It looks like she has had some type of trauma to this eye. Your dog can be affected by different types of eye injury, however, they all require veterinary attention. So, what are the most common types of eye injuries in dogs? Some of these tests will include a fluorescein stain test, tonometry, ocular ultrasound, Schirmer tear testing, cytology, x-rays, and slit lamp examination. Symptoms of Hyphema in Dogs The symptoms of hyphema are varied, depending on the cause. The anterior chamber houses the aqueous humor, the clear fluid which covers the eye. According to the American Kennel Club (AKC), it accounts for 10% of all canine lymphomas. Treatment of Hyphema in Dogs Home Care for Dogs with Hyphema Hyphema is the presence of blood within the front (anterior) chamber of the dog's eye and is a symptom of either serious ophthalmic or systemic disease. HHS Vulnerability Disclosure, Help The veterinarian will also want to look into the cause of the hypertension. Dogs may be started on glaucoma drops if they are at risk of developing secondary glaucoma. Copyright 1999 - 2023. To treat glaucoma, prostaglandin, mannitol, and carbonic anhydrase inhibitor may be prescribed. These tests are recommended not only to stop bleeding and treat inflammation inside of the eye, but also to protect a dogs systemic health and organ function. The four most common types of lymphoma in dogs that owners should know about are: Multicentric lymphoma Alimentary lymphoma Mediastinal lymphoma Extranodal lymphoma Multicentric Lymphoma. However, here are a few key tips for emergencies: You can never be too careful with an eye injury and its best to see a vet as soon as possible so they can assess the extent of the damage and recommend a suitable treatment plan. Rehovot, Israel. Disease. After treatment, you may need to keep your pet in a crate or a small room to prevent accidents. These procedures should only be performed by specialist ophthalmic surgeons. Traumatic eye injuries in dogs are common and usually result from sticking their nose into something they shouldnt or playing rough with other dogs or cats. They prescribed two different eyedrops which we applied for 14 days and then took her back to that same vet. However, some of the most common are: Redness in the eye Cloudiness of the eye Pool of blood in the iris or cornea Squinting (blepharospasm) Eye pain Keeping eye closed Vision loss (bumping into objects) Types This article is purely informative. In case of retinal detachments, secondary glaucoma will eventually develop, and surgical intervention may be necessary for relief of pain. For more details about your right to direct us not to sell your personal information, please see here. What Is A Lens Luxation? Dogs with hyphema most often will have decreased or absent vision in the affected eye. If there is an underlying cause of the ulceration, such as Dry Eye, this will need to be treated as well. A Lot of Shaking Going On! Happy reading! Hyphema is a hemorrhage in the eye between the cornea and the iris that causes the area to fill with blood. Watch out for the following warning signs: Diagnostic tests may include one or more of the following in your dog: Treatment of the eye is often initiated while a diagnostic work-up is underway and may include: Restrict your dogs activity and reduce the risk of further bleeding by confining your dog to a small room or crate until the cause of the hyphema is determined and the treatment is well underway. Uveitis is a condition where the part of the uvea, the part of the eye that supplies blood to the retina, becomes inflamed. A clot in a vein or artery can quickly become fatal when vigorous movement encourages the clot to travel to the heart. Eyelid lacerations usually require surgical repair. Laboratory tests may include a urinalysis, fungal and bacterial cultures, and additional blood marker evaluation to investigate secondary causes. For this reason, a thorough diagnostic investigation as described earlier is of paramount importance. Occasionally, surgical removal of the clot may be necessary. Behind the iris is the posterior chamber and the lens. The anterior chamber of the eyeball is the space between the cornea and the surface of the iris. disease, clotting abnormalities, toxicities and cancer. How do I know if my dogs eye injury is serious? My dog ran full speed into a screen door. However, some of the most common are: It is important to have your pet checked out by your veterinarian as soon as possible if you suspect hyphema because it could be a sign of a secondary condition that may be serious. Topical atropine, prednisone drops, NSAIDs, or systemic steroid cream may be used. If your dog has blood or discoloration in the eye, you should see a veterinary professional as soon as possible to prevent serious complications. The blood may hide a portion of the iris or pupil. Komaromy A Met al(2000)Hyphema . Broad categories for bleeding inside of the eye include systemic hypertension, blunt