咨询描述：症状描述：眼睛视力下降，左眼上眼皮长了一个小肉包（小肉包上有一根一根细腿一样的东西），右眼眼睛肿大
用药情况：昨天上了点***眼膏，吃了几天消炎药
患病时长：三四个月前开始视力下降
回复总结：狗狗眼皮上方长了个肉包，并且还有眼睛肿大的症状，可能是蜱虫叮咬引发了感染。处理办法上，建议带狗狗去宠物医院让专业医生给狗狗摘除蜱虫。如果狗狗还有角膜溃疡和结膜炎，建议给狗狗使用硫酸新霉素滴眼液，一天三次，一次1滴，连用15天，以及干细胞滴眼液，修复角膜，一天6次，一次1滴，连用15天。然后，配合使用眼用凝胶，滋润眼睛，一天6次，一次1滴，连用15天。最后，建议给狗狗做好体外驱虫，一个月一次。
问题大致一样，细节不同？
郭秋萍
执业兽医师
根据您讲到的狗狗的情况，我初步判断可能有蜱虫感染，除此外，眼睛里面应该也有问题，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. 狗狗的基本信息，品种，年龄，性别，体重，有没有打疫苗驱虫？有没有做绝育手术，之前有没有什么疾病史？
2. 我圈起来的，看起来是蜱虫，你可以尝试先局部喷酒精（不要弄到眼睛里去），然后用镊子夹出来看看，能不能取下来？不能就去医院让医生处理。
3. 狗狗的两只眼睛按照我下面的图片格式拍摄局部放大照过来我看看？
4. 狗狗精神食欲大小便如何？
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
1、品种：应该是松狮和金毛的串儿 年龄：14岁
性别：公狗 体重：35斤左右
没打过疫苗驱虫，没做过绝育手术，前段时间身上起藓严重，最近把毛剃光了碘酒擦拭抹了些药膏好些了。大的疾病史没有。
4、前段时间精神不好，可能与自己视力不佳出门老撞有关，食欲尚可一直比较能吃，排便也正常
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你发的照片来看，它的眼周确实是蜱虫叮咬。你不要用手去碰呀，蜱虫会叮咬人的，会传播病毒性疾病和血液原虫病。
你要么按照我前面说的把蜱虫摘除，要么带到医院去让医生处理。
另外，它的眼睛，你没有完全暴露出眼球拍摄它的眼球，所以我没有办法帮你判断视力下降的原因。不过从能看到的部分来看，它是有角膜溃疡和结膜炎的。到这不止于影响视力。从年龄判断，它应该是有白内障导致视力下降（当然，我没看到完整的眼球，只是从年龄推断。）
对于它的角膜溃疡和结膜炎，我给它开个处方。处方里面的
1. ***滴眼液，一天三次，一次1滴，连用15天。
2. ***滴眼液，修复角膜，一天6次，一次1滴，连用15天。
3. 眼用凝胶，滋润眼睛，一天6次，一次1滴，连用15天。
4，***眼膏，自行购买，一天三次，一次1厘米，连用15天。
5，***滴剂，体外驱虫，一个月一次，每个月都要驱虫。
谢谢医生。就是他的眼球最开始视力下降的时候，有点变白变浑浊，几个月过去了好像又没有变特别白，倒是有点发蓝（前三张是他的右眼，后两张是他的左眼），病因是什么，视力还能恢复吗？
还想问您他之前皮肤起藓是什么原因呢？还带有脱屑
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的眼睛的照片来看，他这个眼睛发白发蓝，是因为角膜出现水肿溃疡才这样的。
这个照片我看他的瞳孔部位没有特别白，也就是说，他的晶状体并没有变形特别严重。这种不至于是因为白内障造成的失明，那他的失明有可能是单纯的视网膜的问题，或者是有青光眼。
具体是什么原因，确诊的话还是得做详细的眼科检查，测眼压，做荧光素钠染色，还要检查眼底。
因为14岁本来是一个高龄犬，他的身体的各项机能器官正常也会退化，所以年纪大了就更容易出现这些问题。
如果是青光眼或者视神经问题的话，他的视力就没有回复的可能性。
皮肤真菌感染是因为皮肤抵抗力下降，环境中本来有真菌存在，这样就会被感染。皮肤疾病，在夏天是非常常见的。
真菌，主要是破坏毛干以及皮质，所以他会出现皮屑也很正常。
它眼睛的问题不会对生命有影响吧？是不是最多只是看不见了。
起藓有什么好的治疗方法或什么药吗，驱虫药是不是也可以抑制皮肤病呢。
谢谢医生
郭秋萍
执业兽医师
如果是有青光眼的话，确实可能会危及生命，因为青光眼除了眼睛原发青光眼以外，还可能是高血压导致。所以实际上在确认它眼压高之后，需要给他做详细的内科检查，看看是否有心血管疾病或者肾脏疾病。
皮肤真菌感染，对于你家狗狗，可以考虑药浴，因为几乎所有的抗真菌药物都有一定的肝脏副作用，它14岁这么大年纪，最安全的就是做药浴。可以用派奥洁香波一周一次药浴。
驱虫药可以预防体外寄生虫导致的皮肤病，对其他皮肤病没有作用。
医生请问狗狗的右眼眼球肿大，有点凸出是什么原因呢？
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
从你上传的照片和描述来看，他这个有两种情况，一种有可能是有青光眼这个昨天给你说过。第二种就是担心有球后肿瘤也会这样。
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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