned on in the room. I agree 1000%!! Microphthalmia essentially means small eyes. Microphthalmia occurs when a canine is born with an eye that is smaller than normal; this is a disorder related to development. The reason for this is that their eyes are capable of absorbing a large amount of light. He is the only one affected, although they are all small. Proliferative keratoconjunctivitis occurs most commonly in cats and is characterized by the development of single to multiple inflammatory masses and/or vasculature originating at the limbus (Figure 14.19). Although some toxic environmental factors can cause this condition, a review of the owner's list of cleaning supplies ruled them out as a possible cause. Microphthalmia means "small eyes." People who are born with very small eyes have microphthalmia. Glory at 10 weeks of age. Dermatologic signs of the eosinophilic complex are usually absent. Of note, the term "clinical anophthalmia" refers to what . Best Friends in Los Angelesworks collaboratively with animal rescue groups, city shelters and passionate individuals who are all dedicated to the mission of making Los Angeles a no-kill city. But the eye is tiny or nonexistent. Treatment. font-size: 10px; Even when unilateral, mild abnormalities (eg, microcornea, colobomas, congenital cataract Congenital Cataract Congenital cataract is a lens opacity that is present at birth or shortly after birth. Microphthalmia is a rare condition in kittens, but often these globes have multiple anomalies (Figure 14.1). In most cases, only one person in a family is affected by microphthalmia. Multiple anomalies, including colobomas, have also been described in Persian cats. Every day I see him do something that really amazes me. Citation, DOI & article data. Brown ocular discharge is present, the result of ocular surface inflammation. The cornea undergoes rapid desiccation with malacia, and perforation is likely if not addressed promptly. I once had a cat who was born with microphthalmia. ?? Lenz Microphthalmia syndrome, also known as microphthalmia or anophthalmos with Associated Anomalies, is an extremely rare inherited disorder that is apparent at birth (congenital). Thank you for this information. Replacement of the globe and shortterm complete temporary tarsorrhaphy should be performed as soon as possible. Well I wasnt prepared to fall completely in love with Simon but we did! In this condition, one or both eyeballs are abnormally small. Symptoms of Synechiae in Cats. (B) Symblepharon in a cat involving adhesion of the upper palpebral conjunctival to the lower which obscures the entire globe. Both heredity and in utero viral infections have been suggested causes. Altering the chromosomes or genes of a newborn child can result in anophthalmia or microphthalmia. If you take a closer look, the cat will show signs of dilated pupils and may even jump. Published by at November 26, 2020. Signs and Symptoms This condition is apparent in pups once their eyes have opened. he loves his sibling and plays with many toys. A cloudy eye can be treated with surgery to remove the cataracts and replace the cloudy lens with a clear one. . (D) Postoperative appearance using a sliding corneoconjunctival graft dorsal of the surgical site. } My calico cat gave birth to eight kittens about 18 months ago. Treatment depends on the severity of the condition and may include surgery, medication, and/or special care. Occasionally, corneal sequestration extends though the entire thickness of the stroma to Descemets membrane. Less commonly, heart defects have been reported in affected individuals. They dont seem to make eye contact with family and friends. He's been adopted and is happy. The adherent conjunctiva impairs this kittens ability to blink. Unilateral microphthalmia is the term for when the condition affects only one eye. Despite the fact that the birth defect cannot be reversed or corrected, eye abnormalities associated with it can be treated. In all cases, the eyeball is too deep in the socket, so . I adopted a 6 year old kitty in January with these issues. Many genes associated with early eye development may have changed in a child with myopia. But it would be a while before hed be ready to go to a home. Extract. They may occasionally get stuck and not know how to get down when they climb on things, but you can feel comfortable knowing that you dont need to feel sorry for them. One-Eyed Jack is now a full adult cat that does everything just like any other cat. (B) A larger corneal sequestration in a young cat. Sometimes people who have microphthalmia also have cataracts, glaucoma . Anophthalmia Click here to view a larger image Microphthalmia Click here to view a larger image They are benign; however, recurrence is common. Heart Murmurs in Cats Feline Cardiomyopathy Therapy of CHF in Cats Value of Positive Inotropic Therapy Cytology Blood Smear Evaluation Hemoparasites of Dog & Cat Cytological Evaluation of Lymph Nodes Rapid Evaluation of Synovial Fluid Dentistry Dental Radiology Interpretation Luxated/Avulsed Teeth Malocclusion Periodontal Disease Therapy