trauma to the head, infectious. official website and that any information you provide is encrypted The next day I noticed that one side of here eye was blood colored. A complete medical history will be taken and a thorough physical examination done to include or exclude possible causes for the condition. Objects like grass seeds, splinters, dust, and debris are examples of foreign bodies or material that can cause inflammation, trauma, and infection if not removed quickly. Treatment of hyphema includes topical and oral anti-inflammatory medications. Hyphema is a hemorrhage in the eye between the cornea and the iris that causes the area to fill with blood. If Lyme disease is left untreated it can lead to damage in the kidneys, nervous system, and heart. Platelet disorders such as leukemia, anemia, lymphoma, and blood loss. Possibly pain with squinting or holding the eye closed, Decreased vision or blindness in the affected eye(s), Complete medical history and physical examination, Complete ophthalmic examination. A common cause of hyphema is a retinal detachment. Sign up to receive our latest updates, tips, and exclusive offers. Why Does My Cat Push Out His Penis and Lick It? Platelet disorders such as leukemia, anemia, lymphoma, and blood loss. Other causes of hyphema will require further examination and possibly a visit to a specialist. My vet diagnosed her with 80mg Prednisone and 100mg Doxycycline daily for 2 weeks. Although most of us will be alerted to the presence of hyphema in dogs due to the appearance of blood in the dog's eye, there are other signs which we might notice. Uveitis (inflammation of the iris, ciliary body and choroid) is a symptom of Lyme Disease and other tick borne diseases, with uveitis there may be some bleeding in some cases but I cannot say for sure if it is related. Careers. Neoplasia/congenital anomalies/hypertension: usually recurrent - may or may not clot. Etiology may influence whether clot forms in anterior chamber. Platelet disorders such as leukemia, anemia, lymphoma, and blood loss. Unfortunately, sometimes our pets develop serious eye conditions. The symptoms of hyphema are varied, depending on the cause. It may settle to the bottom of the anterior chamber due to gravity, or it may form an actual blood clot in the chamber. Maggs, D. G., Miller, P. E., & Ofri, R. (2008). There are a myriad of potential causes, and thus making an accurate diagnosis is essential for initiating the most appropriate therapies. Ive said it before. Mediastinal Lymphoma. However, when the dog moves its head, the blood is distributed throughout the anterior chamber, showing a homogeneous reddish coloration. If an ulcer is found and appears to have stromal loss or a cellular infiltrate (i.e., it appears yellow or white), a sample should be collected for cytology and aerobic culture. A comprehensive physical examination will be done including checking your dog's reflexes, pupil reaction time, mucous membrane color, blood pressure, respirations, and breath sounds. We break these two broad categories down into individual causes: There are several eye disorders that can trigger hyphema in dogs: Generally, localized hyphema are usually unilateral. In general, vets often advise that dogs undergoing treatment limit the amount of exercise they undertake. Receive latest Vetlexicon news and updates by signing up to our mailing list. Some of the most common causes include: Additionally, blood in your dogs eye can signify a serious underlying, life threatening condition, so its always important to consult with your vet if you see any of the previously mentioned symptoms in your dog. What Tests Can Be Performed To Determine A Cause? Return for follow up must always be adhered to, per the veterinary teams recommendations. One of the Most Common Causes of "Spooking" In Horses. Unless the ocular structures have suffered irreversible damage, the prognosis is usually good in case of traumas. AnimalWised helps explain by providing the causes and treatment of hyphema in dogs. They can prescribe medication for the eye. Causes of Hyphema in Dogs. Surgical options include laser cyclophotocoagulation, anterior shunts, evisceration, or enucleation. The veterinarian will need to discuss your dogs medical history and recent vaccination records. One can typically readily visualize blood in the anterior segment of the eye. Best treatment options There are many conditions which could cause a dog's eye to become red. If you would like to receive a complimentary trial across your entire clinic/practice/team, please complete the practice form opposite and submit then a member of our team will be in touch to arrange this for you. If a tumor or cancer are suspected, oral anti-inflammatory medications may not be started initially since these therapies can interfere with cancer diagnosis and treatment. For other causes of hyphema, the underlying problem has to be treated. Exercise will be limited; each case will be individually assessed