咨询描述:大夫您好,我家猫角膜溃疡差不多一个月了。每天坚持用医院的药,也抽了血做血清,但是情况越来越严重。想请问一下目前这种情况怎么办。
时间追溯:
1.5月3日左右发现有轻微白色溃疡,就医,开了如图片最后一张手写药物。
2.滴了2礼拜,没有见好,转院开了倒数第二张的药,按时按点按量滴到了现在。
3.目前情况,角膜溃疡更严重,并伴有红血丝
回复总结:针对猫咪角膜溃疡的情况,治疗方面建议给猫咪使用猫鼻支特效滴眼液,用于猫疱疹病毒、杯状病毒感染引起的眼部症状,同时配合使用修复角膜损伤的滴眼液。此外,还需要增加使用抗菌消炎的滴眼液,抑制炎症感染。如果用药治疗还是一直不见好转,建议带猫咪去宠物用药进行手术治疗,需要进行结膜瓣遮盖手术来帮助猫咪。
问题大致一样,细节不同?
陆文健
执业兽医师
您的猫咪角膜溃疡已经治疗了一个多月,我看了您发来的使用的滴眼液,基本上治疗眼炎以及修复角膜的药物(但抗疱疹病毒的滴眼液没有使用)都已经使用,但目前来看,角膜溃疡还是很严重,这种情况可能需要进行手术治疗(结膜瓣遮盖术)。
如果您的猫咪还需要尝试保守治疗,我给您的建议用药为:1、***猫鼻支特效滴眼液(用于猫疱疹病毒、杯状病毒感染引起的眼部症状的治疗);2、*** 干细胞滴眼液(角膜损伤,角膜溃疡修复,结膜瓣遮盖术后修复);3、您家里的***滴眼液(抗菌消炎)。
我需要了解一下几个问题:
1、猫咪发生角膜炎时,猫咪有没有打喷嚏、眼睛肿胀的症状?
2、当时医院有没有使用试纸或者PCR检测疱疹病毒?是不是阳性?
您好,谢谢您的回复,有个情况我刚才忘了补充了。因为这只猫是救回来的,在我家养了几年了,但是身体很弱,不能打疫苗,一打就发高烧。所以他没有免疫抗体。然后就没有做手术。
补充问一下如果手术的话,他眼睛能痊愈吗?还是术后会伴随还是有白膜会失明?
另外目前需要配合口服药物吗
陆文健
执业兽医师
看了您发来的照片,猫咪角膜溃疡很严重,角膜上出现毛细血管,应该是由于炎症导致的角膜深度溃疡。猫咪的角膜溃疡一般是由于疱疹病毒感染导致,也有可能疱疹病毒和细菌混合感染导致。
角膜溃疡,如果造成角膜严重缺损,一般情况采取手术治疗可能会有效,但您的猫咪身体很虚弱、体抗力很差,做手术确实有风险。目前您的猫咪的滴眼液除抗病毒滴眼液没有使用外,其他抗生素滴眼液、修复角膜的滴眼液基本上都已经使用,治疗角膜溃疡没有针对性的口服药物,只能是使用增强猫咪抵抗力的药物,比如***等。
好嘞 谢谢
像这种情况 需要配合病毒干扰素 或者抗病毒药物吗?
另外如果保守治疗,治疗成功概率大概多大?一般需要多久
陆文健
执业兽医师
根据猫咪严重的角膜溃疡,继续尝试保守治疗的情况,我给它开个处方。处方里面的:
1、***猫鼻支特效滴眼液,用于猫疱疹病毒、杯状病毒感染引起的眼部症状的治疗;
2、***干细胞滴眼液,角膜损伤,角膜溃疡修复,结膜瓣遮盖术后修复;
3、***滴眼液;抗菌消炎;
4、***口服液,增强抗病力,刺激机体内源性干扰素产生,各类病毒性疾病的辅助治疗。
您可以根据需求自行选择购买
建议处方:
1、***猫鼻支特效滴眼液,10ml/支/盒,一次滴眼3滴,一天3次,连用7天;
2、*** 干细胞滴眼液,3ml/瓶,一次滴眼3滴,一天6次以上(4个小时1次);
3、***滴眼液(您家里有,已经使用,一天滴眼3次);
4、***口服液,20ml/瓶,一次口服1滴管,一天2次,连用7天以上;
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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