回复总结：乌龟眼睛睁不开时如果伴随角膜变白，考虑是由于角膜溃疡导致，可能是水质方面影响导致细菌性感染引起。如果乌龟的皮肤没有问题，可以给乌龟外用抗菌眼药水以及修复角膜的眼药进行治疗观察，同时外用药物防止角膜穿孔以及进一步感染。还可以配合适当口服抗菌药，连续半个月左右，对于眼睛内在感染控制会有良好效果。
问题大致一样，细节不同？
李荣贵
执业兽医师
根据您以上描述，初步怀疑它是有某些原因导致的眼睛结膜角膜感染，但原因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.小乌龟大概养了有多久？平时您一般多久换一次水？现在它主要是水样还是在干燥的地方喂养呢？
2.它患眼的眼睛角膜层有没有变白，或者血丝的情况？因为图片上看不太出来，这可以去分析它角膜感染的情况。
3.。平时有没有用过哪些药物？大概多久一次？
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。
大概养了三年了，它不喜欢在水里待着，自己从缸里往外跑，在地上溜达。喂食的时候在水里。
它的角膜层有点白，我没给他用过药呢还
李荣贵
执业兽医师
它这角膜有变白那是有比较明显的角膜溃疡。三岁了，那很可能是之前的时候水质方面影响，细菌性感染造成的。如果皮肤都还好，可以主要的是外用抗菌眼药水和修复角膜的眼药去长时间，好频率的外用防止角膜穿孔和进一步感染。可以配合适当口服抗菌药，连续半个月左右，对于眼睛内在感染控制良好效果
李荣贵
执业兽医师
你好，***是可以使用的。到时候您在给他买个****滴眼液，两个眼药水都可以滴，达到双重抗菌，防止耐药菌的作用。抗菌的一个小时用一次，每天晚上可以给它上一次***眼膏，避免晚上长时间没有用药。而修复角膜用的我帮您开出处方建议，您可以给它自主选择购买药给它外用，也一个小时用一次，总之用药原则。每个眼药水相隔时间在15分钟以上，频率越高控制的越好。
李荣贵
执业兽医师
这两个眼药是修复角膜用的，您可以买一种，或者两种去滴眼药。只要足够频率去外用每次一滴，可以帮助它修复溃疡的角膜层。这是保守内科用药方案。口服抗菌药可以买****分每公斤20-40㎎去口服一天两次。
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
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