咨询描述:泰迪母,8岁4个月,今年6月2号突然不知道她哪里难受疼,没人动的情况下会吱的叫一声,前爪倒替的着地,不吃不喝精神不好,右眼红肿。在宠物医院血压,体温正常,血常规检查有点贫血其他正常,眼压枪测了测好像是21。回家吃了半个月***咀嚼片一天一粒,滴了一周***,一天大概滴5次一次一滴。最近又给她滴了一周***昨天停了。感觉她俩眼睛还是跟之前不太一样,白天出去有点怕光,眼睛不太舒服的样子,具体不太会描述。她右后腿几年前从床上跳下去的时候伤着过,另外大夫说她髌骨磨损挺多。很想知道她两只眼睛咋回事?什么原因引起的?怎样做能好起来?万分感谢!乖体内驱虫是一年不定时大概2次,年审时打的那种疫苗有大概三年没打了。她21年9月正常遛狗的时候被罗威纳咬过一次动的手术,伤口大概在右肩胛骨附近。
回复总结:狗狗眼睛红肿,并且还有红血丝,引发的原因可能有:结膜炎、角膜溃疡、葡萄膜炎等。处理办法上,建议最好带狗狗去宠物医院做眼睛裂隙灯检查,眼底检查、以及眼部超声检查,然后根据确诊结果对症治疗。如果暂时不方便去宠物医院就诊,建议给狗狗使用抗生素滴眼液,起到消炎抗菌的作用,同时配合使用修复角膜的滴眼液。另外,还需要配合服用消炎药。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的小乖的情况,我初步判断它可能有结膜炎,不排除有睑板腺炎的可能性,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.他当时眼睛最开始异常的时候是有哪些表现呢?当时去医院除了测眼压以外,还做过其他的眼科检查吗?
2. 你可以按照我下面的图片格式,扒开狗狗的上下眼睑暴露出眼球拍一个局部的放大照过来我看一下吗?
3. 他最近精神食欲大小便怎么样啊?平时给他吃了些什么东西?
4. 他现在的视力情况怎么样?
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。
开始应该是左眼没事,右眼肿大白眼球有红血丝,黑眼球肿的有点往外斜漏出内眼角部分的眼白了。双眼滴了***后感觉左眼逐渐不好了,右眼消肿了,但也跟之前不太一样。今天这边下雨阴天出去后双眼都感觉畏光,左眼现在比右眼畏光严重。只做过眼压枪测试,最近食欲还可以,大小便正常。她最近吃的***狗粮和***鸡肉煲,酸奶,红心火龙果,母,8.5岁,10.6斤,牙不好。视力还行能看到东西,目前感觉视力右眼比左眼好些,
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你的描述和图片来看,狗狗的眼睛目前徐很有可能的是有白内障同时可能有球后肿瘤或者脓肿。
建议还是需要去专业的眼科医院做裂隙灯,眼底检查和眼部超声确诊一下。
我这边只能从图片看到瞳孔部位发白,疑似白内障,其余的没有办法做出精准判断。
麻烦问一下您说的眼底检查具体是什么项目?另外您在哪个城市?我在山东济南市,您知道济南哪个医院的哪个医生看狗眼睛比较专业吗?万分感谢!!!这段时间狗子难受我跟着吃不下喝不下的很揪心!
郭秋萍
执业兽医师
他这个检查的检查项目名称就叫眼底检查,是用特殊的光学显微镜去看他的眼睛的视网膜视神经的情况。
济南应该有芭比堂的分院,你可以去芭比堂医院去看眼科。
是的,养了八年多,完全是咱们的家人了,看它不舒服,确实很难受。
今天带小乖去芭比堂做了几项检查,麻烦您看一下。另外因为做了眼部检查说回来可以继续滴两天托百士呢,可以滴两天吗?感谢您!!!
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
第一张是啥检查呀?没看到检查项目名称呀……
从裂隙灯检查来看,他是有白内障的,这个是可以确诊的。因为如果是核硬化的话,用裂隙灯检查是会光线穿透过去的,不会出现这些絮状的东西。
眼压降低,提示可能有葡萄膜炎。
B超是没有发现球后肿瘤或者脓肿吗?
***是消炎的可以用,但是我建议你如果他没有角膜溃疡的话,把***滴眼液也给它上上。
刚问了下,第一张检查是荧光染色检查阴性,说裂隙灯检查目前没有显示葡萄膜炎的症状,可能是6月初发病的时候吃了半个月***咀嚼片的原因。也就是说现在裂隙灯检查没有葡萄膜炎,但眼压低怀疑葡萄膜炎。让我过两三天再监测一下眼压呢。说角膜没有溃疡。您认为该怎么弄?都用什么药?用多久?计量?谢谢
郭秋萍
执业兽医师
现在的话,因为没有***的典型症状,那你就给他滴***滴眼液,还是把地***滴眼液也给他用上,都是一天三次,一次一滴。同时建议给他口服***和***。
根据狗狗的情况,我给它开个处方。处方里面的1. ***,一天两次,一次半片,连用一周。
2.***,一天一次,一次1片,连用7天,之后剂量减半连用7天,在停药。
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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