Border Collie Glaucoma Database

Please complete the form below to submit your test results.

You need to fill out a separate form for each dog.

PLEASE ONLY USE THE SUBMISSION FORM FOR NEW RESULTS.

If you wish us to amend an existing listing, please use a contact email address shown on the Home page.

Report Form

Dog Owners Name (remember to add the owners name if you are not the registered owner of the dog)

Dogs Country of Residence - Please give the usual country of residence for this dog.

YOUR email address

Dog's Registered Name (omit titles)

Gender

Male
Female

Dog's date of birth (please add as dd/mm/yy)

Sire (omit titles)

Dam (omit titles)

CLINICAL Goniodysgenesis status (affected Grade: ?/ unaffected)

CLINICAL Gonioskopy date tested (dd/mm/yy)

The name of the Eye Specialist who did the CLINICAL gonioskopy:

CLINICAL Glaucoma status (seight loss/eye loss, dates, comments)

Glaucoma DNA test result:

DNA test date:

Laboratory where the test was done