This is a case study of a geriatric, male castrate, Himalayan cat, that presented for acute blindness and progressive abdominal distension, of 3 weeks duration. Baseline diagnostics, and imaging studies were performed. The cat was diagnosed with bilateral perirenal pseudocysts, autosomal dominant polycystic kidney disease, hypertension secondary to chronic renal disease, hypertensive retinopathy and otitis externa due to Malasezia. Percutaneous drainage of the pseudocysts was initially utilized to manage abdominal distension, and more definitive treatment was pursued through surgical resection of the renal capsule.