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
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