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Understanding Cat Eye Diseases: How to Keep Your Cat’s Vision Healthy

Written by Colin Brooks | Jul 10, 2025 10:00:00 AM

Cats may seem like the ultimate “low-maintenance” companions—self-cleaning, independent, and masters of napping. But when it comes to their health, especially their eyes, things aren’t always so simple. Feline eyes are not just striking; they’re also incredibly sensitive, and problems can sneak up before you realize anything’s wrong.

In this guide, we’ll walk you through everything you need to know about your cat’s eyes: common feline eye problems, the warning signs of discomfort or disease, practical prevention tips, treatment options, and when an issue requires urgent veterinary attention.

Cat Eye Anatomy and Function

Cats’ eyes have long fascinated humans, not just for their beauty but also for the remarkable way they function. Behind the striking colors and glowing night shine lies a complex system of structures that allows cats to see in conditions where human vision fails. Understanding the anatomy of a cat eye reveals how these animals are well-adapted for both daytime lounging and nighttime zoomies.

Sclera

The sclera is the white outer coat of the eye, though in cats, it’s usually hidden behind their large, expressive irises. Strong and fibrous, the sclera keeps the eyeball’s shape intact and provides an anchor point for the tiny muscles that move the eye. If you notice redness or swelling in this area, it can point to irritation or underlying disease.

Choroid

Nestled between the sclera and retina, the choroid is packed with blood vessels that nourish the eye. In cats, this layer also supports the tapetum lucidum. Without a healthy choroid, the retina would starve of oxygen and nutrients, making it a silent but vital player in eye health.

Retina

The retina is a thin layer of light-sensitive cells lining the back of the eye. Cats have an abundance of rod cells, which are excellent at detecting motion and seeing in low light, but fewer cone cells, which are responsible for color vision. This is why cats likely see the world in muted blues, greens, and grays—less like a high-def TV, more like a vintage filter.

Optic Nerve

All visual information collected by the retina is funneled through the optic nerve and delivered to the brain. This is where “seeing” truly happens. Damage to the optic nerve, whether from injury or disease, can result in partial or complete blindness. It’s essentially the cat’s high-speed data cable, and like any cable, it needs to stay intact to work properly.

Cornea

The cornea is the clear, dome-shaped front layer of the eye. Think of it as both a windshield and a magnifying glass: it shields the eye from dust and debris while bending incoming light so it hits the retina in just the right spot. In cats, a healthy cornea is essential for crisp vision and quick reaction time—whether they’re spotting a toy mouse or the real deal.

Tapetum Lucidum

This shiny layer behind the retina is the secret behind a cat’s glowing eyes in the dark. Acting like a biological mirror, it reflects light back through the retina, giving photoreceptors a “second shot” at detecting it. Thanks to the tapetum lucidum, cats are up to 130 times more sensitive to dim light than humans—basically, night-vision goggles built right in.

Third Eyelid (Nictitating Membrane)

. A cat’s third eyelid (nictitating membrane) is a thin, pale structure that slides across the eye when needed. It protects the eye from dirt and debris and spreads tears across the eye surface during blinking, keeping the eye moist and assisting with movement.

The membrane may appear more visible when a cat is unwell, making it a valuable indicator of health for owners.

Iris and Pupils

The iris is the colorful ring of muscle surrounding the pupil. It doesn’t just make your cat’s eyes striking—it controls how much light enters. The iris also controls the pupil size.

Cat pupils can dilate much wider than human pupils and constrict to narrow vertical slits, allowing precise light control in varying conditions. Their vertical shape is handy for predators, as it enhances depth perception and helps judge distances when stalking prey.

This chart provides a comparison between species and their pupil adjustment, so you can really get a feel for how incredible a cat’s eye is.

