Anisocoria in a 21+ yr. old cat

[Auntiedotes]

Hello, one of my cats (born April 1987) is intermittently showing unequal pupil size.  He has walked with his head slightly cocked to the left for a couple of years now (which our vet said was nothing).  He's hyperthyroid (on meds and currently under control).  I think any other "symptoms" he has are age related (he's deaf as a doornail, walks slower than he did as a young'un, etc.).

Now to the question.  Are any of the illnesses that would cause this anisocoria painful??  At over 21 yrs old, I would not subject my little angel to any rigorous testing.  He absolutely hates the car, so trips to the vet are only as necessary!  I don't want to do him a major disservice by not getting him any care he might need, but I also don't think we should be rushing him off for tests at his age.  If your answer is yes or even possibly, then I need to get him to the vet.  Otherwise, I'll leave him alone!  He's quite a happy cat when he's not in the car!  Thank you very much

[Savas]

It seems with advances in vet med and homeopathic treatment cats are living easily to 23-25 years. I'm hearing it happening more and more.

At that age consistency does seem to be the key. Frankly, you must be doing a good job of caring for him since he's reached the age he has. I'd say keep trusting your instincts, as they've done well by you so far.

[Auntiedotes]

Thanks very much for your response.  Sometimes, it's helpful just to have someone confirm you're doing the right thing.  He really is doing extremely well.  I call him my little engergizer bunny cat!  

I didn't realize that a kitty could reach age 28!  Another 5 yrs. would be so nice.  I've had him since he was only a few weeks old, so it's hard to imagine not having him with me.  Thanks again.

[Savas]

I think you answered the question. If he seems happy, then at 21 I'd say leave him alone. He could easily have another five years in him (I think the oldest on record is 28?) and regular vet visits should be sufficient to spot problems.

At that age, keeping them in  a safe environment and on a normal routine is really the most important thing. As long as his toilet, grooming, and eating is consistent, I wouldn't worry about his pain threshold. I won't say he's pain free (at that age, who is?!?!) but he sounds like he's managing quite well with it.

Congat's on  having a great grandpa kitty, btw!