咨询描述:14岁吉娃娃左眼白内障失明 刚才突然发现左眼睁不开 麻烦问一下是否是失明眼球萎缩导致?
回复总结:狗狗有眼睛睁不开的症状,可能是角膜溃疡导致的。针对这种情况,建议最好带狗狗到宠物医院做荧光素钠染色检查眼部问题。如果暂时不方便去宠物医院就诊,建议先给狗狗佩戴伊丽莎白项圈,另外使用生理盐水给狗狗冲洗眼睛,冲洗完之后给狗狗滴抗生素滴眼液,一天三次,一次一滴。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的迪迪的情况,我初步判断有角膜溃疡,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. 狗狗具体是什么时候确认有白内障的?那你有没有给他采取过什么治疗措施?
2. 他的左眼是什么时候开始出现眯眼的?有没有受过伤?有没有自己抓挠过?
3. 他的左眼可以按照我下面的图片格式,重新拍摄过来吗?
4. 狗狗现在两只眼睛还有视力吗?
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。
为保护用户隐私不显示图片/视频
感谢您的回复,左眼出现白内障症状已经有短时间 之前也去医院看过由于他有心衰而且年纪太大都不能进行手术治疗 左眼已经失明看不到东西 但是右眼还可以。左眼直到一小时前还是好好的,就是晚饭过后突然发现他睁不开,我发给您看下昨天他左眼的照片。从白内障出现开始就一直为他滴眼药水 希望可以暂缓 但是左眼还是恶化了,但目前右眼还是可以看得见。
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
我需要看他现在的这个眼睛的局部放大图,因为他是今天刚出的问题,那肯定是他的眼睛部位出现了新的情况,所以,我要看他现在的这个眼睛状态。
一般眯眼我们称为眼睑痉挛,通常是眼睛疼痛导致的,包括角膜溃疡、结膜炎等,所以你需要现在拍一下它的眼睛给我看看。
我尽量拍一下 小家伙很倔强 我尝试一下 而且现在心衰比较严重不敢激怒 不让碰 不好意思
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你要扒开她的眼睛,然后把整个眼球暴露出来,我才能看到。或者你自己检查一下他的眼睛,看他的结膜有没有充血发红?看他的眼球表面有没有发黄,发白或者出现溃疡?
实在抱歉 它很不配合 不让碰眼睛周围 眼睛没有发黄 但是流眼泪 睁不开 也没有充血
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的他的眼睛的局部照片来看,我怀疑最有可能是有角膜表面出现溃疡,我建议你如果有空的话最好明天带到医院去给他做一个荧光素钠染色确认一下。
现在的话你需要给他佩戴伊丽莎白项圈,另外用生理盐水给他冲洗这个眼睛,冲洗完了之后先给他滴抗生素滴眼液。
根据狗狗的情况,我给它开个处方。处方里面的1.***滴眼液,控制细菌感染,一天三次,一次一滴。
2. ***,滋润眼角膜,一天5-6次,一次1滴,连用14天。
3,**,冲洗眼睛,每天上药前先冲洗眼睛。
郭秋萍
执业兽医师
是的,他的眼睛眼睑是有点轻微的水肿,所以结膜可能也有发炎。
先给它滴抗生素滴眼液,然后明天最好去医院排查一下角膜溃疡。
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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