咨询描述:症状描述:请问医生:它捡回来时两眼流脓,睁不开,滴了两天氯霉素,左眼可以睁开,右眼一遍白,如下图。后来用红霉素眼膏搽右眼,结果眼球越来越凸出来了,就是现在的样子,如下图。这个眼睛上面的膜是红霉素眼膏吗?可以除掉这层膜吗?这眼晴还能保住吗?
患病时长:捡回来14天
医院检查:医院检查出有猫鼻支,疱疹病毒,杯状病毒,支原体阳性、左眼角膜溃疡,右眼要摘除。
用药情况:****,***,还有眼药水
回复总结:猫咪眼睛流脓眼球凸起,一般是眼睛内部感染导致的。这种情况眼球保不住,必须手术摘除掉,要不然还容易上行感染大脑,导致脑膜脑炎。眼睛表面是坏死的角膜,不是单纯抹的红霉素眼膏建议最好去医院做荧光素钠染色和裂隙灯检查,看是不是有葡萄膜炎可能还需要配合抗炎眼药来治疗。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的猫咪的情况,我初步判断它的右眼可能会有球后脓肿或者肿瘤,必须要摘除掉,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. 猫咪捡回来到现在用药有多久了呀?当时去医院的化验报告可以都发过来我看看吗?
2. 猫咪目前精神食欲大小便如何呢?
3. 有没有打喷嚏,流鼻涕,咳嗽这样的呼吸道症状?
4. 你平时是如何上药的?
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。
捡回来用药14天,医院报告就是核酸检测结果,眼睛没有做B超,平常有打喷嚏,流鼻水,食欲可以,大小便正常,平常把药磨粉掺入猫粮中喂
郭秋萍
执业兽医师
它现在的眼睛增大,一般是眼睛内部感染导致的,这个眼球保不住,必须手术摘除掉,要不然还容易上行感染大脑,导致脑膜脑炎。
它表面是坏死的角膜,不是单纯抹的红霉素眼膏。
哦,之前的右眼是一遍白,流脓,为什么涂了眼膏后眼球越来越肿大突出?是不是涂的红霉素眼膏错了?它应该2个月左右,体重860至900克。
郭秋萍
执业兽医师
和你涂药没有关系,它一开始眼球都保不住了,完全感染了,你用不用药,他都会因为病情发展导致膨大的。
红霉素眼膏是能够延缓它的病程发展的,但就目前来看,没有必要了,直接摘除掉更好。
好的,左眼溃疡可以治好的吧?时间一般多长?
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
你这个拍摄的眼睛局部放大图还是很严重呀,感觉比你上面上传的照片来看更厉害一些。你需要去医院做荧光素钠染色和裂隙灯检查,看它是不是有葡萄膜炎?可能还需要配合抗炎眼药来治疗。
就这个状态不一定能治好,很容易有瘢痕后遗症,同时可能需要2-4个月治疗,
医院已经在黑暗中用灯检查,结果是角膜溃疡,没有其他了。开了药跟药水,现在用药中。瘢痕后遗症是眼睛看不清?
郭秋萍
执业兽医师
对的,角膜形成瘢痕后,会影响部分视力。
那你已经给他用药两个星期了,最好这两天去医院给他复查一下,很有可能需要调整用药方案。
25号周日才去看医生的,之前是自己用药的。医院开了10天药,干扰素,多西,还有两种眼药水,如下图
为保护用户隐私不显示图片/视频
郭秋萍
执业兽医师
只有这两种眼药是不够的,必须要配合抗生素眼药。还有要口服泛昔洛韦控制疱疹病毒。
根据猫咪的情况,我给它开个处方。处方里面的1. 抗菌肽滴眼液,一天3次,一次1滴,连用15天。
2.你手里的***滴眼液
3. 干细胞滴眼液,一天6次,一次1滴,连用15天。
4,你手里的***
5,***眼膏,一天3次,一次1厘米,连用15天。自己购买
6,泛昔洛韦,90毫克每千克体重,一天两次,连用一个月。自己购买
7,医院开的其他口服药
. 您可以根据需求自行选择购买。
另外,你还是要再问一下医院,当时检查他有没有葡萄膜炎?有没有前房积脓问题。
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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