咨询描述：你好，之前问过您猫咪眼睛的情况，您说在滴眼药水4到5天巩固，我滴到上周日，然后眼睛好了，这周一周二都没啥事了，眼睛正常了，昨天晚上又发现猫咪出现之前揉眼睛的动作，图一图二是周一周二的样子，图三图四图五是昨天晚上和今天早上的样子，麻烦您看一下是不是眼睛炎症又复发了？周一周二眼睛好了但是吃饭的时候还是会流眼泪。
回复总结：猫咪总是揉眼睛还流眼泪，考虑是眼睛发炎引发的问题，治疗方面建议给猫咪使用抑菌消炎的滴眼液，同时配合服用宠物专用广谱消炎药。注意，治疗期间建议给猫咪持续佩戴伊丽莎白圈，防止猫咪抓挠、剐蹭眼睛。因为抓挠、剐蹭眼睛，会导致猫咪眼睛问题久治不愈以及反复发作。如果猫咪吃粮食会流眼泪，跟心情激动、泪腺分泌眼泪有一定的关系，一般问题不大。
问题大致一样，细节不同？
陈奕达
执业兽医师
猫咪这种情况确实有一些轻微的反复症状。这种情况您可以再次给予猫咪使用几天滴眼液，然后给予猫咪持续佩戴伊丽莎白圈一段时间，防止猫咪抓挠，剐蹭眼睛。因为抓挠剐蹭眼睛，会导致猫咪眼睛问题久治不愈，以及反复发作的问题。
猫咪吃粮食会出现流眼泪，这个跟心情激动，泪腺分泌眼泪有一定的关系，这个一般问题不大。
之前没有给他带伊丽莎白圈，都已经逐渐变好了，现在是要带着这个圈嘛？速诺还要吃嘛？这个反复的原因都有哪些呢？和环境有关？还是和它自身身体因素有关？会不会有什么病毒呢？在我接她回家的之前他的主人又给他做血常规，您跟帮忙看看有什么问题？
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
您好，1.眼睛方面疾病问题，预防抓挠剐蹭眼睛很重要。不然非常容易出现疾病反复甚至加重问题，这个还是不能抱着侥幸的心理。2.炎症不严重，暂时不用口服***消炎了。3.猫咪这次反复的因素，个人比较怀疑是抓挠剐蹭了眼睛导致的。4.上个月的检查结果是有炎症，以及免疫力低下，轻微贫血问题。但是不能对于现在的疾病做出有力证明。如果需要进一步的判断，那么需要提供现在，今天的化验结果才能分析。
那带这个圈滴眼药水还要滴多久呢？之前眼药水都快滴完了？需要给他换嘛还是？如果说我现在去带猫咪做检查要做什么检查呢？他前天偶尔会有3 4次打喷嚏，但是不流鼻涕，昨天有吃一小块鸡胸肉，大便尿都正常，猫粮也正常吃。带这个圈的话您的意思是如果眼睛有好转可以不滴眼药水但是要带圈嘛？持续多久呢？他带了圈不会吃东西了😂，免疫力低下和贫血的话是需要吃什么么？最近回家他会一直叫粘着人，但是要跟它玩他也活蹦乱跳的。
陈奕达
执业兽医师
您好，1.滴眼液可以先暂时按照2-3天进行治疗观察。如果逐渐恢复正常，那么一共使用一周的时间即可。然后伊丽莎白圈建议佩戴2-3周的时间。2.建议使用同样的滴眼液就行，不用更换其它滴眼液。3.如果检查需要进行①血液常规，②saa，③上呼吸道五项检查。4.费用大概需要500-800左右，地区差异不一样，费用也会有浮动。5.如果不适应带圈吃饭，可以在喂食的时候把圈摘掉，然后吃喝完毕之后，再带上。6.贫血，免疫力低下，可以给予一些提高免疫力，补血的口服液，来帮助猫咪。7.然后这边根据猫咪的情况，我给宝贝开个补血以及提高免疫力处方。
处方里面的
1. ***口服液，提高免疫力，增加抵抗力。
2. ***，宠物专用补血口服液。
好的，我先按照之前的样子持续滴几天眼药水，带伊丽莎白圈2周，主要现在没有给他吃驱虫药，也没有打疫苗，一阵疫苗都没有打，一直在处理眼睛的问题，疫苗一直拖着也不是事，比较着急，这个补血增强免疫力的药吃了可以吃驱虫药么？疫苗呢？
陈奕达
执业兽医师
您好，猫咪现在这种情况不影响驱虫，随时都可以。但是疫苗需要等到猫咪完全康复之后才能进行，不然免疫力低下，注射疫苗没有好处。
好的，我还问了那个卖驱虫药的客服，他说要等一周才可以吃，所以比较担心，那您的意思就是可以吃驱虫药对吧。疫苗的话也是要等他眼睛好了，带圈2到3周以后再打是嘛？
陈奕达
执业兽医师
您好，猫咪一般满2月年龄之后，就可以随时驱虫了。而疫苗就必须等到疾病完全康复之后，再进行了。猫咪现在的状态只能驱虫不能注射疫苗。
好的，那这种情况，就是需要等眼睛没有问题以后去打疫苗吧，我看您开的这两个药是用14天的，和打疫苗有冲突么？打疫苗吃驱虫药都不影响补血和免疫力嘛？不知道方便加您的微信嘛？有什么问题到时候可以及时询问您。
陈奕达
执业兽医师
您好，1.是的。2.上述用药对疫苗以及驱虫没有影响，不冲突，反而会增加疫苗效果。
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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