as to when to return to normal activity. Uveitis (inflammation of the eye) Intraocular neoplasia (tumor) Retinal detachments or tears. Hyphema occurs when there is damage to the blood vessels of the uvea (pigmented tissues of the eye) or retina. it affects both eyeballs. The other causes may occur at any age.In some animals the cause is never determined. With melena, a dog's poop usually looks more solid. Procedure: Medical records from the Colorado State University Veterinary Teaching Hospital between the years 2004-2015 were reviewed. Redness within the eye located between the cornea (the clear front covering the eye) and the iris/pupil. Animals studied: Ninety-nine dogs (120 eyes) that presented with hyphema. Tell us all about it in the comments below. In addition, the veterinarian will do a detailed optical assessment and run some diagnostic tests. As the eye is so sensitive its best to contact your vet before attempting any first aid at home. Causes of Hyphema in Dogs. It is important to distinguish this between other types of eye redness. Treatment for glaucoma is indicated in eyes with elevated intraocular pressure. This review outlines an inclusive list of causes, diagnostics, and treatments for traumatic and nontraumatic hyphema in both canine and . Therefore, its diagnosis and proper treatment is very important. Veterinary reviewed by: Dr. Linda Simon, MVB MRCVS. Thank you for your question. Glaucoma is a very hard disease to manage, and hyphema can lead to further problems. Would you like email updates of new search results. Hyperviscosity. Please contact the site administrator. See the Client Education article on Glaucoma. The condition appears with a number. Has your dog ever suffered from hyphema? Laboratory tests may include a urinalysis, fungal and bacterial cultures, and additional blood marker evaluation to investigate secondary causes. Yes please, I would like to read about future offers and latest news via email. Hyperviscosity. It is usually seen in the lower part of the eye, as the blood content falls due to gravity. Never attempt to treat an eye injury yourself at home. In some cases, yes. Since there are many systemic diseases which can lead to hyphema, various diagnostic tests could be recommended to discover the underlying cause of bleeding inside of the eye. Ninety-nine dogs (120 eyes) that presented with hyphema. automatically checked to see if she had any vision or reflex issues, which she didnt. As the eye is so sensitive its best to contact your vet before attempting any first aid at home. One can typically readily visualize blood in the anterior segment of the eye. For example, your pet may have high blood pressure or a clotting disease such as Von Willebrands Disease, hemophilia, or thrombocytopenia. Some of the secondary complications are adhesions, permanent blurred vision, and blindness. Systemic hypertension (high blood pressure) Coagulation factor abnormalities. In some instances, eye drops or medicated ointment will be required on a daily basis during the recovery period or longer. Dogs of any age or sex but may be more common in young dogs and puppies, as well as working breeds like Labradors and English Springer Spaniels. Blood dyscrasias/coumarin intoxication: usually unclotted, may be diffuse (acutely) or form fluid line (as it resorbs). Since graduating she has worked in clinical practice, including at a university teaching hospital in New Zealand. . Hyphema is diagnosed through hematology and blood biochemistry tests, lab tests, and diagnostic imaging using X-rays and ultrasound tests. It has specific causes which need to be determined before treatment can commence. I love eyesalbeit not enough to want to be an ophthalmologist, but at least enough to respect their function and beauty. Accessibility My Patient's Eye Is "buggy"! Should I just wait it out like like I did, with little strain or activity? If your pet is diagnosed with hyphema during their eye exam, your ophthalmologist will discuss these possible causes and the best course of diagnostic tests and treatments to pursue. So You Want To Be A Veterinary Ophthalmologist?!?! This is an emergency requiring immediate veterinary attention. How did your vet help your canine recover? 