咨询描述:你好,我家猫咪最近眼睛有很多血丝,很混浊,眼珠子上长了一个肉芽。这是结膜溃疡吗?它不打喷嚏也不咳嗽。精神状况尚可。要怎么用药呢?
回复总结:猫咪眼睛有血丝,并且眼珠上方有突起物,可能是角膜溃疡引发的问题。治疗方面,建议给猫咪使用含有抗生素滴眼液,一天三次,一次1滴,连用15天,同时配合使用修复角膜的滴眼液,一天6次,一次1滴,连用15天。其次,不排除是肿瘤或者是炎性增生物,建议带猫咪去做裂隙灯检查和细胞学检查,然后根据确诊结果对症治疗。
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 判断有角膜溃疡,角膜突起的地方可能是角膜即将穿孔了,不是单纯的肉芽,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.猫咪的基本信息,年龄,性别,体重,有没有打疫苗驱虫?有没有做绝育手术?有没有什么疾病史?
2. 他这个眼睛应该出问题很长时间了吧,你之前给他做过哪些处理呢?
3. 他之前这个眼睛有没有受过外伤,然后那个突起物是什么时候出现的?
4. 他目前除了眼睛问题,有其他的异常吗?
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。
疫苗和驱虫都打过了。这种现象几个月之前也有过,开始不知道什么情况,上了几次眼药水有转好,后来那个肉芽就慢慢缩小了。这次是大概一周吧,用过一些眼药,没觉得有明显好转。吃东西都正常,现在不抓眼睛。有流眼泪,会有脓性分泌物,不是特多。
郭秋萍
执业兽医师
他的眼球上方的突起物,最有可能的担心他是有角膜穿孔有突起,这是最有可能的。其次就担心是上面长肿瘤或者是炎性增生物,具体他是长了肿瘤,还是炎性增生物,还是说有角膜穿孔出现的角膜膨隆,这个是必须要去医院,做裂隙灯检查和细胞学检查来确诊的。
无论是哪一种情况,都是需要手术切除治疗。
对于角膜溃疡,需要给他用抗生素滴眼液和角膜修复的眼药。
根据猫咪的情况,我给它开个处方。处方里面的1. ****滴眼液,局部抗感染,一天三次,一次1滴,连用15天。自己购买
2.***,自己去医院制备,一天12次,一次1滴,连用15天。
3. ***滴眼液,营养角膜,一天6次,一次1滴,连用15天。
4,干细胞滴眼液,修复角膜,一天6次,一次1滴,连用15天。
5,***眼膏,一天三次,一次1厘米,连用7-15天。自行购买
这些药需要都用是吗?要是不干就要去医院了是吗?需要手术?
郭秋萍
执业兽医师
是的,我列举的这些药物都是需要使用的,另外每一种眼药之间间隔5分钟使用。
最好是能够尽快去医院做一下检查确诊一下,然后我列举的这些眼药,无论做不做手术,无论他是什么问题都是需要使用的。
他的表面的突起物必须要手术才能解决的。
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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