FHV1 keratitis can also involve the stroma (Figure 14.17). The symptoms of synechiae are quite easy to spot. When she introduced the two of them, they sat there for a few moments and then curled up and went to sleep next to each other. [10] It is typically diagnosed clinically by inspection and palpation of the eye through the lids. Her vet and I believe she has some sort of intracranial issue causing seizures. Inflammation of the uvea (noticeable via general redness/bloodshot iris) The clinical signs and treatment of orbital inflammations in cats are similar to those in dogs. I was given a 6-7 wo kitten with strange eyes. No Citation information available - sign in for access. Epiphora is infrequent in cats and has several causes. Below is a series of photos of Glory, the Pixie-Bob kitten with microthalmia. Treatment includes topical antibiotics (tetracycline, chloramphenicol, or erythromycin), and systemic supportive therapy. They can be quite irritating, but in most cases surgical resection is curative. Just love them and they will love you back. Although FHV1 primarily affects the conjunctiva, the cornea can be involved as well (Figure 14.16). The tumor has infiltrated the entire lower eyelid and the medial canthus. In kittens less than 1214 days old, FHV1 infections can present as neonatal ophthalmia where infection has developed under the normally closed eyelids. Clinical signs of feline KCS are more subtle than dogs, and include conjunctival and nictitans hyperemia, mild and diffuse superficial keratitis with vascularization but little corneal or conjunctival pigmentation. (D) Another cat with eyelid agenesis immediately following repair with a modified liptolid procedure. Cicatricial entropion can follow eyelid surgery, eyelid lacerations, and prolonged blepharitis. I have 4 cats and babysit a lot for friends and family. He runs through the house and up the stairs and makes a big bunny jump up the last two! Note the stromal edema and scarring with superficial vascularization. The Amazing Dr. Gray at Gentle Vet Animal Hospital, Green Bay WI. I adopted a stray with microphthalmia. Tried some antibiotics. To show affection For cats, licking is not only used as a grooming mechanism, but also to show affection. 2022 Best Friends Animal Society. Note the multiple sites of involvement (e.g., nose, forehead, and eyelids). It is estimated that over 80% of domestic cats have been exposed to FHV1 by adulthood. The conjunctivitis is characterized by conjunctival hyperemia, chemosis, and serous to later mucopurulent conjunctival exudates. Orbital hemorrhage can compound the globe luxation. (B) Symblepharon, or adhesion of the conjunctiva to the eyelids, the cornea, and to itself, in this kitten is obscuring visualization of a normalsized globe. Microphthalmia (MO-SCWT) View All DNA Tests Related Terms: RBP4 Type: DNA Sample Types: Cheek brushes/swabs or Fresh EDTA blood Age of Onset Present at birth, recognized when eyes are opening View Sample Collection and Shipping Instructions Sample Processing Cost: $65.00 Species and Breeds Canine - Soft-Coated Wheaten Terrier But she focuses and follows now. Very little of the bulbar conjunctiva can be seen in normal cats until the upper eyelid is manually retracted. Surgical replacement is recommended to minimize the risk of the development of KCS. Frontiers in Psychology 2013: 4(932) DOI:10.3389/fpsyg.2013.00932, Shiell, Martha; (2014) Tonotopic organization of v5/mt+ in congenital anophthalmia: Implications for auditory motor processing and meta-modal cross modal reorganization. Lilien's conditions mean that she's. CHARGE is an abbreviation for several of the features common in the disorder: coloboma, heart defects, atresia choanae (also known as choanal atresia), growth retardation, genital abnormalities, and ear abnormalities. Some cats, instead of developing the cytolytic form of the herpetic ocular disease, which is the result of active viral replication and cell lysis, will develop an immunopathologic form that manifests with stromal keratitis. Bilateral microphthalmia is a rare congenital condition that is characterized by the abnormal development of both eyes. Translations of Microphthalmia French : La microphtalmie Italian : microftalmia Arabic : Spanish : microftalmia Chinese : Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Systemic Diseases with Ophthalmic Manifestations. assess depth and corneal thickness in those instances. High frequency ultrasonography (2035MHz) can be helpful to assess depth and corneal thickness in those instances. In a few minutes, they will open their eyes. Lipogranulomatous conjunctivitis is an unusual inflammatory condition in cats believed to develop from damage to meibomian glands and an inflammatory reaction to liberated glandular secretions (Figure 14.15). Treatment. Microphthalmia, or a condition in the eye that develops during pregnancy, is a condition that affects the eyes. This precious little cat has been an inspiration and joy to us. The conjunctiva is hyperemic but not generally chemotic. Proliferative Keratoconjunctivitis (Esosinophilic