5 It is possible for dogs to develop uveitis from leptospirosis before developing other clinical signs. Think your dog might have hyphema? The treatment depends on what is causing the hyphema and how severe it is. Hemorrhage occurs when blood vessels from uveal tract are damaged, disrupted or anomalous. The veterinary team will most likely stabilize the ophthalmological emergency in situ, and then refer the case to an ophthalmology specialist. All information is peer reviewed. An ultrasound of the eye is a noninvasive test which can be performed in the office and can help us to determine whether a dog has a retinal detachment, or evidence of a tumor inside of the eye. To learn more, take a look at our articles on why a dog has blue eyes and the causes of green ocular discharge in dogs. Blood may be seen inside of the eye, obstructing the normal appearance of the colored iris behind the blood. The amount of blood within the front chamber can vary. Sign up now to start a free trial to access all Vetlexicon articles, images, sounds and videos, or Login, Hematology: activated partial thromboplastin time (APTT), Want more related items, why not contact us. A problem was detected in the following Form. Trauma. If you see there is blood in your dog's eye, it is important to know why. The presence of adult Physaloptera spp. If you suspect that there is bleeding inside of your pets eye, your ophthalmologist can diagnose the location of bleeding and discuss options for diagnostics and treatments with you. However, hyphema is a clinical sign and not a specific disease. Alimentary lymphoma in dogs causes vomiting, diarrhea, decreased appetite, and weight loss. Objective: To investigate the causes of hyphema in dogs and identify factors associated with poor visual outcomes. To find a board-certified veterinary ophthalmologist, please visit the American College of Veterinary Ophthalmologists. Regardless of cause, 55.4% of eyes were blind at their last recheck, but the percentage of eyes that lost vision ranged from 11.1 to 100%, depending on the cause. A month ago my dog bumped her head and her eye went from being a cloudy blue color, to a green color, and then eventually a red/purple color. In addition, the veterinarian will do a detailed optical assessment and run some diagnostic tests. How is hyphema diagnosed? Conclusion: Federal government websites often end in .gov or .mil. Symptoms and Types The symptoms of hyphema are dependent on the extent of bleeding, whether vision has been impaired, and whether your dog has other, underlying systemic diseases. For example, your pet may have high blood pressure or a clotting disease such as Von Willebrands Disease, hemophilia, or thrombocytopenia. Blunt trauma, dog bite wounds, or other forces applied to the head can cause bleeding into the eye (hyphema) and other serious damage including the eye-popping out of the socket (proptosis). My dog last week began to show signs of Hyphema in her left eye. When you suspect that dog may be suffering an intraocular hemorrhage, do not hesitate to go to a veterinary clinic as soon as possible. The objectives of hyphema treatment involve containing the inflammation and removing the underlying causes which contribute to the bleeding in the anterior chamber of the eye. We invite you to take your pet to the veterinarian if they are suffering from any condition or pain. Exercise will be limited; each case will be individually assessed as to when to return to normal activity. Prompt diagnosis and treatment are essential to give the eye the best chance of healing. Blood within the anterior chamber of the eye, Hypertension, hyperthyroidism, systemic deficiencies, Bleeding vessels - vasculitis, uveitis, uveal neoplasia, and lymphoma particularly. Prepare for the unexpected by getting a quote from top pet insurance providers. Results: The challenging aspect of hyphema is figuring out what caused it. While it sounds serious, and it can be, it is usually treatable. Veterinary reviewed by: Dr. Linda Simon, MVB MRCVS. Hyphema may be just an annoyance or a severe debilitating condition, depending on the cause and severity. Alimentary lymphoma is the second most common type of lymphoma, and it affects the dog's gastrointestinal tract. JSAP 36 (10), 445-449 PubMed. Initial exam findings associated with a significantly increased risk of blindness were absent consensual PLR (odds ratio (OR) = 28.6), absent dazzle (OR = 19.4), elevated intraocular pressure (IOP) (OR = 9.1), presence of a retinal detachment (OR = 7.6), unilateral hyphema (OR = 5.8), and complete hyphema (OR = 3.9). 8600 Rockville Pike Disclaimer. Morales, I., Gutirrez, E., De Len, M., Ferrer, O., & Corbera, JA (2006). 5 Metastasis is infrequent (< 5% of cases). Anterior uveitis and posterior uveitis refer to inflammation in different parts of the uvea. Harrus S, Ofri R, Aizenberg I & Warer T (1998). A retinal detachment can occur as a result of many of the previously listed causes or can occur due to auto-immune disease or can occur for an unknown reason (idiopathic). Leptospirosis is now one of the most common zoonoses in the world. Submitting it could result in errors. My Cat's Eye Is Cloudy and Inflamed! Once posts are published, youll see them here. My Dog's Poop Starts Solid Then Goes Soft. Clipboard, Search History, and several other advanced features are temporarily unavailable. May or may not be accompanied by posterior segment hemorrhage. PMC Prognosis for vision is highly dependent on the cause of hyphema and initial exam findings. Some of the secondary complications are adhesions, permanent blurred vision, and blindness. Causes of Hyphema in Dogs. Diagnosing hyphema is straightforward. This usually will go away with