咨询描述:你好 猫猫前几天情况是眼里面有肿外翻的 滴眼药水后有所好转 但是现在又开始咪眼睛了 请问怎么解决?是什么原因啊?后面两张是现在的情况 眼分泌物很多
回复总结:猫眼红肿内眼睑外翻流泪考虑角膜溃疡的可能性较大。突出的粉红色物体是第三眼睑,一般当眼内出现结膜炎或者刺激时第三眼睑会上升并且发红水肿,如果第三眼睑消肿了就不用太担心。建议最好带猫咪到宠物医院去做荧光素钠染色和裂隙灯检查,确诊是否有角膜溃疡。目前需要给猫咪佩戴伊丽莎白项圈,眼睛需要继续滴抗生素滴眼液,使用眼药之前一定要用生理盐水把眼睛冲洗干净,眼睛周围用纱布擦干净。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的小灰情况,我初步判断有结膜炎,不排除角膜溃疡,但仅仅根据目前信息,还不能做出进一步的判断。我还有几个问题需要向你核实一下:
1. 猫咪的眼睛有没有受过外伤啊?后两张图片,我看他眼角部位的皮肤脏兮兮的,是皮肤有皮肤问题还是什么情况呀?
2. 另外,猫咪的眼睛可以按照我下面的图片近距离拍一个眼球完全暴露的局部放大图过来我看看吗?
3. 猫咪,除了眼睛问题,还有其他异常吗?
以上这些情况您仔细回忆后详细的描述给我,对我给宝贝目前情况做判断以及制定治疗方案有非常大的帮助,感谢您的配合。
为保护用户隐私不显示图片/视频
这样可以吗?眼角毛发那块脏的的是他眼睛里流出来的。
为保护用户隐私不显示图片/视频
我不清楚它有没有自己弄到过眼睛 因为我没有一直给看着她。本来一天是他只是眼睛有点流泪眯眼 但是那个时候还没有像这样,然后第二天有那个红色的地方露出来,然后滴了眼药水本来好一些了,今天又变成这样了,都是这几天的事情。
郭秋萍
执业兽医师
你看他眼球表面是不是光滑的?因为你拍的照片反光,我不确定他有没有角膜溃疡。从她的状态来看,角膜溃疡的可能性比较大。
他之前突出的粉红色的那个东西,是他在第三眼睑,一般当眼内出现结膜炎或者刺激的时候,他在第三眼睑会上升,并且发红水肿。现在的话,他的第三眼睑消肿了不用太担心。现在最重要的是要确诊他到底有没有角膜溃疡,因为有没有角膜溃疡所用的眼药水是不一样的。
我建议你是带她到宠物医院去做一个荧光素钠染色和裂隙灯检查,确定一下,到底有没有角膜溃疡。
目前的话,你需要给他戴上伊丽莎白项圈,另外眼睛是需要继续滴抗生素滴眼液,抗生素滴眼液,最好是不要含****这样的糖皮质激素成分的。
然后每次给他上眼药之前一定要用生理盐水给他把眼睛冲洗干净,眼睛周围用纱布给他擦干净。
请问眼药水用哪种呢?这样可以吗?
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
暂时就用抗生素类的滴眼液,等你去医院做荧光素钠染色确诊有没有角膜溃疡后,再考虑添不添加角膜溃疡的滴眼液。
根据猫咪的情况,我给它开个处方。处方里面的1. **,冲洗眼睛
2,***滴眼液,一天3次,一次1滴
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
{"258456":{"id":258456,"case_id":30971,"user_id":1004931,"to_user_id":1297615,"type":3,"content":"暂时就用抗生素类的滴眼液,等你去医院做荧光素钠染色确诊有没有角膜溃疡后,再考虑添不添加角膜溃疡的滴眼液。\n\n根据猫咪的情况,我给它开个处方。处方里面的1. **,冲洗眼睛\n2,***滴眼液,一天3次,一次1滴","media":{"images":{},"videos":{},"business_params":{"prescription_id":104956}},"is_doctor":1,"status":1,"created_at":"2022-03-04 20:32:08","show_rx":true,"rx_info":{"id":104956,"rx_no":2.02203042031555e+24,"user_id":1297615,"doctor_user_id":1004931,"is_independent":0,"case_id":2647869,"pet_info":{"pet_id":277051,"pet_name":"英短蓝猫","pet_nickname":"小灰","pet_gender":2,"pet_birth":"0-10","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":1,"pet_age_format":"10个月"},"diagnose":"结膜炎","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-03-04 20:31:55","updated_at":"2022-03-04 20:32:08","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":11038,"prescription_id":104956,"doctor_user_id":1004931,"product_id":734,"product_sku_id":776,"dose":1,"dose_unit":"ml","use_method":"滴眼","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-03-04 20:31:55","updated_at":"2022-03-04 20:31:55","product_info":{"id":734,"hash_id":"e0l3wrpKR0xV9GjN","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":82,"sell_point":"眼净眼部生理清洗液","title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","recommend_reason":{"0":"用于清洁犬猫眼部及其周围","1":"清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼部异物,冲洗眼部,眼疾","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c16cca0a276169617f8e2c59b0b08418.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":131,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:20:05","updated_at":"2024-11-18 09:11:13","ins":{"id":82,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"眼部生理清洗液","trade_name":"眼净","en_name":"Physiological Eye Cleanser","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/a00faced81c81d2e18099689ebbd9be2.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"水杨酸,硼酸及钠盐,金缕梅水,矢车菊水","indication":"用于清洁犬猫眼部及其周围,同时清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)。","usage_dosage":"1.冲洗眼部:轻压瓶身将液体倒出覆盖眼部。用清洁的布擦拭脏污和多余液体,请注意不要碰到眼睛。如有必要,可多次使用。\n2.