Pet Health

Nystagmus in Dogs: Causes and Treatment (Vet-Reviewed)

Discover the causes and effective treatments for nystagmus in dogs. This vet-reviewed guide helps you understand and manage your dog's eye condition with care.
Author: Veterinary Team
Dial A Vet
Updated
June 6, 2025
|
Published
June 6, 2025
Dog with nystagmus displaying eye movement while sitting on a veterinarian's examination table, illustrating symptoms of the condition.

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Have you noticed your dog’s eyes darting rapidly side to side or up and down? This unusual eye movement, known as nystagmus, can be alarming to witness. While it’s not a disease itself, it’s often a symptom of an underlying condition. Understanding what nystagmus is, its causes, and how to address it can help you feel more confident about your dog’s health.

⚠️ What to Watch For

Nystagmus refers to involuntary, repetitive movements of the eyes. It can occur in any direction: horizontal, vertical, or even circular. Depending on the cause, you might also notice other symptoms that accompany the eye movement.

Common signs to look for include:

  • Rapid, jerking eye movements (side to side, up and down, or circular)
  • Head tilting or abnormal head positioning
  • Loss of balance or coordination (ataxia)
  • Vomiting or nausea, similar to motion sickness
  • Unusual behavior, such as confusion or disorientation

If you see any of these symptoms, it’s important to stay calm. Nystagmus itself isn’t painful, but it can indicate a more serious condition that needs attention.

🔍 Possible Causes

Nystagmus in dogs is usually a sign of a problem in the vestibular system, which controls balance and spatial orientation. This system includes parts of the brain and inner ear. Causes can range from minor to serious:

  • Vestibular disease: Often referred to as “old dog vestibular syndrome,” this is one of the most common causes in older dogs. It’s typically sudden but not life-threatening.
  • Inner ear infections: Bacterial or fungal infections in the ear can affect balance and cause nystagmus.
  • Head trauma: Injury to the head can disrupt the brain or vestibular system.
  • Neurological disorders: Conditions like brain tumors, encephalitis, or strokes may lead to nystagmus.
  • Toxins: Exposure to certain toxins, such as lead or antifreeze, can cause neurological symptoms, including nystagmus.
  • Congenital issues: Some dogs may be born with nystagmus due to genetic or developmental abnormalities.

Identifying the cause often requires a thorough examination by your veterinarian, along with diagnostic tests such as blood work, imaging, or ear swabs.

✅ What You Can Do at Home

While you should consult a vet to determine the cause of nystagmus, there are a few steps you can take to make your dog more comfortable at home:

  • Keep your dog in a calm, quiet environment to reduce stress and avoid overstimulation.
  • Block off stairs or other areas where they could fall and injure themselves.
  • Offer support if your dog struggles to stand or walk. Use a harness or carry them if necessary.
  • Encourage hydration and offer food, but don’t force them if they’re nauseous.

These measures can help stabilize your pet while you seek professional advice. However, they are not a substitute for veterinary care.

💡 When to Call a Vet

Nystagmus is not a condition you should ignore. Even if your dog seems otherwise fine, it’s important to determine the underlying cause. You should call your vet immediately if:

  • The nystagmus is sudden or severe
  • Your dog is unable to stand, walk, or eat
  • There are additional symptoms, such as vomiting, seizures, or head trauma
  • The symptoms persist for more than 24–48 hours

Your vet may recommend an in-clinic visit or a telehealth consultation to assess your dog’s condition. Be prepared to share details about when the symptoms started, any changes in behavior, and any possible exposures to toxins or injuries.

FAQs

Q: Can nystagmus in dogs go away on its own?
A: It depends on the cause. In cases like vestibular disease, symptoms may improve within a few days with supportive care. However, other causes, such as infections or neurological issues, require treatment to resolve.

Q: Is nystagmus painful for dogs?
A: No, nystagmus itself isn’t painful, but the underlying condition causing it might cause discomfort or other symptoms. For example, inner ear infections can be painful, and nausea from vestibular disease can make your dog uncomfortable.

Q: How is nystagmus treated?
A: Treatment focuses on addressing the underlying cause. For example, antibiotics may be prescribed for an ear infection, or anti-nausea medications may be used for vestibular disease. In some cases, supportive care and time are all that’s needed.

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References

While every effort is made to ensure the accuracy of this content - including vet review where applicable - this article is for informational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. If your pet is unwell or you are concerned, please speak with a licensed veterinarian. You can book a $49 online consultation with our veterinary team  😄
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