咨询描述:加菲猫6岁,近3日发现左眼比右眼小,分泌物淡褐色量较前增多,左眼瞳孔上有圆形膜,如图,我这里用*****滴眼液滴了三次,没明显好转,不知道是结膜炎还是角膜溃疡?或者是其他疾病?麻烦您帮忙诊断下,谢谢
回复总结:猫咪左眼瞳孔上有圆形膜考虑是角膜穿孔引起,需要立即带猫咪去宠物医院进行相关的手术治疗。如果不及时给猫咪做手术,堵塞物可能会随时松脱,导致前房塌陷以及眼角堵塞,这样不仅会导致青光眼还会导致葡萄膜炎,这个眼睛视力就会丧失。如果想要保守愈合,给猫咪滴眼液的同时还要滴角膜修复的眼药以及眼膏,同时口服抗生素控制眼睛内部感染。治疗期间要观察猫咪眼睛表面是否液体流失过多,如果出现眼睛液体流失增多就必须进行手术。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的旺财得眼睛情况,以及上传的眼睛图片,我初步 判断是角膜损伤,同时还有结膜炎。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. 旺财的眼睛角膜异常,是什么时候开始出现得?
2. 可以按照我下面的图片格式,重新拍摄一下,猫咪的眼睛局部图然后发过来我看一下吗?
3. 猫咪最近有没有流鼻涕打喷嚏,咳嗽等这样的上呼吸道症状呢?
4. 猫咪精神食欲大小便情况怎么样?
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
郭医生您好!我发现它曾经跳进花草丛里,然后眼睛睁不大开,瞳孔有膜是1天时间,它没有感冒症状,精神还好,没有打架,然后饭量没问题,其余也正常,体重5公斤。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你发的猫咪的照片来看,你家猫咪不仅是角膜破溃,而且已经穿孔了,应该是在花草丛中被戳伤了。这种情况还是蛮危险的。他现在是因为有角膜后面的基底层组织堵塞着穿孔部位,所以他的前房液没有流失太多,但是这样下去不是长久之计,他这种情况需要紧急的去医院给他做结膜瓣遮盖术或者是第三眼睑遮盖术或者角膜移植手术都可以。
如果不手术,堵塞物可能会随时松脱,导致前房塌陷,眼角堵塞,这样不仅会导致青光眼还会导致葡萄膜炎,这个眼睛视力就会丧失。
现在的话,一个是你给他戴上伊丽莎白项圈,不让他去抓挠,第二个尽可能的静养,不要让他上蹿下跳跑来跑去,因为运动会加速前房夜的流失,以及局部堵塞物的松脱。第三个,你手里的***滴眼液继续给他滴,防止细菌的继发感染。
滴眼液一天几次?这个手术要在专科宠物医院做么?请问有做这个手术就近的医院介绍么?这个手术需要很专业的医生么?成功率高么?
郭秋萍
执业兽医师
你目前手头上的这款滴眼液的话,你一天给他滴四到五次,一次滴一滴,一定要避开这个角膜受伤部位,最好是滴在眼白的位置。
是的,这个手术必须要去有眼专科的宠物医院去做手术,它的专业性要求比较高,而且对仪器设备的要求也比较高。也是需要有专业的眼科大夫去做的。手术的成功率很高,这个就不用担心了。
您看旺财这个情况如果不做手术保守治疗的话,这只眼睛保得住么?主要是疫情,我们现在很难出的去
郭秋萍
执业兽医师
如果不做手术,只要他这个孔周围堵塞物不松脱,里面的水不往外流,那么这个眼睛也会自己慢慢愈合,但是这个愈合的过程中特别漫长,中间出现变数的机会也特别大。
如果想要让他自己保守愈合的话,那他的眼药就不止滴这个***滴眼液了,那必须还要滴角膜修复的眼药,还要眼膏。同时还要口服抗生素控制眼睛内部的感染。
请问能给开处方么?然后用药疗程是多久?需要多久在您这边复诊?我需要观察它哪些方面?如果出现哪些症状就必须要去手术了?
郭秋萍
执业兽医师
根据猫咪的情况,我给它开个处方。处方里面的1. **,一天两次,一次1片。口服2周。
2. *****滴眼液,一天4-5次,一次1滴,连用14天。
3. ***,一天5次,一次1滴,连用14天。
4,***滴眼液,一天5次,一次1滴,连用14天。
5,***眼膏,自己去药店购买,一天3次,一次1厘米。用2周。
建议7-14天上来复诊一次。其中有任何异常都需要上来复诊,然后调整用药方案。
需要观察,眼球里面是否发红,眼球是否增大,是否变小,眼睛表面是否液体流失过多。
如果出现眼睛液体流失增多,必须去医院做手术。
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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