Species

Range of Pupil Adjustment

Key Advantages

Cats

~135–300×

Exceptional light control, superior night vision, and precise depth perception for hunting

Dogs

~15–30×

Good adaptation to dim light, strong motion detection—ideal for spotting movement at dawn or dusk

Humans

~15×

Sufficient for daylight activities and color-rich vision, but limited low-light capability

Lens

Behind the iris sits the lens, a flexible, transparent structure that fine-tunes focus. It bends and adjusts to bring objects into sharp clarity, whether that’s your face inches away or a bug crawling across the room. Over time, the lens can cloud with age-related changes, leading to vision loss, so keeping an eye on it (pun intended) is important.

Recognizing Cat Eye Disease Symptoms

A cat’s eyes aren’t just beautiful—they’re also one of the clearest windows into their health. While those glowing orbs can look mysterious and unreadable, they often give away more than you think. In this section, we’ll cover the most common symptoms of feline eye disease and explain what they could mean. Recognizing these signs early could be the difference between a quick vet visit and long-term vision problems.

  • Tearing and Discharge: Watery eyes, sticky buildup, or colored discharge (yellow/green) may signal conjunctivitis, respiratory infections, or blocked tear ducts. Persistent discharge always requires a vet check.
  • Squinting or Pawing: Signs of pain that can stem from corneal ulcers, dry eye, or foreign objects. Because ulcers worsen quickly, prompt care is essential.
  • Redness, Swelling, or Cloudiness: Often linked to infections, uveitis, or glaucoma. These conditions can escalate fast and threaten vision.
  • Pupil Changes: Uneven, dilated, or non-reactive pupils may indicate trauma, neurological issues, Horner’s Syndrome, or blindness. Sudden changes are an emergency.
  • Behavioural Changes: Hesitation when jumping, bumping into objects, or avoiding bright light may be early signs of vision loss.

Common Cat Eye Diseases and Infections

Cats rely heavily on their vision, making eye health an essential part of their overall well-being. While many feline eye conditions start as mild irritations, some can quickly progress to severe or permanent damage if left untreated.

Condition

Key Symptoms

Severity if Untreated

Conjunctivitis

Red, inflamed membranes, watery or thick discharge

Mild to moderate; may recur, can cause chronic irritation

URI-related Eye Issues

Watery discharge, sneezing, congestion

Mild–moderate; can worsen with recurring infections

Corneal Ulcers

Squinting, pain, cloudiness, sensitivity to light

Severe; risk of corneal rupture and vision loss

Glaucoma

Enlarged or cloudy eye, dilated pupils, pain

Severe; leads to irreversible blindness

Cataracts

Cloudy lens, progressive vision impairment

Progressive; sometimes treatable with surgery

Horner’s Syndrome

Uneven pupils, drooping eyelid, sunken eye, raised third eyelid

Varies; may resolve spontaneously or indicate serious neurological issues

Conjunctivitis

Conjunctivitis, or “pink eye,” is one of the most common feline eye conditions. It involves inflammation of the conjunctiva (the pink tissue lining the eyelids and covering the whites of the eye).

Symptoms to watch for include:

  • Red or swollen inner eyelids
  • Watery, mucous, or pus-like discharge
  • Excessive blinking, squinting, or pawing at the face

Causes include viral infections like feline herpesvirus, bacterial infections, or even environmental allergies. While often mild, conjunctivitis can recur or become chronic without proper treatment.

Upper Respiratory Infections

URIs often affect both the respiratory tract and the eyes because the two systems are closely linked. Viral illnesses such as feline herpesvirus (FHV-1) or calicivirus commonly trigger ocular signs.

Typical symptoms include:

  • Watery eyes or clear-to-mucous discharge
  • Sneezing and nasal congestion
  • General eye irritation

Although most URIs are mild, repeated or untreated infections can lead to chronic eye damage or secondary bacterial infections.

Corneal Ulcers

Corneal ulcers are open sores or scratches on the cornea, usually caused by trauma (like a claw swipe), foreign objects, or chronic dry eye. These are extremely painful and can worsen rapidly.

