The recommended course of treatment depends on whether the dislocation is full or partial, the location of the displaced lens, and the cat’s current visual abilities.
Immediate Care
Immediate focus should be on lowering pressure in the eye as this can cause damage to the retina and optic nerve. Oral and topical medications including antibiotics and corticosteroids will often be prescribed. It is likely that your vet will want to consult with a veterinary ophthalmologic specialist. Lens removal may be recommended and should occur as soon as possible.
Anterior Lens Luxation
Surgery is almost always needed to treat anterior lens luxation. A small incision will be made in the eye in order to remove the dislocated lens. If the cat has already gone blind in the affected eye, removal of the eyeball (enucleation) may be recommended to treat pressure and eliminate pain. A prosthesis may be used to replace the eye. Possible post-surgical complications include blindness, ongoing glaucoma, eye bleeding, or detachment of the retina.
Posterior Lens Luxation
When the lens has moved to the back of the eye, it is difficult to surgically remove. As long as the lens can stay in position, the veterinarian may decide to leave it alone as this type of displacement is less likely to cause vision problems. Long-term use of eye drops may be needed to keep the pupil small and ensure that the lens stays in position.
Prevention
In the case of primary luxation, it is likely that both eyes will eventually be affected. After a cat presents with luxation in one eye, the other should be carefully monitored. Proactive removal of the unstable lens can help to preserve vision, and owners should seek treatment at the first sign of instability.