清洁眼部:将液体倒于干净的布上,轻轻擦拭眼周直至清洁。","contraindication":"","adverse_reaction":"其PH值为7.4,与天然泪液的PH值相似,无刺激,适用于眼部敏感的犬猫,无明显不良反应。","attention":"请不要用水或者牛奶清洗宠物眼睛,不要用手指或带有纱布的手指触碰宠物眼睛。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 17:39:54","updated_at":"2020-11-09 17:39:54"}},"product_sku_info":{"id":776,"product_id":734,"title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","advword":null,"price":68,"market_price":89,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":135,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:20:05","updated_at":"2024-11-17 16:56:33"}},"1":{"id":11039,"prescription_id":104956,"doctor_user_id":1004931,"product_id":840,"product_sku_id":882,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-03-04 20:31:55","updated_at":"2022-03-04 20:31:55","product_info":{"id":840,"hash_id":"YW7Jkz4RknglE6M1","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":196,"sell_point":"润宠抗菌肽眼用滴剂","title":"润宠抗菌肽眼用滴剂 5ml\/瓶\/盒","recommend_reason":{"0":"用于细菌感染引起的结膜炎、角膜炎、眼睑炎的防治","1":"用于眼部外科手术后常规消毒","2":"改善猫疱疹病毒、猫杯状病毒引起的结膜炎、角膜炎、眼睑炎等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"结膜炎,角膜炎,眼睑炎,眼药,眼肿,眼红,眼科疾病,眼睛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5ml\/瓶\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/15cad163fb31a876b1488bfc78b95644.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":270,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-05 15:41:06","updated_at":"2024-11-22 09:15:47","ins":{"id":196,"hash_id":"ekz3bB4vXAxdKJMv","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"润宠抗菌肽眼用滴剂","common_name":"眼用滴剂","trade_name":"抗菌肽","en_name":"EYE OPHTHALMIC DROPS","brand_name":"润宠","is_prescription":0,"cover":"\/drug\/2022\/01\/d8af8ce4238209fae0668f5211ed43c8.JPG","specification":"5ml\/瓶\/盒","reference_price":90,"component":"高浓度复合多肽溶菌酶、醋酸氯已定、硼酸、高保湿因子玻尿酸等。","indication":"1. 适用于细菌感染引起的结膜炎、角膜炎、眼睑炎的治疗和预防;\n2. 眼部外科手术后常规消毒;\n3. 改善猫疱疹病毒、猫杯状病毒引起的结膜炎、角膜炎、眼睑炎等;\n4. 眼部常规清洗,缓解眼部干涩。","usage_dosage":"直接滴于结膜囊内,每次1-2滴,每天3-4次,使用前摇匀。","contraindication":"","adverse_reaction":"本品对黏膜无刺激、无毒副作用、不引起疼痛等不适感;\n本品杀菌机理独特,不产生耐药性;","attention":"药品性状发生改变时,请禁止使用。","interaction":"","approval_no":"","storage_method":"阴凉干燥处保存,开封后6个月内用完。","validity":"2年","manufacturer":"绵阳天鸿生物科技有限公司","status":1,"created_at":"2022-01-05 15:38:11","updated_at":"2022-01-05 15:38:11"}},"product_sku_info":{"id":882,"product_id":840,"title":"润宠抗菌肽眼用滴剂 5ml\/瓶\/盒","advword":null,"price":58,"market_price":90,"cost_price":0,"stock":648,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5ml\/瓶\/盒"}},"cover":null,"thumb":"","sale_count":279,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-05 15:41:06","updated_at":"2024-11-21 19:58:31"}}},"drug_data_bak":{"0":{"id":11038,"prescription_id":104956,"doctor_user_id":1004931,"product_id":734,"product_sku_id":776,"dose":1,"dose_unit":"ml","use_method":"滴眼","frequency":"每天2次","days":14,"number":1,"remark":"","created_at":"2022-03-04 20:31:55","updated_at":"2022-03-04 20:31:55","product_info":{"id":734,"hash_id":"e0l3wrpKR0xV9GjN","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":82,"sell_point":"眼净眼部生理清洗液","title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","recommend_reason":{"0":"用于清洁犬猫眼部及其周围","1":"清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼部异物,冲洗眼部,眼疾","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"60ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/c16cca0a276169617f8e2c59b0b08418.