Warning signs include:

  • Persistent squinting or keeping the eye closed
  • Cloudy or opaque spots on the cornea
  • Sensitivity to light or pawing at the face

If untreated, ulcers may deepen, leading to corneal rupture and permanent vision loss. Immediate veterinary care is critical.

Glaucoma

Glaucoma is a condition where fluid buildup increases pressure inside the eye, damaging the optic nerve. Though less common in cats than dogs, it’s often secondary to other conditions like uveitis or trauma.

Key symptoms include:

  • Enlarged or bulging eyes
  • Cloudy cornea or dilated pupils
  • Noticeable pain or lethargy

Because glaucoma can rapidly destroy the optic nerve, it is considered a veterinary emergency. Without treatment, permanent blindness is inevitable.

Cataracts

Cataracts occur when the lens becomes opaque, blocking light from reaching the retina. While uncommon in cats compared to dogs, cataracts can form due to genetics, aging, diabetes, or inflammation.

Symptoms include:

  • Cloudy or bluish-white lens
  • Gradual vision loss
  • Hesitation in movement or bumping into objects

In some cases, cataracts can be surgically removed, but treatment options depend on the underlying cause and the cat’s overall health.

Horner’s Syndrome

Horner’s Syndrome is not a disease itself but a neurological condition affecting the nerves that control the eye and surrounding muscles. It often appears suddenly and may be linked to trauma, ear infections, or underlying neurological disorders.

Classic signs include:

  • One pupil is smaller than the other (anisocoria)
  • Drooping upper eyelid (ptosis)
  • Sunken eye appearance (enophthalmos)
  • Elevated third eyelid

The severity of this condition can vary greatly. In some cats, it resolves on its own within weeks; in others, it signals more serious issues requiring investigation. Veterinary evaluation is always recommended to rule out underlying causes.

Cat Eye Skin Diseases Affecting the Eyelids and Surrounding Areas

Cats’ eyes are delicate, and the skin and eyelids surrounding them are equally important for overall eye health. Conditions such as inflammation, eyelid malformations, fungal infections, and allergies can cause discomfort, irritation, or even vision problems.

Blepharitis

Blepharitis involves inflammation of the eyelids, causing swelling, redness, and crusting around the eye margins. This condition may arise from infections, parasites, or immune-mediated problems. Typical signs include redness along the eyelid margins, crusty buildup at the lashes, and excessive blinking or pawing at the eyes.

Treatment often involves:

  • Antibiotics: Veterinarians may prescribe topical or oral antibiotics to treat bacterial infections contributing to blepharitis. These medications help eliminate harmful bacteria and reduce inflammation in the eyelids.
  • Antifungal Medications: Antifungal treatments target the specific fungi causing the disease and help restore healthy eyelid tissue.
  • Steroids: Corticosteroids can be used to reduce inflammation and alleviate discomfort. By suppressing the immune response, these medications help reduce swelling and irritation in the eyelids.
  • Lubricating Eye Drops: Blepharitis often causes dryness and irritation. Lubricating eye drops can help soothe and moisturize the eyes, alleviating discomfort and protecting the eyelid surface.

Entropion and Ectropion

Eyelid alignment plays a huge role in protecting a cat’s eyes. When the eyelids don’t sit correctly, they can either roll inward (entropion) or droop outward (ectropion), both of which expose the eye to irritation, discomfort, and long-term damage if untreated.

Entropion occurs when the eyelid folds inward, causing the lashes and skin to rub against the cornea. This constant friction can lead to painful corneal ulcers. It may be congenital, especially in flat-faced breeds, or acquired later in life due to injury or chronic irritation. Surgical correction is usually needed, though temporary eyelid tacking may be used in young cats.

Ectropion is essentially the opposite—the eyelid sags outward, exposing the delicate inner surface to dust, debris, and bacteria. This often results in chronic tearing, redness, and recurring conjunctivitis. Mild cases may be managed with cleaning and lubricating drops, but persistent ectropion typically requires corrective eyelid surgery.