time. I brought her to the vet a few days after she first started showing signs and her blood work came back great except positive for Lyme and her Auto-immune was low. In cases of clotting, your dog will need to be treated specifically for dissolving the clot. Despite the best veterinary care, an eye injury may still result in permanent scarring or blindness. Common diagnostic tests and procedures include: Other advanced tests that may be performed include abdominal ultrasounds, X-rays of the head and eye orbit to detect hitherto unknown traumatic injuries, and hormonal tests (assays) of the adrenal glands. The challenging aspect of hyphema is figuring out what caused it. Foreign bodies are often found under the eyelids but can also cause deeper injury to the eye itself (a penetrating injury). I have had hyphema before as well. What Are Some Treatments For Hyphema? more common in young dogs and puppies, as well as working breeds like Labradors and English Springer Spaniels. To understand hyphema, one must have a basic understanding of eye anatomy. Photo courtesy of Dr. T Martins and Dr. C Barros. If it gets worse, it would be best for you dog to see the vet. A corneal ulcer is a defect that can also include cuts (laceration) to the outermost surface of the eye (the cornea). What Should You Do If You Notice Hyphema Or Your Pet Is Diagnosed with Hyphema? Compare top pet insurance plans. Some patients can be effectively managed with ophthalmic medications. A simple corneal ulcer should heal within 7 days and an eyelid injury that has been surgically repaired should heal within 7-10 days. AnimalWised does not have the authority to prescribe any veterinary treatment or create a diagnosis. Unable to load your collection due to an error, Unable to load your delegates due to an error. In fact, it may be an early symptom of an illness that could be life threatening, so it is best to get it checked out. Your veterinarian will refer you to who you need to see. Some bleeding around the white part of the eye not the entire eye though. Ellen is currently based in Somerset and in her free time enjoys yoga, reading, travel, and modern calligraphy! Keeping them indoors where possible (leash walk to the toilet) and away from sharp objects and other pets is also useful. In dogs, the most common signs include fever, loss of appetite, painful or swollen joints, lameness that comes and goes, swollen lymph nodes, and lethargy. For this reason, blood clots do not usually appear until 4-7 days after the start of bleeding. The use of corticosteroids as eye drops or ointment to cure inflammation arising out of the bleeding, Atropine eye drops to dilate the pupil and minimize sticking between the lens and the iris. Trauma. Serum biochemistry to measure serum levels in protein, Coagulopathy tests to assess blood coagulation functions. By completing this form and clicking the "Send Request" button, you agree to our Terms of service and Privacy policy. Many animals can have Lyme disease and show no signs. An official website of the United States government. The inflammation causes proteins to leak out resulting in cloudiness in the eye. Blunt trauma, dog bite wounds, or other forces applied to the head can cause bleeding into the eye (hyphema) and other serious damage including the eye-popping out of the socket (proptosis). Hyperviscosity. Bethesda, MD 20894, Web Policies Below is a list of the nine most common dog eye problems or dog eye infections that will include: pictures, causes, prevention, and treatment. Hyphema in dogs can be due to both localized and systemic causes. To prevent your dog from inflicting further injury or irritation to the eye by scratching at it, you may want to ask your veterinarian for an Elizabethan collar - a wide collar that fits around the neck, preventing the dog from being able to reach its face with its paws. Prepare for the unexpected by getting a quote from top pet insurance providers. Hyphema, or blood in the anterior chamber of the eye, is a common condition among dogs. Dogs with uveodermatologic syndrome (an immune-mediated disease that causes inflammation of the eye and loss of clear sight, along with loss of pigment in the skin and whitening of the hair) may also present as inflammation in the front part of the eye, including the iris. After treatment, you may need to keep your pet in a crate or a small room to prevent accidents. I hope this information is interesting to you. Pet owners are encouraged to partner with their family veterinarian and a board-certified veterinary ophthalmologist. The condition appears with a number of symptoms, including a general redness of the eye area and visible blood clots in the eye. The veterinarian will need to discuss your dogs medical history and recent vaccination records. FOIA When presented with a red eye, the clinician should consider three main differential diagnoses: conjunctivitis, anterior uveitis and glaucoma. Iris vessels most common source, but