Oh Jenn, how wonderful of you to take in this kitty!!! So the shelter has let you adopt him permanently? He's been in a cage at the shelter for 4 YEARS??? And no one recognized that he is blind? Oh the poor poor baby!!

I don't have experience with a blind cat, but I would agree with Kim that is it going to take him time to adjust to a normal living situation. My Cuddles was in a cage at the shelter for 18 months, she has no health issues, and it took her over a week to adjust to a room! Never mind an entire house, that was way too much, overwhleming for her. So he needs some boundaries so he can explore and figure out where he is at any given time.

Pick one room for him, place litter, food and water bowls and try not to relocate them on him. Also a bed. Those things will help him learn "7 steps from the bed to the litter box," and "5 steps from the litter box to the water dish." Instead of an entire room, you may even want to section it off for a start.

ER will only look at what they are told is the possible problem. They do not take in anything else, assuming that is being taken care of by the primary. It is the same for humans in the ER.

the pacing sounds exactly like what caged animals do at zoos! Poor, poor kitty.

Did your vet mention, can cats have cataract surgery, as dogs can?

Your post left me wondering, was Aramingo still at the ER vet???

Sandra