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
{"266092":{"id":266092,"case_id":31843,"user_id":1543863,"to_user_id":1551734,"type":3,"content":"不客气。","media":{"images":{},"videos":{},"business_params":{"prescription_id":103626}},"is_doctor":1,"status":1,"created_at":"2022-02-16 22:31:55","show_rx":true,"rx_info":{"id":103626,"rx_no":2.02202162224145e+24,"user_id":1551734,"doctor_user_id":1543863,"is_independent":0,"case_id":2627268,"pet_info":{"pet_id":0,"pet_name":"小乌龟","pet_nickname":"乌龟","pet_gender":1,"pet_birth":"3-0","pet_weight":0.05,"pet_vaccination_status":0,"pet_in_insect_repellent_status":0,"pet_out_insect_repellent_status":0,"pet_age_format":"3岁"},"diagnose":"角膜溃疡。具体损伤程度无法评估","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-02-16 22:24:14","updated_at":"2022-02-16 22:31:55","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":8040,"prescription_id":103626,"doctor_user_id":1543863,"product_id":736,"product_sku_id":778,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每小时1次","days":30,"number":1,"remark":"","created_at":"2022-02-16 22:26:03","updated_at":"2022-02-16 22:26:03","product_info":{"id":736,"hash_id":"OXnE9P4V3ogq3e6a","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":176,"sell_point":"润复康恢复角膜滴眼液","title":"维克润复康恢复角膜滴眼液 10ml\/瓶","recommend_reason":{"0":"眼部润滑保湿","1":"恢复角膜修复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼睛疲劳,角膜修复,眼部保湿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/dd324342263e7257dc424d54caeb4c88.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":10,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:26:42","updated_at":"2023-03-09 11:06:32","ins":{"id":176,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恢复眼角膜滴眼液","trade_name":"润复康","en_name":"Regefluid","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/be7dae92148ff37fb1ddf63ddb1c6e02.jpg","specification":"10ml\/瓶","reference_price":158,"component":"透明质酸、氨基酸、微量元素、维生素B12、无菌纯水等","indication":"1.眼部润滑保湿\n2.恢复角膜修复","usage_dosage":"每只眼睛1—2滴,每天2-3次,或遵医嘱","contraindication":"","adverse_reaction":"","attention":"仅限动物外用、避免管口接触眼睛或皮肤，污染瓶内剩余产品。\n在兽医指导下使用。","interaction":"","approval_no":"","storage_method":"开封后需冷藏保存。每次使用完毕后，需旋紧瓶盖，并于3周内使用完毕。请放置于儿童无法触及的地方。","validity":"24个月","manufacturer":"维克制药集团","status":1,"created_at":"2021-03-19 18:18:05","updated_at":"2021-03-19 18:18:05"}},"product_sku_info":{"id":778,"product_id":736,"title":"维克 润复康恢复角膜滴眼液 10ml\/瓶","advword":null,"price":108,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:26:42","updated_at":"2023-03-09 11:06:32"}},"1":{"id":8041,"prescription_id":103626,"doctor_user_id":1543863,"product_id":804,"product_sku_id":846,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天4次","days":30,"number":1,"remark":"2-8℃保存，每次一滴即可，别浪费。","created_at":"2022-02-16 22:26:03","updated_at":"2022-02-16 22:26:03","product_info":{"id":804,"hash_id":"evObG6x87kgw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":185,"sell_point":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","title":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","recommend_reason":{"0":"用于犬猫眼科炎性病变，伴有眼部表面的细菌感染","1":"用于眼表角膜损伤，角膜溃疡修复，结膜瓣遮盖术后修复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"角膜修复,控制感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"3ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/a22be5a60672a67d06983e9deae9ca85.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":251,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:52:09","updated_at":"2024-10-14 09:22:32","ins":{"id":185,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"干细胞因子滴眼液","trade_name":"恩妥新","en_name":"Antocell EYEDROPS","brand_name":"百恩","is_prescription":0,"cover":"\/drug\/2021\/07\/cc58a1266d0072f69a4bcbd4df265974.jpg","specification":"3ml\/瓶","reference_price":128,"component":"干细胞因子，纤维素钠，MSCs等","indication":"1眼科炎性病变伴有眼部表面的细菌感染或有感染危险\n2眼表角膜损伤，角膜溃疡修复，结膜瓣遮盖术后修复","usage_dosage":"直接滴于眼内，每4至6小时一次,每次1至2滴。