retinal, choroidal and ciliary vessels are possible. Medical records from the Colorado State University Veterinary Teaching Hospital between the years 2004-2015 were reviewed. Initiation of appropriate treatment for ocular deficiencies like retinal abnormalities (i.e., dysplasia), collie eye anomaly, glaucoma, etc. Sometimes only one. Surgery may also be necessary for the correction of traumatic injuries and lesions. It is caused by injection of the conjunctival, episcleral or ciliary blood vessels. Something as simple as applying the wrong eye drop or using an irritating cleaning solution could have serious consequences and make matters worse. Uveal melanomas are the most common primary intraocular tumor in dogs. 9 Most Common Dog Eye Problems 1. Treatment usually includes antibiotic drops, topical atropine, and oral non-steroidal anti-inflammatory drugs (NSAIDS). High Levels of Plasma Protein in the Blood, Traumatic hyphema is a condition caused by an injury to the head or eye, Secondary hyphema may be caused by many different diseases and disorders, Systemic hypertension (high blood pressure). If your dog has blood or discoloration in the eye, you should see a veterinary professional as soon as possible to prevent serious complications. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Be sure to let the veterinarian know if you have given your pet any medication or supplements of late because some products can mimic or mask symptoms and affect the treatment plan. There are several different ways this disorder may present itself such as tiny blood clots in the eye, a redness of the entire eye, or several layers of recurrent hyphema which shows as purple and bright red areas. Blood in the anterior chamber does not usually clot easily due to the release of fibrinolysins (enzymes that dissolve fibrin clots) from the iris. What Is Blastomycosis? Following single bleeding episode, resorption occurs within 7-14 days. canine; causes; glaucoma; hyphema; prognosis. Hyphema is bleeding into the anterior chamber of the eye and is usually associated with a breakdown of the blood ocular barrier and subsequent inflammation (called uveitis). This condition usually occurs because of an injury but may happen spontaneously. This condition usually occurs because of an injury but may happen spontaneously. To detect bone marrow cancer, a bone marrow aspirate - the liquid found within the bone marrow - may also be done. Intracorneal hemorrhage is a rarely described condition in older dogs seen as a variably sized focal well-demarcated area of free blood within the corneal stroma. To show you are not a Bot please can you enter the number showing adjacent to this field. Effective treatment of hyphema is dependent on accurately identifying the underlying cause. There are no home treatments for this, and close attention needs to be paid to help resolve this problem. Get practical pet health tips, articles, and insights from our veterinary community delivered weekly to your inbox. What Are Some Causes of Hyphema? Hyphema in dogs is a medical condition that results in blood making its way into the front chamber of the eye. Access the worlds largest online veterinary resources, written by leading experts for 14 days. What is Exophthalmos and Where Do We Go From Here? government site. From 303 quotes ranging from $300 - $2,500. Keywords: Could It Have Equine Recurrent Uveitis? The treatment depends on what is causing the hyphema and how severe it is. (Picture Credit: Kateryna Kukota/Getty Images). Systemic hypertension (high blood pressure) Coagulation factor abnormalities. If your dog is found to have high blood pressure, beta blockers or ACE inhibitors may be prescribed. Your dog may need to wear a cone to prevent rubbing. If you suspect that your dog is developing hyphema, your veterinarian will want to carry out a full physical examination. Systemic hypertension (high blood pressure) Coagulation factor abnormalities. High Levels of Plasma Protein in the Blood, Traumatic hyphema is a condition caused by an injury to the head or eye, Secondary hyphema may be caused by many different diseases and disorders, Systemic hypertension (high blood pressure). In some instances, eye drops or medicated ointment will be required on a daily basis during the recovery period or longer. Ocular defects - retinal dysplasia, collie eye anomaly, glaucoma, etc. Procedure: They will often apply. Retinal detachment can also occur secondary to intraocular inflammation following intraocular surgery. Canine uveitis can cause cataracts, scar tissue . Make sure to follow your vets instructions carefully when administering treatment. However, deep ulcers or penetrating eye injuries may take weeks of intensive treatment or longer to heal completely. Hyphema is the presence of blood within the front (anterior) chamber of the dogs eye and is a symptom of either serious ophthalmic or systemic disease. chickasaw nation covid relief, royal hawaiian pink haupia cake recipe,