Comparison: Entropion vs. Ectropion

Feature

Entropion (Inward Roll)

Ectropion (Outward Droop)

Eyelid Position

Rolled inward, lashes rub against cornea

Droops outward, exposing inner eyelid surface

Main Risks

Corneal irritation, ulcers, chronic pain

Debris exposure, chronic tearing, recurring infection

Typical Causes

Congenital (esp. brachycephalic breeds), trauma, chronic inflammation

Congenital, aging changes, eyelid laxity

Symptoms

Squinting, pawing at eyes, corneal cloudiness

Redness, watery discharge, visible drooping lid

Treatment

Surgical correction or temporary tacking

Cleaning, lubricating drops, surgical tightening for severe cases

Dermatomycosis

Dermatomycosis, more commonly known as ringworm, is a fungal infection that can affect the skin around a cat’s eyes. Unlike bacterial infections, fungi attack the outer skin layers and hair shafts, leading to noticeable irritation and hair loss. Around the eyelids, this can look especially concerning because it mimics other eye conditions.

Common signs include:

  • Patchy hair loss around the eyelids
  • Flaky, scaly, or dandruff-like skin
  • Crusty, reddened lesions that may spread outward

Treatment usually involves a combination of topical or oral antifungal medications and thorough environmental cleaning, since fungal spores can survive on bedding, brushes, and furniture. Dermatomycosis is also zoonotic—meaning it can spread to other pets and even humans—so quick diagnosis and treatment are essential for protecting the whole household.

Allergic Dermatitis

Allergic dermatitis around the eyes can cause itching, redness, and swelling due to environmental allergens or food sensitivities. Symptoms may arise from pollen, dust mites, certain foods, or topical products. Cats often worsen irritation by scratching or rubbing the affected areas, which can lead to secondary infections.

Dog and Cat Eye Problems: Comparing Infection and Disease Across Species

Just as it is for humans, eye health is crucial for our four-legged family members. For cats and dogs, the types and frequencies of ocular conditions vary between the two species.

Condition

Dogs

Cats

Conjunctivitis

Dogs experience allergies which can lead to this condition more often. Symptoms include redness, tearing, and itchiness; they are treated with allergy management or anti-inflammatories

Often viral (FHV-1); causes watery or sticky discharge; treated with antiviral medications and supportive care

Dry Eye Syndrome

Common: chronic redness, thick discharge, and discomfort; can require lifelong tear replacement therapy and regular vet monitoring

Rare; usually secondary to other illnesses; may need supportive care if present

Cherry Eye

Breed-specific; red, swollen mass at inner eyelid; surgical correction often required; common in Bulldogs, Cocker Spaniels, Beagles

Extremely rare in cats; it usually does not occur naturally

Herpesvirus Eye Infections

Rare; viral eye infections are uncommon

Susceptible; recurring conjunctivitis, corneal ulcers, tearing; managed with antivirals and supportive care

Cataracts

Frequent in aging dogs, lens cloudiness can impair vision; surgery may be necessary.

Less common; cats typically maintain clear lenses well into old age.

Conjunctivitis

Conjunctivitis, or “pink eye,” is common in both cats and dogs, but the underlying causes often differ between the two species. Dogs are more prone to allergic conjunctivitis, triggered by environmental irritants such as dust, pollen, or seasonal allergens. This typically presents as red, itchy eyes with watery discharge.

In contrast, cats are more likely to develop viral conjunctivitis, most often linked to the FHV-1. This form is highly contagious among cats and frequently flares up during times of stress. Affected cats may show red, swollen conjunctiva, discharge ranging from watery to thick and mucous-like, and squinting or increased blinking.

Dry Eye Syndrome

Dry eye syndrome, also known as keratoconjunctivitis sicca (KCS), occurs when the tear glands fail to produce enough tears to properly lubricate the eye. Without this protective moisture, the eye becomes vulnerable to irritation, infection, and even corneal ulcers.

