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Eyeworms in Cats & Dogs: Symptoms, Diagnosis, and Treatment Guide

Thelaziasis

Published on September 26th, 2024
Updated on October 22nd, 2025

SUMMARY OF CONTENT

The eyeworm, *Thelazia californiensis*, is a parasitic worm that can infest the eye of dogs, cats, sheep, deer, and other mammals and cause a disease known as thelaziasis.

SEVERITY:

Severity is mild to moderate

  • Requires a diagnosis by a veterinarian
  • Resolves within weeks with proper treatment
  • Treatable by a veterinarian, by the pet parent
  • Keep pets indoors and control the fly population
  • Transmission is not possible between animals or between animals and people
  • Diagnosis requires an examination of the eye

VERY COMMON IN

Eyeworms are most common on the Pacific Coast in animals that spend time outdoors.

Symptoms & Signs

Generally, animals show few signs of the infestation. Due to irritation of the eye, animals may produce more tears, may be sensitive to light, and occasionally develop conjunctivitis (inflammation of the mucous membranes of the eyelids). This can become more serious if a secondary bacterial infection develops.

Diagnosis

Eyeworms are diagnosed by examination of the cat’s eyes. The eyeworms can usually be seen, however it might be necessary to place the cat under anesthesia to thoroughly examine the eyes.

Causation

The eyeworm can infect dogs, cats, sheep, deer, and other mammals and cause a disease known as thelaziasis. Eyeworms live in the tear ducts, between the eye and the lids. The adult female worm lays her eggs in the tears. There they develop into larvae that are ingested by certain flies, such as the face fly. The larvae develop in the fly for about 30 days and then move to the mouth of the fly. When the fly feeds near the eye, the larvae move out of the fly’s mouth and migrate to the eye of the new host. In three to six weeks, the larvae develop into adults and repeat the cycle.

Treatments

AT-HOME CARE

An Elizabethan collar (cone) may be used at home to prevent pawing or rubbing of the eye(s).

SUPPORTIVE CARE

Administer all medications are prescribed.

MEDICATIONS

Anti-parasitic medications including ivermectin, moxidectin, imidacloprid, and selamectin which may be prescribed to cure infestations. Topical or systemic anti-inflammatory medications may also be used to decrease any swelling, redness, and irritation caused by the parasite. Antibiotics may also be prescribed to treat or prevent and treat secondary bacterial infections.

DEVICES

None

SURGERY

None

SPECIALISTS

A general practitioner veterinarian typically manages eyeworm infection and a specialist is not needed.

Cost Of Treatment

Uncomplicated cases of Thelaziasis can be diagnosed and treated for less than $500.

Recovery

Most cats respond well to treatment and make a full recovery within a few weeks. If left untreated, there is a risk of permanent blindness.

Monitoring

Cats should be monitored closely during recovery for resolution of clinical signs. A follow-up eye examination may be necessary to ensure the condition has completely resolved.

Prevention

Keeping pets indoors and controlling the fly population is a helpful method in reducing the spread of eyeworms. Keeping the environment clean and free of garbage and fecal material will also help decrease the population of flies. If avoidance is not possible, the use of a fly repellent is recommended, especially in areas with a high fly population.

Disclaimer
The information contained on this page is for educational purposes only. Treatment should only be provided under the advice of a veterinarian who has examined your pet under the laws applicable to your state of residence.

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