咨询描述：英短蓝猫 2岁 5.3kg
一、问题
1：流泪比较多，眼睛周围毛发脱落
2：感觉眼角有点肿
二、其他
1：出生就流眼泪，做过鼻泪管手术，但是没管用
2：8个月前检查有可能发展为肥厚性心脏病，开始控制食量，每天45g-50猫粮（
美士体重控制猫粮）
3：每周吃鱼油1-2粒，也会喂酸奶、牛奶
回复总结：英短猫出现流眼泪的症状，并且眼周毛发脱落，考虑是因为扁脸猫的鼻腔是弯曲的，很容易出现泪溢，就算他鼻泪管是畅通的，也是容易出现泪溢的。而且鼻泪管疏通，只能起到暂时性的作用，可能大多数管两三个月，然后又会堵塞。所以猫咪如果泪溢影响到局部皮肤和眼睛，可能每个季度都要去医院给猫咪疏通一下鼻泪管。
问题大致一样，细节不同？
郭秋萍
执业兽医师
根据您讲到的小点儿的情况，我初步判断有睑板腺炎，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. 猫咪的眼睑是什么时候开始红肿的呢？这个有没有采取过什么治疗措施，效果如何？
2. 它的流眼泪情况和小时候有没有什么区别？
3. 当时是疏通鼻泪管还是做的鼻泪管再造手术？
4. 它有没有打喷嚏，流鼻涕等这样的上呼吸道症状？有没有什么疾病史？
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：眼睑红肿有一个月了吧，但是之前不明显，今天才发现眼角肿的有点厉害（眼角好像多了一小块似的），没有治疗过
（因为有可能发展为肥厚性心脏病原因，所以尽量不外出，没有带到医院检查）
2：感觉跟小时候差不多，稍微严重了一点
3：当时是鼻泪管疏通手术
4：每天会打几个喷涂，但是应该没有呼吸道疾病
（一直都有打喷嚏习惯，之前带去医院全身体检，医生没说呼吸道有问题）
5：其他病史：前段时间有过粑粑带血，到医院检查没发现问题，吃了点益生菌、抗生素。
年龄2岁，体重5.3kg
郭秋萍
执业兽医师
因为你家猫是扁脸猫，扁脸猫的鼻腔是弯曲的，这样，他是很容易出现泪溢，就算他鼻泪管是畅通的，也是容易出现泪溢的。
而且鼻泪管疏通，他只能起到暂时性的作用，可能大多数管两三个月，然后又会堵塞，所以你家猫咪如果泪溢影响到他的局部皮肤和眼睛的话，那你可能每个季度都要去医院给他疏通一下鼻泪管。
他的眼睑红肿一个月，这个时间很长，像这种红肿，要么就是有病菌的慢性刺激造成的，要么就是他的睑板腺炎发作导致的。
它现在这种情况，你可以先尝试滴抗生素滴眼液和抹眼膏，同时口服药物治疗看看。
根据猫咪的情况，我给它开个处方。处方里面的
1.***，一天两次，一次0.5片，连用14天。
2. ***滴眼液，一天三次，一次1滴，连用15天。
3. ***眼膏，一天三次，一次1厘米，连用15天。自己购买
您可以根据需求自行选择购买。另外，治疗期间一定要给他佩戴伊丽莎白项圈，不让他自己抓或者是挠眼睛。
医生，***眼膏去哪里买是正品呢？
正常是多少钱，刚才在京东上看不到20
郭秋萍
执业兽医师
***眼膏，他在国内是没有取到进口批文的，所以基本上都是走私进来的。你可以去宠物医院。
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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