Keratitis) Lenz microphthalmia syndrome is an extremely rare inherited disorder characterized by small eyes (microphthalmos or microphthalmia) and/or droopy eyelids (blepharoptosis), resulting in visual impairment. Figure 14.3 (A) Orbital cellulitis in a cat presented as exophthalmos, swollen eyelids, and secondary iridocyclitis (miosis). The cause has not established, but FHV1 has been detected in 5573% of sequestrum keratectomy samples. It was recommended by my veterinarian to have both eyes removed and the lids sewn shut, that the kitten is in pain from her eyelids curling inward. If you are considering breeding from your own soft coated wheaten terrier or putting them to stud, it is highly recommended that both of the dogs within the . Microphthalmia also called microphthalmos, is a congenital (present at birth) eye abnormality where one or both eyeballs are abnormally small and have anatomic malformations 1 . Categories . Chlamydophila psittaci causes pneumonitis and conjunctivitis, most commonly in kittens (Figure 14.12). Melvin was pretty cute. (B) More severe recurrent FHV1 conjunctivitis in an adult cat. THANK YOU so much for this. The cataracts found in inbred C57 black mice with microphthalmia may be characterized by minor cortical degeneration, by major involvement of the cortex and nucleus, or by extrusion of lens cortex through a dehiscence in the lens capsule. Note the central black sequestration and the surrounding superficial corneal ulcer. Causes for these changes may be emotional arousal, such as fear, aggression, pleasure, or excitement, or environmental, such as a change in ambient light levels. Certain conditions, such as a faulty gene or exposure to drugs or alcohol during pregnancy, can cause congenital eye diseases, but they are not all inherited. "He's a happy kitty and doesn't require any special medical care," Christina Ha of Meow Parlour shared with Love Meow. Make need a different antibiotic series. They act just like any cat, they just have no eyes so depend on their ears and nose to get through life. Studies suggest viral suppression of the local immune response at the time of the initial infection permits access to the stroma. Microphthalmia, hypertelorism, epicanthal folds and ptosis are prominent ocular features. Congenital cataracts are often present. It should be emphasized that these infections are a function of the ocular malformations arising from the genetic characteristics of C57BL strains and do not represent a failure in proper animal husbandry practices. He would often approach the other cats outside his door after hearing and smelling their sounds. A drug like this could cause the babys eyes to be abnormally small. This is because the bright lights of the birthing room are hard on their sensitive eyes. Close-up showing the difference in development between the two eyes. With questions/concerns please feel free to email me at SAFEHAVENPETSANCTUARY@GMAIL.COM. They will bark in response, bringing their ears back and their tails wagging. Eyelid and periocular apocrine hidrocystomas have been reported in cats, especially in the Persian and Himalayan breeds. Both the eye ball and the ocular tissue are missing from the orbit, or abnormally small eyes) DO IT! Congenital abnormalities of the eyeball or its surrounding tissue can be evident in a kitten shortly after birth, or may develop within the first six to eight weeks of life. The condition may accompany other developmental defects . Figure 14.11 (A) Recurrent FHV1 conjunctivitis in an adult cat. He is amazing he knows where everything is in my home, where the treats are kept etc. About 90% are malignant, and about 60% of these tumors are squamous cell carcinomas (Figure 14.4). Symblepharon formation, or adhesion of the conjunctiva to itself or other ocular tissues, can be a complication. Traumatic Proptosis Note the multiple sites of involvement (e.g., nose, forehead, and eyelids). The degree of light exposure also has an impact on the pupil size. The smaller eye has actually shown improvement. Many people are familiar with the vertical slit in a cats eye, which affects the animals vision. 104 Gelatt KN, McGill LD (1973) Clinical characteristics of microphthalmia with colobomas of the Australian Shepherd Dog. Your Cat Stares at You to Show Affection Cats can use staring as a nonverbal way of communicating. Various eye structures are also underdeveloped. Follicles form on the conjunctival surfaces in chronic infections. By about 10 weeks, your baby has eyelids, though they remain closed until about 27 weeks. There is evidence of visual impairment in more than 90% of individuals. High frequency ultrasonography (2035MHz) can be helpful to assess depth and corneal thickness in those instances. Im blessed to have gotten him and his sisters as fosters. Feline Mega Colon: A Serious Condition That Requires Treatment, How To Protect Your Pet From Feline Mycoplasma, Reuniting Lost Pets And Finding New Homes: Thurston County Animal Shelter, Discover The Longview Animal Shelter: A No-Kill Option For Animal Lovers Seeking To Adopt A Pet, The