咨询描述:四个多月的小猫在近十天左右发现眼结膜异常,睡觉闭不上眼睛,眼屎多
回复总结:猫咪眼睛闭不上,并且还有眼屎多的现象,考虑是结膜损伤引发的。如果猫咪眼睛周围掉毛,很大的可能性是真菌的感染,然后引起了瘙痒,抓挠造成的眼部损伤。如果结膜损伤比较重的话,后续的话,需要用一些特殊的消炎药物。而且,猫咪必须佩戴伊丽莎白圈,阻止抓挠,后续的话还需要口服抗生素消炎,单纯的用滴眼液不行。
问题大致一样,细节不同?
徐灿
执业兽医师
您好家长,对于这种情况来说,能不能拍摄一段视频呢?这种情况是闭着眼睛的,对吗?检查一下身体,其他地方有没有掉毛结痂和皮屑?能不能让我看一下他的眼球表面?并且平时的话抓挠比较多吗?有没有打喷嚏的症状呢?到现在为止,做过什么处置或者用过什么药吗?
现在是晚上不太方便拍视频,它只有眼睛周围一圈掉了猫,没有类似感冒的症状,给它用过盐酸诺氟沙星眼药水,眼球是灰黑色的,上面紧粘着这个白色的东西
徐灿
执业兽医师
实际上,这种掉毛很大的可能性是真菌的感染,然后引起了瘙痒,抓挠造成的眼部损伤,这个可能性是很大的,但是我需要知道一下更多的视频,而且回顾一下平时的话,是不是挠的比较厉害?
农村的猫平时喜欢到处跑,但是给她滴眼药水之后她会挠和舔,小时候和别的猫玩的时候被挠过眼睛,也不知道那层东西是眼角膜还是什么,视频可能明天才能拍了
徐灿
执业兽医师
对于这种情况来说,现在尽量是能给他抓到,然后配戴上伊丽莎白圈,如果买不到的话,就用纸壳之类的给他做一个,要避免他的抓挠进行进一步的损伤,然后后续的话就得看一下眼球,并且检查一下身体,其他地方有没有掉毛呢?或者是斑秃
身上其他地方没有这种掉毛和秃的情况,您说眼角膜有可能肿成这样吗?这种东西下给它吃什么药比较好,感觉给她用的眼药水没什么效果
徐灿
执业兽医师
首先需要和你说一下,我不确定她的结膜损伤程度,因为如果结膜损伤比较重的话,后续的话,需要用一些特殊的药物,而且他必须佩戴伊丽莎白圈,这个是必须的,要让他阻止抓挠,后续的话还需要口服抗生素消炎,这种程度了,单纯的用滴眼液不行,而且他也不是眼角膜的问题。
就是这个状态,早上会有更多眼屎,而且它现在眼皮都合不上,您看看用什么药比较好
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
我已经看到了照片,对于这种情况来说,很难完全的恢复,因为总体来看的话,他的眼睛已经有溃烂了,后续的话只能用一些抗生素控制感染,但是相对来说,更大的概率可能就要失明,不过需要佩戴伊丽莎白圈,这个是必须的,因为长时间没有佩戴产生的抓挠等问题,造成了它的溃烂,实际上挺严重的。需要把它多余出来的组织剥离掉,然后长时间用滴眼液和口服抗生素。
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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16:00:00"}},"product_sku_info":{"id":752,"product_id":709,"title":"辉瑞速诺(阿莫西林克拉维酸钾片)250mg×10片\/板","advword":null,"price":98,"market_price":119,"cost_price":0,"stock":730,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"250mg规格1板"}},"cover":null,"thumb":"","sale_count":711,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-16 15:43:15","updated_at":"2024-11-21 14:19:59"}},"1":{"id":52003,"prescription_id":123549,"doctor_user_id":1296147,"product_id":809,"product_sku_id":851,"dose":1,"dose_unit":"ml","use_method":"滴眼","frequency":"每天3次","days":14,"number":2,"remark":"按照指导计量使用","created_at":"2022-09-14 21:26:18","updated_at":"2022-09-14 21:26:18","product_info":{"id":809,"hash_id":"lazo6rxWAJ4OqD9E","class_ids":{"1":2},"category_ids":{"20":181},"is_drugstore":1,"is_prescription":0,"drug_instruction_id":154,"sell_point":"百灵复方胆参抑菌明目液 (猫用)","title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 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09:46:46","ins":{"id":154,"hash_id":"","class_ids":"[\u00221\u0022,\u00222\u0022]","title":"","common_name":"复方麝香珍珠抑菌液","trade_name":"明目液","en_name":"","brand_name":"贝里奥","is_prescription":0,"cover":"\/drug\/2021\/03\/583ebbd37d8321f5c7870427da0e8bca.jpg","specification":"15ml\/瓶","reference_price":80,"component":"麝香、珍珠、人参、芦荟、菊花、决明子、冰片、细胞集落因子、氯已定、甘油。","indication":"1.用于治疗犬猫各种原因引起角膜溃疡、脓性结膜炎、角膜炎症\n2.眼外科术后的治疗与恢复\n3.对于眼部因细菌病毒真菌引起的感染均有效\n4.安全无毒无刺激","usage_dosage":"可将胆参明目液滴于犬猫眼睛感染部位,眼睑眼角眼皮眼眶肿胀部位不可将管嘴接触,感染部位每日上药2次,按病情使用1至2周或遵守医嘱用2-3滴即可。","contraindication":"","adverse_reaction":"","attention":"1.仅限眼部使用,过敏禁用性状改变时禁止使用,将本品放置于儿童无法接触的地方,涂眼前,注意清洁双手,管口勿接触手和眼睛防止损伤盒污染。\n2.请勿与碘、过氧化氢产品合用。","interaction":"","approval_no":"","storage_method":"密封置阴凉干燥处。","validity":"2年","manufacturer":"河南威灵仙宠生物科技有限公司","status":1,"created_at":"2021-03-11 15:30:26","updated_at":"2021-03-11 15:30:26"}},"product_sku_info":{"id":851,"product_id":809,"title":"贝里奥百灵复方胆参明目液 麝香珍珠抑菌液(猫用) 15ml\/瓶","advword":null,"price":48,"market_price":60,"cost_price":0,"stock":52,"stock_alarm":10,"spec_data":{"1":{"name":"规格","option":"15ml"}},"cover":null,"thumb":"","sale_count":99,"status":1,"delete_status":0,"cloud_repo_id":0,"cloud_repo_goods_id":"","sort":1,"created_at":"2021-12-21 16:30:06","updated_at":"2024-11-21 21:22:12"}}}}}}
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