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  • Aust Vet J Vol 77, No 3, March 1999152

    Clinical

    Convergent strabismus in a whiteBengal tiger

    ME BERNAYS and RIE SMITHAnimal Eye Services, Kessels Road Veterinary Hospital, Macgregor, Queensland 4109

    A white Bengal tiger was noted to have a convergent strabismus with poor visionsince a cub. The tiger and a littermate with normal colouring and apparently normaleyes were anaesthetised for comparative ocular examination. A fundus typical ofcolour-dilute cats and dogs was noted in the white tiger. Except for strabismus, noabnormalities were observed. Electroretinography showed similar retinal function inboth tigers. Possible causes of strabismus considered were an adaptation to genet-ically determined abnormal visual pathways related to lack of pigment, abnormalitiesof the abducent nerves and mechanical restricting conditions of the medial rectusmuscles.Aust Vet J 1999;77:152-155Key words: Tiger, convergent strabismus, colour-dilute, albinism, neural pathways, lateral geniculate body,lamina A1, lamina C1.

    LGN Lateral geniculate nucleus

    Figure 2. Normal orange-coated littermateat 12 months of age.

    Figure 1. White tiger at 12 months of age,showing a convergent strabismus.(Courtesy of P Martin-Vegue).

    A2-year-old female white Bengaltiger had been acquired as a cubat 5 weeks of age. The headkeeper had noted her eyes were normalat that time. At about 8 weeks, a subtlebilateral convergent strabismus wasnoted. Over the next 10 months, stra-bismus became progressively moreobvious (Figure 1). No further deterio-ration was noticed after 12 months ofage. The handlers had observed that attimes, in addition to the strabismus, thetiger would run in a circuitous fashionto get from one point to another. It hadalso been observed tilting its head inone direction whilst looking at anobject in the opposite direction. Wewere asked to examine the white tigerseyes to determine if there were anyobvious abnormalities that mightexplain its appearance and behaviour. A

    normal orange-coated littermate wasexamined for comparison (Figure 2).

    Ocular examinationAnaesthesia was induced by darting

    with zolazepam and maintained withhalothane using a circle system. Theeyes of both tigers were examined usingbinocular indirect ophthalmoscopy(Heine Omega 180 with a 20D hand-held lens) and slit-lamp biomicroscopy(Kowa SL14). Intraocular pressure wasassessed using a Tonopen (Mentor Inc).An OG3MI 3 mirrored goniolens(Ocular Instruments) was used to assessiridocorneal angles. A fundus camera(Kowa Genesis) was used to photo-graph retinal fundi. Electroretinogramswere recorded using standard protocolsin light conditions (photopic) and afterdark adaptation (scotopic) with a

    EDITOR

    DAVID WATSON

    ADVISORY COMMITTEE

    AVIANLUCIO FILIPPICH

    EQUINEDAVID HODGSON

    OPHTHALMOLOGYJEFF SMITH

    PRODUCTION ANIMALS JAKOB MALMO

    SMALL ANIMALS JILL MADDISON

    SURGERYGEOFF ROBINS

    ZOO/EXOTIC ANIMALS LARRY VOGELNEST

    EDITORIAL ADMINISTRATION AND DESKTOP PUBLISHING

    ANNA GALLO

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  • Aust Vet J Vol 77, No 3, March 1999 153

    Clinical

    Retinographics BPM-100 systemconnected to a notebook computer withanalysis software. The stimulus intensitywas set to measure a mixed rod and coneresponse after dark adaptation.

    The white tiger was examined first: noasymmetry in structure was noted withthe fellow eye. The eyelids were normalwith light pigment creating a pale browncolour. The lateral aspect of the bulbarconjunctiva showed light pigmentationoccurring in horizontal streaks, andarising approximately 5 to 10 mmcaudal to the limbus. This occurred in aregion of conjunctiva which was notwell covered by lateral eyelid or canthus(Figure 3). There were no significantfindings on examination of the cornea,anterior chamber, iris, lens or vitreous.Iris colour was pale cream to slightlyblue. The iridocorneal angle was classi-fied as open with large well-spaced pecti-nate ligaments bridging the spacebetween the iris root and posteriorlimbal cornea. The pupil margin wascircular, and an irregular oscillatorypattern of pupil constriction was notedimmediately after induction of anaes-thesia and for about 20 min after topicalinstillation of 1% tropicamide (Mydri-acyl). The intraocular pressure was 21mm Hg in the right eye and 18 mm Hgin the left eye.