Challenge Of Securing Shelter: Examining The Strategies Of Animals To Survive And Thrive In Their Natural Habitats, An In-Depth Look At The Controversy Surrounding The Pleasantville Animal Shelter, Maximizing Your Tax Savings Through Donations To Animal Shelters. A microphthalmia birth defect occurs when one or both eyes are abnormally small. But I knew she would be amazing. It posits that most people are not interested in activism; instead, they want to use the web for mundane activities, including surfing for pornography and lolcats ("cute cats"). I have a doubt that he has anophthalmia.. i was sorry for hem really . The virus can replicate in and cause lysis of the corneal epithelium. Occasionally, corneal sequestration extends though the entire thickness of the stroma to Descemets membrane. (B) This cat had a neoplasm in the ventral floor of the orbit that extended from the oropharynx and resulted in dorsal deviation of the globe and elevation of the nictitans. I started caring for an outdoor cat, when I took her to the vet they me she had this condition and that she was blind. Surgical replacement is recommended to minimize the risk of the development of KCS. Phonetic spelling of Microphthalmia mkrf-thlm- mi-croph-thalmi-a Add phonetic spelling Learn more about the word "Microphthalmia" , its origin, alternative forms, and usage from Wiktionary. Glaucoma is a common cause of eye symptoms that include underdeveloped (small) or absent eyes, cloudy or foggy eyes, uncontrolled eye movements (nystagmus), a gap or split in the structures that make up the eye (coloboma), and blurry vision. About 90% are malignant, and about 60% of these tumors are squamous cell carcinomas (Figure 14.4). Corneal Sequestration Generally there is no treatment. Some cats have round eyes while others have slit eyes, which are more common in cats raised in domestic settings. Absence of eyelids results in secondary trichiasis and exposure keratoconjunctivitis. The congenital abnormality of microphthalmia has been variously described as rare in cats and not rare in kittens. The prognosis for the return of vision in cats is poor. While babies eyes are developed at birth, it takes up to 2 years for eyesight to fully develop. The conjunctivitis is characterized by epiphora, conjunctival follicles, chemosis, and formation of pseudomembranes (plaques of thick white exudates). Vision is usually present unless the cataract formation is advanced. Note the black plaque in the base of the ulcer. The moment I found out about her condition, I knew she would be mine. The smaller eye has actually shown improvement. .pagelink { The lack of lid margin and trichiasis cause corneal and conjunctival irritation that necessitates surgical correction. Orbits and palpebral fissures were somewhat smaller than normal (Fig 1). microphthalmia in dogs born with one or two eyeballs that are too small suffers from microphthalmia. Corneal ulcers are present in some cases. Hes not at all lazy. He doesnt know he is blind. Stress, the introduction of a new pet, moving, and other disease or immunocompromised states can trigger release of the virus. These cats are truly special! Eyelid movements and the depth of the conjunctival fornix can also be compromised. As mentioned, the first mutation at the microphthalmia locus was described by Paula Hertwig (Fig. Microphthalmia in dogs is a major handicap for the dog because the animal is often visually impaired or blind. He looks different, but when you watch him you can tell he isnt that different at all, says Jackie. In this condition, one or both eyeballs are abnormally small. In some affected individuals, the eyeball may appear to be completely missing; however, even in these cases some remaining eye tissue is generally present. (D) Another cat with eyelid agenesis immediately following repair with a modified liptolid procedure. Celeste Yarnall operates a holistic consulting practice for people and their pets specializing in feline and canine nutrition. During the early stages of development, chemicals and radiation can cause eye defects. Diseases of the Conjunctiva Almost half of all blindness in childrenparticularly those in the poorest communities3is due to avoidable causes that are amenable to cost effective interventions. Infection *MOST COMMON IN CATS FOR MICROPHTHALMIA* - . The lesion initially appears resembling an ulcerated wound that fails to heal. (C) Severe bilateral autoimmune blepharitis in a cat. Replacement of the globe and shortterm complete temporary tarsorrhaphy should be performed as soon as possible. Damage to the contralateral optic nerve can result in blindness of the fellow eye. People with this syndrome may have an off-center pupil (corectopia) or extra holes in the eyes that can look like multiple pupils (polycoria). Corneal sequestration appears as a variable shaped, size, and depth, brown to black lesion that may be so dense that slit lamp biomicroscopy cannot accurately estimate the depth of stromal involvement. (C) Dendritic ulcers stained with fluorescein which are expanding into geographic ulcers in this cat.