咨询描述：症状描述：你好，我家里的巴哥犬，之前不知道什么原因导致的眼球外伤。当时，眼白处破裂，目前已经治疗3个月了，现在每天早晚吃****➕滴眼药水，至今未好。发现眼球上有个凸起的肉，这是什么情况，到底需要怎么治疗
患病时长：3个月
用药情况：前期打针，目前天天吃****➕滴消炎类眼药水
回复总结：针对狗狗眼球破了的情况，如果已经形成角膜穿孔，建议必须带狗狗去宠物医院做结膜瓣遮盖术或者角膜遮盖手术。如果狗狗眼睛已经看不到了，处理办法上建议把整个眼球摘除，也可以使用抑菌消炎的眼药水让他狗狗自己形成眼球痨。如果想保住眼球，建议给狗狗做结膜瓣遮盖手术，手术后需要使用含有妥布霉素成分的滴眼液以及干细胞滴眼液，角膜才有可能恢复到正常。
问题大致一样，细节不同？
郭秋萍
执业兽医师
根据您讲到的狗狗的情况，我初步判断角膜穿孔，这种情况是必须做结膜瓣遮盖术或者角膜遮盖，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. 三个月前狗狗刚受伤的时候，这个眼睛具体是什么情况？有当时的眼睛局部图片吗？
2. 狗狗眼球表面这样起泡大概是什么时候的事？
3. 你具体给它滴了哪些眼药水？有没有去眼科医院复查？
4. 狗狗这个眼睛目前视力如何？
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。另外，把您家爱宠的信息补充完整，特别是『年龄、体重』，待会儿咱们沟通后如果涉及用药建议，方便为宝贝开具处方。（若您需要离开本诊室，稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。）
1.3月20日受的伤，当时它在门口溜圈，回家后就这样了，具体怎么导致的也不清楚，录像也没看到。可能是一只泰迪抓的，也可能是人为踢的。整个眼球是红肿的，有血渍。然后我们就去宠物店打了针。
2.起泡可能已经有一个月了吧。因为中间我们打针3天后，遇到疫情封城了，就只好吃药，滴眼药水。状况好点时，家人把伊丽莎白圈给他去掉了，后面就更严重了，我怀疑是它自己挠了，受到了二次伤害。接着就继续赶紧去医院打针三天，带圈。
3.我们一直在给它滴眼药水，目前是氟氯沙星➕医生开的一种也是消炎药。而且每天早晚给它吃****。因为本地兽医店也没有其他办法。
4.目前视力应该是看不见了吧
图片，就是当时受伤的图片，没有具体的细节图
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
他这个眼睛如果是都已经看不到了话，那你要么就把整个眼球摘除，要么就是还是按照目前滴眼药水让他自己形成眼球痨。
还有就是想保住这个眼球的话，那你就给他做结膜瓣遮盖术，他做完这个手术之后再滴一两个眼药，角膜有可能恢复到正常。不过因为他的视力丧失了，所以就算眼球保住了，他还是没有视力。
1.眼球痨是什么意思？我不太懂。如果滴眼药水➕吃药的保守治疗的话，需要用什么药？
2.结膜瓣遮盖术做过后，相当于它这个眼球就恢复正常状态了，只是看不见对吗？大概需要多少钱？
郭秋萍
执业兽医师
结膜瓣遮盖术之后，他这个角膜会恢复到正常。那个角膜不是说因为结膜瓣遮盖术导致他的眼睛看不到，而是因为他眼睛本身没有视力了，你做不做这个手术他都看不到，只不过说做了结膜瓣遮盖之后，他的角膜看起来跟正常角膜差不了太多，这样的话给你的外观美观好看一些。
眼球痨就是这个眼球生理性坏死。虽然眼睛在，但是眼球萎缩变色，没有任何功能。
滴眼药水需要给他第抗生素滴眼液，角膜修复的滴眼液以及眼膏。
根据狗狗的情况，我给它开个处方。处方里面的1. ****，一天6次，一次1滴，连用15天。去医院自备。
2. 妥布霉素滴眼液，一天4次，一次1滴，连用15天。自行购买
3. 干细胞滴眼液，一天6次，一次1滴，连用15天。
4，***，一天6次，一次1滴，连用15天。
5，***眼膏，一天3次，一次1厘米，连用15天。
我有三点想得到答复的：第一，这五个药是需要全部购买吗？第二，用了这五个药相当于它依旧会形成眼球痨，还是会好转，用药对它的作用是什么；第三，做手术得多少钱
郭秋萍
执业兽医师
这五个药都必须使用，然后最少是使用半个月之后，你必须要去医院复查或者上来复诊，我看需不需要调整用药方案，这五个药的主要作用是帮助他修复角膜，控制眼睛的感染，可以预防眼睛细菌感染，以及感染向大脑蔓延，造成脑膜脑炎。
第二，这五个药使用也有可能会形成眼球痨，她的预后怎么样，需要定期复查。主要的作用上面给你说了。
做手术的话，这一只眼睛差不多在****块钱到****块钱左右，要看你们当地的消费水平以及收费标准。
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
