Facial Nerve Paralysis in Cats: Welfare and Management

Facial nerve paralysis causes drooping of facial features and reduces the ability to blink. This guide covers welfare impacts and supportive care.

Key Facts

Facial nerve paralysis causes drooping of the eyelid, lip, and ear on the affected side
Inability to blink causes corneal dryness, ulceration, and significant pain
Causes include ear disease (otitis media/interna), trauma, and idiopathic cases
Idiopathic facial nerve paralysis often shows spontaneous improvement over weeks to months
Corneal protection is the most urgent welfare priority
Some cases are permanent, requiring long-term eye lubrication

Welfare Considerations and Management

Welfare-centred management of facial nerve paralysis prioritises corneal protection. Lubricating eye drops (artificial tears) every 1-2 hours prevent dryness and ulceration. Lubricating ointments at night provide extended protection. Treating any underlying cause (ear disease, Horner's syndrome associated conditions) may support recovery. Temporary tarsorrhaphy (partial eyelid suturing) can protect the cornea if drops are inadequate. Regular corneal examination monitors healing and guides lubrication frequency.

What You Can Do

Apply lubricating eye drops every 1-2 hours to protect the cornea from dryness
Apply lubricating ointment at night for sustained corneal protection
Seek veterinary assessment promptly — corneal ulceration develops rapidly without lubrication
Treat any identified underlying cause to support nerve recovery