咨询描述:医生您好!昨天晚上给狗狗洗完澡,发现它一直在抓挠右边的眼睛,我觉得应该是洗澡时沐浴露进眼睛里了,我反复给它冲洗了三四次,今天早晨起来发现它右边眼睛有点睁开费劲,总是眯眼睛,请问医生该怎么办好呢?
回复总结:狗狗洗澡后眼睛睁不开可能是由于浴液进入眼睛后,引起的损伤性结膜炎或者角膜损伤。建议先给狗狗佩戴伊丽莎白圈防止抓挠以及蹭眼睛,然后针对结膜炎以及角膜损伤使用消炎眼药水进行修复。通常角膜的恢复期在一周以上,建议先给狗狗使用眼药水七天左右,如果七天之后仍然未得到明显的症状改善,建议及时送医进行检查治疗。如果狗狗眼部损伤过于严重,眼药已经无法完全帮助狗狗眼睛恢复,可能需要通过手术来进一步解决。
问题大致一样,细节不同?
孙嘉辰
执业兽医师
您好,目前同名的描述来看,狗狗的眼睛是由于昨天浴液不慎入眼导致今天出现眼部肿胀,从而表现为睁眼都比较费劲。从行程原因上来看是比较合理的,为什么呢,因为我们要知道对于动物体来说,眼睛的酸碱度是中性的,而市面上大多数宠物浴液,都会成弱酸性,某些药浴浴液可能会成弱碱性,而动物体的眼球又是全身最薄弱的一个地方,一旦周围的酸碱度或者环境受到改变,就很容易形成两个问题,一个问题叫做损伤性结膜炎,另外一个问题叫做角膜损伤。对于这两个问题来说,有可能单独出现,也有可能同时出现,但是无论哪一个出现,他所表现的情况,与您所描述的基本一致。那么来说一下这两个问题有什么区别,其实最大的区别就是恢复速度,因为对于动物体来说,角膜周围的血管并没有那么丰富,所以一旦角膜受损,恢复起来会相对慢很多,但是如果是结膜受到损伤,由于结膜周围的血管非常的丰富,修复起来会相对快一些。
那么对于这种问题,这里我需要跟您说一下接下来可能需要采取的治疗方式。第一点就是一定要佩戴好伊丽莎白圈,因为狗狗眼睛不舒服的时候,它很有可能去挠或者蹭,从而有可能造成二次损伤,而在临床上往往二次损伤会比初次损伤所造成的结果会更加严重,所以佩戴伊丽莎白圈是非常重要的。第二点,就是药物治疗,因为通过目前的线索,无法判断狗狗究竟是结膜还是角膜受伤了,同时也有可能两者同时受伤,因此在治疗的过程中,我们不能光针对结膜炎(也就是滴滴消炎眼药水。),还要针对角膜损伤,来进行修复。由于眼药水通常之间并不会产生什么反应以及副作用,所以二者可以同时使用。关于这两种眼药,一会儿我写在下面的处方里。第三点,就是一般角膜的恢复期在一周以上,这里我个人建议先把我开的眼药水用上七天左右,如果七天之后仍然未得到明显的症状改善,那么还是需要考虑及时就医,因为这种情况很有可能是损伤过于严重,眼药已经无法完全帮助狗狗眼睛恢复,这种情况下可能需要通过手术来进一步解决。
谢谢孙医生,但是我们沈阳这边现在疫情期间防控比较严都不让出小区买不到眼药水怎么办好呢,用点人用的眼药水行吗?狗狗现在眼睛不肿胀就是爱眯眼睛
孙嘉辰
执业兽医师
您好,如目前眼睛还没有出现特别肿胀的情况下,那么证明病情可能还没有发展到太严重的地步,如果选择使用人类的眼药水的话也是可以的,但是要知道成分需要跟我刚才所开出的那些眼药水相同。其中一个眼药水是抗生素眼药水,比如说像***,***这些眼药水都是可以的,主要用于防止感染,另外一个眼药水是帮助修复角膜的,主要成分是透明质酸。
医生本人和平台是不支持给宠物使用人用药的,由于您家宝贝的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。
****滴眼液行么
为保护用户隐私不显示图片/视频
孙嘉辰
执业兽医师
您好,这个也是可以的,这个和我刚才所推荐的*****效果是差不多的。然后这里我想多说一下,就是这个眼药水一般一次滴不完,滴不完剩下的眼药水建议放在冰箱冷藏里,以免放在外面变质。
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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