咨询描述:症状描述:医生你好,我家狗狗今年9岁,约两周前右眼出现结膜炎症状,三天后角膜表面有一点白雾形成,第一从用药是去看了医生说狗狗上火了,眼睛摸着有点烧,让生理盐水冲洗眼睛+***青霉素滴眼睛+喂***片,滴了三天看没什么用,之后第二次用药滴了***的硫酸新霉素滴眼液,狗狗用着好像不太舒服而且眼睛也没有好转,到现在是第三次用药,滴了氯霉素滴眼液,一天3-5次,滴了4,5天,狗狗眼睛稍微有好转,但是还是睁不太开,只有兴奋的时候眼睛会睁的大一点,并且平时会有拿爪子和脚去蹭眼睛的行为。到现在狗狗眼睛的白雾大小有点增加(照片不明显,肉眼明显可见),眼睛的红血丝比刚开始症状减轻了一点点但还是很红,日常精神,进食都还算正常,喝水有点少。半年前狗狗得过一次结膜炎,当使用的就是生理盐水+青霉素,大概三天就好了,想让医生看看为什么这次这么久还没有痊愈。
回复总结:针对狗狗眼睛有白膜和红血丝的情况,处理办法上建议给狗狗滴抗生素滴眼液,一天3次,一次1滴,连用7-15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7~15天。此外,还需要使用消炎的眼膏,一天3次,一次1厘米,7-15天,以及眼部保湿凝胶,一天6次,一次1滴,连用15天。注意,治疗期间需要佩戴伊丽莎白项圈。如果有条件,最好给狗狗做荧光染色、泪液量测试和裂隙灯检查,然后进行对症治疗。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的图图的情况,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. 狗狗一共生病4天?这之前一切都正常?有么有什么疾病史?
2. 狗狗有没有定期打疫苗和做体内外驱虫?用的什么驱虫药?
3. 他去医院具体做了哪些检查?可以把化验报告都发过来看看吗?
4. 可以按照我下面的图片格式单独拍摄发过来我看看吗?
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。
1.狗狗到今天一共生病快两周,这两周的头三天是结膜炎症状,第四天开始出现角膜炎症状,这之前一切正常,除了半年前同样得过结膜炎(当时三天就好了)以及身上有几处脂肪瘤外无疾病史。
2.狗狗1-2岁的时候打了疫苗,之后就没有打了,驱虫只做了体外的,没有做体内的,具体什么药是宠物店给用的我不太清楚
3.我们这里没有宠物医院,是直接去一位兽医那里看的,她当时就观察了一下狗狗的情况,没有做检查
4.狗狗九岁半,体重8公斤
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,它的结膜有结膜滤泡,这是典型的结膜炎,而且极有可能有病毒或者支原体、衣原体感染导致。
从你发的照片来看,他的角膜是有角膜溃疡的,这个很有可能是因为结膜炎刺激造成的,当然也有可能他是有其他的问题,比如说干眼症或者是说细菌病毒感染等造成的。
你如果是有条件,最好是能够到市里去做一个荧光染色,泪液量测试和裂隙灯检查。
治疗的话需要给他佩戴伊丽莎白项圈,除了滴抗生素滴眼液,还必须要给他使用修复角膜的滴眼液。
根据狗狗的情况,我给它开个处方。处方里面的1. 自体血清,自己去医院抽血制备,一天12次,一次一滴,连用15天。
2. ***滴眼液,一天3次,一次1滴,连用7-15天。
3,干细胞滴眼液,一天6次,一次1滴,连用7~15天。
4,保湿凝胶,一天6次,一次1滴,连用15天。
5,***眼膏,一天3次,一次1厘米,7-15天。自己购买
您可以根据需求自行选择购买。
好的,那另一只好的眼睛后期会被传染吗,您开的这些药是宠物专用的呢,还是我在普通药店就可以买到呢
郭秋萍
执业兽医师
另只眼睛有可能也会表现出症状来,但也有可能不会出现问题,你平时要注意卫生,这样可以避免交叉感染。
是的,这些都是宠物专用的药,你可以直接点开我上面的链接购买。
好的,狗狗平时的饮食需要注意些什么吗,伊丽莎白圈出门的时候需不需要给他也带上呢
郭秋萍
执业兽医师
血清是控制角膜溶解的,然后抗菌肽是消炎的后面两个修补角膜的,最后一个也是控制细菌感染的。
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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