在最初1~2天剂量可增加至每2小时1次。","contraindication":"","adverse_reaction":"","attention":"1、使用前应严格核对,仔细检查包装有无破损、渗漏、如发现,不得使用；\n2、冷藏，请勿置于高温环境中，开封后1个月内使用完毕；\n3、在使用前应检查是否有明显颗粒或絮状物，如果有请勿使用。","interaction":"","approval_no":"","storage_method":"冷藏保存2-8度","validity":"12个月","manufacturer":"天津百恩生物科技有限公司","status":1,"created_at":"2021-03-24 16:47:45","updated_at":"2021-03-24 16:47:45"}},"product_sku_info":{"id":846,"product_id":804,"title":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"3ml"}},"cover":null,"thumb":"","sale_count":261,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:52:09","updated_at":"2024-10-13 22:25:36"}}},"drug_data_bak":{"0":{"id":8040,"prescription_id":103626,"doctor_user_id":1543863,"product_id":736,"product_sku_id":778,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每小时1次","days":30,"number":1,"remark":"","created_at":"2022-02-16 22:26:03","updated_at":"2022-02-16 22:26:03","product_info":{"id":736,"hash_id":"OXnE9P4V3ogq3e6a","class_ids":{"0":1,"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":176,"sell_point":"润复康恢复角膜滴眼液","title":"维克润复康恢复角膜滴眼液 10ml\/瓶","recommend_reason":{"0":"眼部润滑保湿","1":"恢复角膜修复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"眼睛疲劳,角膜修复,眼部保湿","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"10ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2021\/12\/dd324342263e7257dc424d54caeb4c88.jpeg","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":10,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-17 16:26:42","updated_at":"2023-03-09 11:06:32","ins":{"id":176,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"恢复眼角膜滴眼液","trade_name":"润复康","en_name":"Regefluid","brand_name":"维克","is_prescription":0,"cover":"\/drug\/2021\/03\/be7dae92148ff37fb1ddf63ddb1c6e02.jpg","specification":"10ml\/瓶","reference_price":158,"component":"透明质酸、氨基酸、微量元素、维生素B12、无菌纯水等","indication":"1.眼部润滑保湿\n2.恢复角膜修复","usage_dosage":"每只眼睛1—2滴,每天2-3次,或遵医嘱","contraindication":"","adverse_reaction":"","attention":"仅限动物外用、避免管口接触眼睛或皮肤，污染瓶内剩余产品。\n在兽医指导下使用。","interaction":"","approval_no":"","storage_method":"开封后需冷藏保存。每次使用完毕后，需旋紧瓶盖，并于3周内使用完毕。请放置于儿童无法触及的地方。","validity":"24个月","manufacturer":"维克制药集团","status":1,"created_at":"2021-03-19 18:18:05","updated_at":"2021-03-19 18:18:05"}},"product_sku_info":{"id":778,"product_id":736,"title":"维克 润复康恢复角膜滴眼液 10ml\/瓶","advword":null,"price":108,"market_price":138,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"10ml"}},"cover":null,"thumb":"","sale_count":13,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-17 16:26:42","updated_at":"2023-03-09 11:06:32"}},"1":{"id":8041,"prescription_id":103626,"doctor_user_id":1543863,"product_id":804,"product_sku_id":846,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天4次","days":30,"number":1,"remark":"2-8℃保存，每次一滴即可，别浪费。","created_at":"2022-02-16 22:26:03","updated_at":"2022-02-16 22:26:03","product_info":{"id":804,"hash_id":"evObG6x87kgw0akj","class_ids":{"0":1,"1":2},"category_ids":{"0":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":185,"sell_point":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","title":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","recommend_reason":{"0":"用于犬猫眼科炎性病变，伴有眼部表面的细菌感染","1":"用于眼表角膜损伤，角膜溃疡修复，结膜瓣遮盖术后修复"},"baike_guide_text":"","baike_article_hash_id":"","advword":"角膜修复,控制感染","spec_data":{"1":{"name":"规格","option_data":{"0":{"name":"3ml"}}}},"cover":"https:\/\/cdn.moguvet.com\/shop\/2022\/05\/a22be5a60672a67d06983e9deae9ca85.png","images":{},"attr_data":{},"content":"","supplier_id":1,"transport_id":1,"min_price":108,"max_price":108,"sale_count":251,"tags":"","sort":0,"status":1,"delete_status":0,"created_at":"2021-12-21 15:52:09","updated_at":"2024-10-14 09:22:32","ins":{"id":185,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"干细胞因子滴眼液","trade_name":"恩妥新","en_name":"Antocell EYEDROPS","brand_name":"百恩","is_prescription":0,"cover":"\/drug\/2021\/07\/cc58a1266d0072f69a4bcbd4df265974.jpg","specification":"3ml\/瓶","reference_price":128,"component":"干细胞因子，纤维素钠，MSCs等","indication":"1眼科炎性病变伴有眼部表面的细菌感染或有感染危险\n2眼表角膜损伤，角膜溃疡修复，结膜瓣遮盖术后修复","usage_dosage":"直接滴于眼内，每4至6小时一次,每次1至2滴。在最初1~2天剂量可增加至每2小时1次。","contraindication":"","adverse_reaction":"","attention":"1、使用前应严格核对,仔细检查包装有无破损、渗漏、如发现,不得使用；\n2、冷藏，请勿置于高温环境中，开封后1个月内使用完毕；\n3、在使用前应检查是否有明显颗粒或絮状物，如果有请勿使用。","interaction":"","approval_no":"","storage_method":"冷藏保存2-8度","validity":"12个月","manufacturer":"天津百恩生物科技有限公司","status":1,"created_at":"2021-03-24 16:47:45","updated_at":"2021-03-24 16:47:45"}},"product_sku_info":{"id":846,"product_id":804,"title":"百恩恩妥新干细胞因子滴眼液 3ml\/瓶\/盒（需要冷藏保存！冷藏发货，不接受退换）","advword":null,"price":108,"market_price":160,"cost_price":0,"stock":0,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"3ml"}},"cover":null,"thumb":"","sale_count":261,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 15:52:09","updated_at":"2024-10-13 22:25:36"}}}}}}
微信扫一扫
立即问宠医