{"326191":{"id":326191,"case_id":38137,"user_id":1004931,"to_user_id":1990095,"type":3,"content":"结膜瓣遮盖术之后，他这个角膜会恢复到正常。那个角膜不是说因为结膜瓣遮盖术导致他的眼睛看不到，而是因为他眼睛本身没有视力了，你做不做这个手术他都看不到，只不过说做了结膜瓣遮盖之后，他的角膜看起来跟正常角膜差不了太多，这样的话给你的外观美观好看一些。\n\n眼球痨就是这个眼球生理性坏死。虽然眼睛在，但是眼球萎缩变色，没有任何功能。\n\n滴眼药水需要给他第抗生素滴眼液，角膜修复的滴眼液以及眼膏。\n\n根据狗狗的情况，我给它开个处方。处方里面的1. ****，一天6次，一次1滴，连用15天。去医院自备。\n2. 妥布霉素滴眼液，一天4次，一次1滴，连用15天。自行购买\n3. 干细胞滴眼液，一天6次，一次1滴，连用15天。\n4，***，一天6次，一次1滴，连用15天。\n5，***眼膏，一天3次，一次1厘米，连用15天。","media":{"images":{},"videos":{},"business_params":{"prescription_id":112195}},"is_doctor":1,"status":1,"created_at":"2022-05-20 15:02:46","show_rx":true,"rx_info":{"id":112195,"rx_no":2.0220520150242503e+24,"user_id":1990095,"doctor_user_id":1004931,"is_independent":0,"case_id":2745153,"pet_info":{"pet_id":295536,"pet_name":"巴哥犬","pet_nickname":"牛仔","pet_gender":1,"pet_birth":"1-0","pet_weight":0,"pet_vaccination_status":1,"pet_in_insect_repellent_status":1,"pet_out_insect_repellent_status":0,"pet_age_format":"1岁"},"diagnose":"角膜穿孔","signature":"","deadline":null,"status":1,"send_status":1,"use_status":0,"created_at":"2022-05-20 15:02:42","updated_at":"2022-05-20 15:02:46","deleted_at":null,"from_source":"online","template_id":0,"drug_data":{"0":{"id":27117,"prescription_id":112195,"doctor_user_id":1004931,"product_id":736,"product_sku_id":778,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天5次","days":7,"number":1,"remark":"","created_at":"2022-05-20 15:02:42","updated_at":"2022-05-20 15:02:42","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":27118,"prescription_id":112195,"doctor_user_id":1004931,"product_id":804,"product_sku_id":846,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天5次","days":7,"number":1,"remark":"","created_at":"2022-05-20 15:02:42","updated_at":"2022-05-20 15:02:42","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":27117,"prescription_id":112195,"doctor_user_id":1004931,"product_id":736,"product_sku_id":778,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天5次","days":7,"number":1,"remark":"","created_at":"2022-05-20 15:02:42","updated_at":"2022-05-20 15:02:42","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":27118,"prescription_id":112195,"doctor_user_id":1004931,"product_id":804,"product_sku_id":846,"dose":1,"dose_unit":"滴","use_method":"滴眼","frequency":"每天5次","days":7,"number":1,"remark":"","created_at":"2022-05-20 15:02:42","updated_at":"2022-05-20 15:02:42","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