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":68,"max_price":68,"sale_count":131,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:20:05","updated_at":"2024-11-18 09:11:13","ins":{"id":82,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"眼部生理清洗液","trade_name":"眼净","en_name":"Physiological Eye Cleanser","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2020\/11\/a00faced81c81d2e18099689ebbd9be2.jpg","specification":"60ml\/瓶\/盒","reference_price":89,"component":"水杨酸,硼酸及钠盐,金缕梅水,矢车菊水","indication":"用于清洁犬猫眼部及其周围,同时清除眼部异物(灰尘、沙粒、碎花、花粉、及其他过敏原和刺激物)。","usage_dosage":"1.冲洗眼部:轻压瓶身将液体倒出覆盖眼部。用清洁的布擦拭脏污和多余液体,请注意不要碰到眼睛。如有必要,可多次使用。\n2.清洁眼部:将液体倒于干净的布上,轻轻擦拭眼周直至清洁。","contraindication":"","adverse_reaction":"其PH值为7.4,与天然泪液的PH值相似,无刺激,适用于眼部敏感的犬猫,无明显不良反应。","attention":"请不要用水或者牛奶清洗宠物眼睛,不要用手指或带有纱布的手指触碰宠物眼睛。","interaction":"","approval_no":"","storage_method":"温室保存。每次使用后,请旋紧瓶盖。","validity":"2年","manufacturer":"法国维克有限公司(Virbac)","status":1,"created_at":"2020-11-09 17:39:54","updated_at":"2020-11-09 17:39:54"}},"product_sku_info":{"id":776,"product_id":734,"title":"维克眼净 眼部生理清洗液 60ml\/瓶\/盒","advword":null,"price":68,"market_price":89,"cost_price":0,"stock":65,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"60ml"}},"cover":null,"thumb":"","sale_count":135,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:20:05","updated_at":"2024-11-17 16:56:33"}},"1":{"id":11039,"prescription_id":104956,"doctor_user_id":1004931,"product_id":840,"product_sku_id":882,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天3次","days":7,"number":1,"remark":"","created_at":"2022-03-04 20:31:55","updated_at":"2022-03-04 20:31:55","product_info":{"id":840,"hash_id":"YW7Jkz4RknglE6M1","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":196,"sell_point":"润宠抗菌肽眼用滴剂","title":"润宠抗菌肽眼用滴剂 5ml\/瓶\/盒","recommend_reason":{"0":"用于细菌感染引起的结膜炎、角膜炎、眼睑炎的防治","1":"用于眼部外科手术后常规消毒","2":"改善猫疱疹病毒、猫杯状病毒引起的结膜炎、角膜炎、眼睑炎等"},"baike_guide_text":"","baike_article_hash_id":"","advword":"结膜炎,角膜炎,眼睑炎,眼药,眼肿,眼红,眼科疾病,眼睛","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"5ml\/瓶\/盒"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/01\/15cad163fb31a876b1488bfc78b95644.JPG","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":58,"max_price":58,"sale_count":270,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2022-01-05 15:41:06","updated_at":"2024-11-22 09:15:47","ins":{"id":196,"hash_id":"ekz3bB4vXAxdKJMv","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"润宠抗菌肽眼用滴剂","common_name":"眼用滴剂","trade_name":"抗菌肽","en_name":"EYE OPHTHALMIC DROPS","brand_name":"润宠","is_prescription":0,"cover":"\/drug\/2022\/01\/d8af8ce4238209fae0668f5211ed43c8.JPG","specification":"5ml\/瓶\/盒","reference_price":90,"component":"高浓度复合多肽溶菌酶、醋酸氯已定、硼酸、高保湿因子玻尿酸等。","indication":"1. 适用于细菌感染引起的结膜炎、角膜炎、眼睑炎的治疗和预防;\n2. 眼部外科手术后常规消毒;\n3. 改善猫疱疹病毒、猫杯状病毒引起的结膜炎、角膜炎、眼睑炎等;\n4. 眼部常规清洗,缓解眼部干涩。","usage_dosage":"直接滴于结膜囊内,每次1-2滴,每天3-4次,使用前摇匀。","contraindication":"","adverse_reaction":"本品对黏膜无刺激、无毒副作用、不引起疼痛等不适感;\n本品杀菌机理独特,不产生耐药性;","attention":"药品性状发生改变时,请禁止使用。","interaction":"","approval_no":"","storage_method":"阴凉干燥处保存,开封后6个月内用完。","validity":"2年","manufacturer":"绵阳天鸿生物科技有限公司","status":1,"created_at":"2022-01-05 15:38:11","updated_at":"2022-01-05 15:38:11"}},"product_sku_info":{"id":882,"product_id":840,"title":"润宠抗菌肽眼用滴剂 5ml\/瓶\/盒","advword":null,"price":58,"market_price":90,"cost_price":0,"stock":648,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"5ml\/瓶\/盒"}},"cover":null,"thumb":"","sale_count":279,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2022-01-05 15:41:06","updated_at":"2024-11-21 19:58:31"}}}}}}
微信扫一扫
立即问宠医