咨询描述:猫咪吃粮的时候发现流褐色眼泪,发现有耳螨就开始清洁耳朵,买了***滴眼液,然后褐色眼屎严重,滴了一个星期变成了透明眼泪眼睛还是没好,再过一段时间就开始有浅黄色眼屎,现在发现发炎的那只眼睛中间有层白膜了
症状描述:眼睛发炎流褐色分泌物
患病时长:一个月
医院检查:之前去医院检查了血常规就说有点发炎
用药情况:***滴眼液
回复总结:猫咪有流褐色眼泪的症状,可能是结膜炎,也不排除角膜溃疡。如果是结膜炎引发的,建议给猫咪使用消炎杀菌的滴眼液,一天3次,一次1滴,连用7-15天。如果存下角膜溃疡,建议增加使用修复结膜的滴眼液,一天6次,一次1滴,连用15天,同时配合使用抑菌消炎的外用眼膏,一天3次,一次1厘米,连用15天。如果条件允许,建议带猫咪去宠物医院医院做眼睛部位的荧光素钠染色,排查有没有猫鼻支的因素。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步 判断可能有角膜溃疡,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. 它的眼睛一共滴了多长时间的妥布霉素滴眼液?
2. 上一次去医院检查,是什么时候?当时有没有检查眼睛?
3. 可以按照我下面的图片格式单独拍摄一下两只眼睛的局部放大图,我看看有哪些问题吗?
4. 它有没有什么疾病史?
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
滴了半个月吧,一个星期没滴了,精神状态正常,发现有吐黄水时间都在上午,月初检查的没有检查眼睛
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你不能这样拍照哟,必须单只眼睛拍,要不然我看不清楚眼球的细节,就不知道有没有角膜溃疡。它现在眼分泌物多,结膜炎是有的,但是不知道有没有角膜的问题。
对于结膜炎,半个月的****还没有好,要么就是用药不够,要么就是产生耐药性了,要么就是它不是一般的细菌感染。
最好是能去医院做一下眼睛部位的荧光素钠染色看看有没有角膜溃疡,同时排查一下有没有猫鼻支。
没有时间的话,可以先按照猫鼻支用药。
根据猫咪的情况,我给它开个处方。处方里面的1.***,每次上药前清洗眼睛
2. ***滴眼液,控制细菌感染,一天3次,一次1滴,连用7-15天。
3. 猫鼻支滴眼液,一天4次,一次1滴,连用7-15天。
今天带去检查了,没有疱疹病毒
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的图片来看,有角膜溃疡呀!而且面积还很大!杯状和疱疹病毒阴性。
它主要治疗方案需要按照惰性角膜溃疡来哟。医院给你开了哪些药物?
郭秋萍
执业兽医师
这三个药估计还不够。因为他这么长时间了,是慢性角膜溃疡,你只是滴眼药水和用眼用凝胶,他这个恢复会非常快,而且口服速诺也只能控制细菌感染。
除了医院的眼药,根据猫咪的情况,我给它开个处方。处方里面的
1. ***,修复角膜,自己去医院抽猫咪的血离心配置,一天12次,一次1滴,连用15天。
2.干细胞滴眼液,修复角膜,一天6次,一次1滴,连用15天。
3. ***眼膏,自己购买,一天3次,一次1厘米,连用15天。
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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