    The fundus was very similar inappearance to that normally observed incolour-dilute small domestic felines. Thehead of the optic nerve was round andpale cream with pairs of vesselsemanating from the edge (Figure 4). Thetapetum was roughly triangular in shapeand green to yellow. There was a smalltransition zone between the tapetumand the nontapetum associated withgradual loss of tapetal reflection. Thisarea had a blotchy red-green appearance.Large, radiating, almost parallelchoroidal vessels were observed in thenontapetum because of absence ofpigment in the retinal pigment epithe-lium (Figure 5).

    The electroretinogram showed aphotopic response amplitude of 54.7 V(recording mainly cone photoreceptors)that was significantly larger thannormally seen in small domestic cats.This was deemed to be due to summa-tion of a larger absolute number ofphotoreceptors in a larger eye. Thelatency of 11.2 ms was similar to thatseen in small domestic cats, as summa-

    tion should not affect latency. After 15min dark adaptation, a scotopicresponse amplitude of 577 V wasrecorded (recording mixed rod and conephotoreceptors but mainly rods becauseof their dominance). This was alsomarkedly larger than the normalresponse seen in a small domestic cat.Latency was 17 ms. A 30 Hz flicker testwas performed; this showed a normalmixed rod-cone response without fusion.

    The normal orange littermate wasexamined using the same anaestheticregimen for restraint. The eyelidmargins were well pigmented with darkblack colouration. The lateral bulbarconjunctiva showed similar but muchdarker pigment patterning than that inthe white tiger. There were no signifi-cant findings on examination of thecornea, anterior chamber and iris. Theiris colour was a pale yellow. As observedin the white littermate, the iridocornealangle was classified as open with largewell-spaced pectinate ligaments bridging

    the space between the iris root andsclera. A small area of cataractous changewas noted in the anterior subcapsularcortex of the right eye. The significanceor possible aetiology of this cataract wasnot determined. Intraocular pressurewas 21 mm Hg in the right eye and 22mm Hg in the left. The tapetal fundusin both eyes had similar appearance tothat of the white tiger, but thenontapetum was well pigmented withchoroidal vessels not readily visible(Figure 6).

    The electroretinogram showed aphotopic response amplitude of 51.9 Vand latency of 11.2 ms. After 15 mindark adaptation, a scotopic responseamplitude of 548 V with latency of19.3 ms was recorded. A similar flickerresponse at 30 Hz to that recorded forthe white tiger was also noted. The simi-larities between the curves for the twotigers confirmed that visual defects wereprobably not related to differences inretinal function in the white tiger.

    Figure 3. Right eye of the white tiger.Note pale brown pigmentation of thevery exposed lateral bulbar conjunctivadue to the strabismus, and the pale blueiris.

    Figure 4. Central tapetal region of thewhite tiger. Note the appearance of opticdisc and radiating vessels is similar tothat of small domestic felines.

    Figure 5. View of the junction betweenthe tapetum and nontapetum in thewhite tiger. Note the visible choroidalvessels due to lack of pigment in theretinal pigment epithelium.

    Figure 6. View of the junction between thetapetum and the nontapetum in thenormal tiger. Pigment in the retinalpigment epithelium obscures the view ofthe choroid in the nontapetal area.

  • Aust Vet J Vol 77, No 3, March 1999154

    Clinical

    Differential diagnosisAs differential diagnoses for the stra-

    bismus observed in the white tiger, thefollowing possibilities were considered:

    l an adaptation to genetically deter-mined abnormal visual pathways.

    l an ocular motor neural abnormalityequally affecting both abducentnerves (sixth cranial nerve, CN VI).This diagnosis was excluded becauseof the improbability of such a bilat-eral lesion and the difficulty of con-firming pure CN VI abnormalitieson both practical and neurophysio-logical grounds (see discussion).

    l a mechanical restricting conditionequally affecting both medial rectusmuscles. This was also considered tobe unlikely, although specific forcedduction tests to check for entrap-ment or fibrosis of the medial rectusmuscles were not performed.

    DiscussionA bilateral abnormality of CN VI

    wi