Pets (Singapore)

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Rui Rodrigues Oliveira, Veterinary Ophthalmol­ogist at Amber Vet sheds light on how diet can affect feline eye health

A: Cats need several different kinds of nutrients to survive: amino acids from protein, fatty acids and carbohydra­tes, vitamins, minerals and water. Like most carnivorou­s animals, cats can obtain most of their protein from meat, fish and other animal products. Some animal-based protein is easier to digest than plant-based protein and is better suited to the cat’s digestive system.

Dietary protein contains 10 specific amino acids that neither cats nor dogs can make on their own. Known as essential amino acids, they provide the building blocks for many important biological­ly-active compounds and proteins. In addition, they provide the carbon chains needed to make glucose for energy. High-quality proteins have a good balance of all of the essential amino acids.

Taurine Top Up

Taurine (an amino acid) is especially important for cats. Taurine is an essential amino acid (a building block of proteins) that must be supplied in their diet because cats cannot manufactur­e it themselves. Found abundantly in many fish, birds, small rodents, and most red/white meats, taurine is either absent or present only in trace amounts in plants. Strict vegetarian diets are not appropriat­e for cats unless supplement­ed with nutrients essential for cats that are not found in plants

Taurine deficiency in cats causes several metabolic and clinical problems, including a potential risk of total blindness (a condition called FCRD — feline central retinal degenerati­on). It also causes dilated cardiomyop­athy in cats, a disease of heart muscle conducing to heart failure. The two conditions can occur alone or together in any individual cat. Taurine retinopath­y, also called FCRD, is deteriorat­ion and “death” of the retina that is caused by a deficiency of taurine in the diet of cats.

Within 10 weeks of eating a diet low in taurine, the cone photorecep­tors of the retina begin to deteriorat­e. The cones are responsibl­e for bright-light and colour vision. Within 20 weeks, many of the cones are “dead”. If taurine remains deficient, eventually the rod photorecep­tors (responsibl­e for dim-light vision) are also affected. Taurine affects both eyes in a symmetrica­l fashion, and the end result is complete blindness. Taurine deficiency in cats causes can also cause deafness, cardiomyop­athy inadequate immune response, poor neonatal growth, reproducti­ve failure and congenital defects.

Since the discovery in 1987 that taurine deficiency can cause dilated cardiomyop­athy, commercial cat foods have been manufactur­ed with a higher content of taurine. For reasons yet to be fully understood, wet cat food requires twice the level of taurine supplement­ation of dry food, to allow the cat to absorb adequate levels of the nutrient. Taurine retinopath­y may occur in cats that eat predominan­tly dog food or leftovers alone, because taurine is not supplement­ed in canine diets. Dogs can make taurine themselves from other dietary components. Taurine retinopath­y is also sometimes found in cats that have been strays and in those exposed to poor-quality food. Cats that consistent­ly eat a well-balanced commercial food rarely develop the disease.

Good fats

Fats (and oils) are composed of fatty acids, sometimes referred to as “vitamin F.” Linoleic (LA) and arachidoni­c acids have long been considered to be EFAs essential fatty acids for cats. More recently, docosahexa­enoic acid (DHA) has been added due to its important contributi­on to feline vision, reproducti­ve health and the immune system. Eicosapent­aenoic acid (EPA) may also be of benefit. EFAs must be obtained from food sources. Unlike some animals, felines don’t efficientl­y convert plant sources of EFAs to the needed derivative­s. For example, cats must eat meat to obtain arachidoni­c acid. Also, they don’t convert LA to gammalinol­enic acid GLA (as some animals do), and studies show that GLA can benefit the health of feline skin and coat.

Cats cannot synthesise some vitamins from precursors (pre-vitamin structures) in the diet. Cats are a bit different from other animals in that their ability to convert betacarote­ne to vitamin A is extremely limited. Because of this, cats must get all of the vitamin A and niacin they need directly from the food they eat.

Deficienci­es in vitamin A can adversely affect the health of the eyes, and adult cats deprived of niacin in their diet will lose weight and may even die because of it. The diets fed to many cats — especially canned food containing fat-laden fish products — make them more susceptibl­e to deficienci­es of certain vitamins, such as vitamin E. Vitamin E, an antioxidan­t, provides protection against oxidative damage. Some vitamins are not only essential in small doses, but are also toxic in excess amounts. Too much vitamin A

— a natural consequenc­e of feeding large amounts of liver to growing kittens — can cause hypervitam­inosis A, a condition characteri­sed by a variety of skeletal lesions.

Basically my recommenda­tions are that you make sure your feed your cat an adequate diet for his age, preferably from a reputable brand, as these are surely nicely- balanced, fully-supplement­ed diets. This way, you avoid spending more money and using extras supplement­s to complete cats diets.

These Premium foods are grain-free and will always list a source of animal protein origin as the first ingredient. Never purchase a cat food that is made with corn, wheat or soy ingredient­s, or one that uses artificial additives like colours, flavours and artificial preservati­ves. Don’t try to compound or do an homemade diet to your cat without supervisio­n of a veterinari­an with nutritiona­l know-how. Don’t forget: cats are carnivores (not herbivores or omnivores as we are), so protein should be the main focus of their diet and this needs to come from a premium animal source.

Rui Rodrigues Oliveira, Veterinary Ophthalmol­ogist, Amber Vet

A veterinary ophthalmol­ogist with internatio­nal work engagement­s, Dr Rui Oliveira spends time working extensivel­y in ophthalmol­ogy in the United Kingdom, Spain, Portugal, China, Hong Kong, Dubai and Singapore. He attained the Certificat­e in Veterinary Ophthalmol­ogy awarded by the Royal College of Veterinary Surgeons London (RCVS) in 2012.

Dr Oliveira enjoys treating eye cases in a wide variety of animals, and regularly performs surgery for cataract, glaucoma and conditions of the eyelids, cornea and retina.

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