This condition is far more common in dogs than in cats and usually requires lifelong management.

Typical signs include:

  • Persistent redness and irritation
  • Thick, sticky eye discharge
  • Frequent blinking or pawing at the eyes
  • Cloudiness or visible corneal damage in advanced cases

Management in dogs often involves:

  • Daily use of lubricating eye drops or ointments
  • Medications that stimulate tear production (e.g., cyclosporine or tacrolimus)
  • Ongoing veterinary monitoring to prevent scarring or vision loss

Although cats can develop dry eye, it is relatively rare and usually secondary to other issues, such as viral infections (like feline herpesvirus) or systemic illnesses. Because it’s less common in cats, diagnosis can sometimes be delayed, making awareness crucial.

Cherry Eye

Cherry eye is the common name for prolapse of the third eyelid gland, a condition seen far more often in dogs than in cats. It occurs when the tear-producing gland, normally hidden beneath the third eyelid, slips out of place and becomes visible. This results in a red, rounded mass at the inner corner of the eye, resembling a cherry—hence the name.

While not typically painful at first, cherry eye can cause irritation, excessive tearing, and a higher risk of conjunctivitis or dry eye if left untreated.

Treatment usually involves surgery, where the gland is repositioned and secured. Unlike older practices that removed the gland entirely, modern veterinary care emphasizes preservation since the gland produces a large portion of the eye’s tears. Successful surgical correction restores comfort and helps prevent long-term complications like chronic dry eye.

Herpesvirus Eye Infections

Herpesvirus infections can affect the eyes of both cats and dogs, though they present differently in each species.

In cats, the primary culprit is FHV-1. This virus is highly contagious among cats and tends to establish lifelong infection. After the initial illness, the virus often lies dormant in the body, reactivating during stress or illness. Cats commonly experience recurring eye problems, including:

  • Conjunctivitis (red, irritated eyes with discharge)
  • Corneal ulcers or scarring
  • Excessive tearing and squinting

Management usually involves antiviral medications, lubricating drops, and supportive care to control symptoms and reduce flare-ups. Vaccination can help reduce severity but does not eliminate the risk of infection.

In dogs, herpesvirus eye infections are much less common. Canine herpesvirus (CHV-1) typically causes reproductive and respiratory issues but can occasionally affect the eyes, particularly in puppies or immunocompromised dogs. When ocular signs appear, they may include conjunctivitis, corneal inflammation, or discharge.

Overall, while herpesvirus infections are a leading cause of feline eye disease, they remain rare in dogs, making species-specific diagnosis and treatment important.

Cataracts

Cataracts develop more frequently in aging dogs, while cats typically maintain more transparent lenses into old age. In dogs, lens cloudiness can impair vision and sometimes require surgical removal. In contrast, cataracts are relatively uncommon in cats, and they tend to maintain good lens clarity compared to dogs well into their senior years.

Prevention and Treatment: Keeping Your Pet's Eyes Healthy

From subtle irritations to serious infections, eye problems can develop quickly if left untreated. The good news is that many of these issues are preventable with proactive care.

Eye Hygiene Matters

Regular eye cleaning with veterinarian-approved solutions removes debris and helps identify problems before they worsen. Gently wiping the eyelid margins with sterile saline or a vet-recommended eyewash not only keeps eyes clean but also enables you to spot early warning signs, such as redness or discharge, allowing for quick action before issues escalate.

Vaccines Protect Vision

Maintaining current vaccinations prevents many viral infections that commonly affect feline eyes and respiratory systems. In particular, the FVRCP vaccine, which substantially reduces the severity and frequency of ocular disease in cats, even though it doesn’t entirely prevent infection. Vaccinated cats are less likely to suffer recurrent flare-ups and complications.

Address Minor Issues Early

Prompt treatment of minor irritations prevents progression to serious infections that could threaten vision or require surgery. As we have talked about, symptoms like slight redness, mild tearing, or squinting may seem minor, but they can precede conditions such as corneal ulcers or conjunctivitis.

Control the Environment

Environmental management involves removing eye irritants, such as dust, chemicals, and sharp objects, from your cat’s surroundings. For example, avoid using aerosols or strong cleaners near your pet, and minimize litter dust. These steps reduce the risk of scratching, irritation, or allergic reactions to the delicate tissues around the eyes.

Regular Veterinary Checkups

Even though they likely hate it, routine veterinary examinations help with the early detection of eye diseases that may not initially exhibit obvious symptoms. Many conditions, including glaucoma, early cataracts, or tear production disorders, develop invisibly. Regular wellness exams provide your vet with the opportunity to perform screening tests, such as tear assessments or eye pressure checks, allowing them to catch problems before they cause harm.

When to See a Veterinarian: Emergency Eye Care for Cats

Cats are skilled at hiding pain, but even subtle changes in their eyes can signal something serious. Feline eye conditions can progress quickly and, in some cases, threaten vision or overall health.

Red Flags

There are many red flags when it comes to your pet's health, especially since they sadly can't tell us what's wrong. Sudden vision loss, dilated pupils that don't respond to light, or obvious eye trauma require an immediate trip to the vet.

Severe Pain

Severe pain, often indicated by constant squinting, pawing, or vocalization when touching the face, requires urgent evaluation. Behavioural cues often tell you more than the eye’s appearance: cats in significant ocular pain may hide, refuse food, or react strongly when the head is touched. Painful conditions (deep ulcers, severe uveitis) require fast treatment to control pain and stop damage.

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Cloudiness & Glaucoma

Cloudy or blue-tinged eyes, especially with an enlarged appearance, may indicate glaucoma requiring emergency pressure reduction. Acute glaucoma elevates intraocular pressure and can rapidly destroy the optic nerve; signs include corneal clouding, a visibly enlarged or firm eye, and a fixed or sluggish pupil.

Foreign Bodies

Foreign objects lodged in or around the eye should never be removed at home and need professional extraction. Embedded debris can be deeper than it appears; improper removal risks deeper injury or infection. A veterinarian can safely irrigate, apply topical anesthesia, or perform removal under sedation if needed.

Systemic Warning Signs

Any eye symptoms accompanied by lethargy, loss of appetite, or fever should prompt a comprehensive evaluation for a systemic illness. Eye disease can sometimes be a window into systemic infections or inflammatory diseases; veterinarians will often pair ocular exams with blood work or imaging when these signs are present.

What The Clinic Will Likely Do

Upon arrival, expect a thorough ophthalmic workup. Typical diagnostic steps include:

  1. Fluorescein staining to detect corneal ulcers.
  2. Tonometry to measure intraocular pressure (glaucoma screening).
  3. Ophthalmoscopy to assess the retina and optic nerve.
  4. Blood tests or imaging if a systemic cause is suspected.

Helping Your Cat En Route

The car ride to the vet is never fun, especially if your cat is visibly uncomfortable. But, just remember you are doing the right thing! On the way to the vet, we suggest keeping your cat calm and contained in a carrier, avoiding prying the eye open or removing embedded objects, and refraining from using over-the-counter human eye drops, as many are unsafe for cats.

Conclusion

While not every feline will face eye problems, issues can and do arise—and they often progress quickly if ignored. The best approach is a mix of prevention and vigilance: watch your pet closely, reduce avoidable risks, address minor problems early, and seek professional care for serious concerns.

At Integricare, we believe every cat deserves the chance to live a long, comfortable, and healthy life. That’s why we created TRI-ACTA, a joint supplement made with 100% active ingredients to support mobility, reduce inflammation, and promote overall well-being. Because healthy joints and strong vision go paw in paw when it comes to keeping your four-legged family member happy.

Purchase TRI-ACTA online or learn where to buy at a store near you.

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