咨询描述:6号发现眼睑有小水泡,10号开始结痂,黄色眼屎,今天变成黑褐色眼屎,这是所有的照片
回复总结:猫咪眼睑有水泡,可能是由于其他类型的疱疹病毒或者细菌感染导致,在临床上也是比较少见。猫咪的眼屎变成黑褐色,那是眼屎长时间被空气中氧气氧化后形成,也就是,如果猫咪眼睛分泌物增多,过一段时间后就会变成黄色、褐色、黑褐色等。关于您的猫咪治疗用药,建议使用多种抗生素药物比如硫酸新霉素、左氧氟沙星、红霉素、金霉素。
问题大致一样,细节不同?
陆文健
执业兽医师
看了您发来的猫咪眼睛的照片,眼睑上初始的时候有一些小水泡,目前已经有结痂,但眼睛没有肿胀。关于您提到的眼屎的颜色,原来是黄色,目前是黑褐色,那是眼屎被空气中的氧气氧化后形成,暴露在空气中的时间越长,眼屎的颜色就越深。
根据您目前提供的信息,还不能做出进一步的判断。我还有几个问题需要向您核实一下:
1、猫咪有没有打喷嚏、流鼻涕的症状?
2、6号眼睑出现水泡后,有没有使用药物滴眼液进行滴眼?什么滴眼液?
3、从照片上来看,猫咪的左右眼睛没有出现肿胀,6号眼睑出现小水泡的时候,猫咪眼睛有没有肿胀?
以上这些情况您仔细回忆后详细的描述给我,对我给猫咪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。
打喷嚏没有,就是他在怀里仰卧着的的时候,鼻子里会有鼻水,他会喷一下,别的时候没有,也不流鼻涕。用了硫酸新霉素眼药水,还用过一次氧氟沙星滴眼液。出现结痂后,还用过盐酸特比萘芬凝胶在结痂的地方,盐酸金霉素眼膏,凝胶昨天中午就用来着,晚上没用。眼睛一直都没有肿过,就是在用过特比萘芬后眼圈会红。因为他生殖器老有结痂,每天口服一次头孢羟氨芐片。昨天还加了赖氨酸口服液。
陆文健
执业兽医师
根据您的描述所提供的信息,您的猫咪基本上可以排除由于1型疱疹病毒(也就是猫鼻支)感染的可能。
关于您的猫咪的眼睑出现小水泡的情况,可能是由于其他类型的疱疹病毒或者细菌感染导致,在临床上也是比较少见。
猫咪的眼屎变成黑褐色,那是眼屎长时间被空气中氧气氧化后形成,也就是,如果猫咪眼睛分泌物增多(眼屎)的话,过一段时间后就会变成黄色、褐色、黑褐色等。
关于您的猫咪治疗用药,您使用了多种抗生素药物(硫酸新霉素、左氧氟沙星、红霉素、金霉素),以及特比萘芬(抗真菌的药物),特比萘芬对于皮肤和眼睛是有刺激作用的,建议不要使用。
猫咪治疗的建议是:
1、使用硫酸新霉素滴眼液,抗菌消炎,防止眼睛细菌感染;
2、眼部生理清洗液,比如维克眼净,用于清洁猫咪眼部及其周围,同时清除眼部异物。
以上建议供您参考,下面我给您开一个处方,供您参考。
陆文健
执业兽医师
根据猫咪眼睑可能是由于非1型疱疹病毒或者细菌感染的情况,下面我给它开个处方。
处方里面的:
1、***硫酸新霉素滴眼液,抗菌消炎;
2、***眼净,清洁猫咪眼部及其周围。
您可以根据需求自行选择购买。
建议处方:
1、金盾润康硫酸新霉素滴眼液,8ml/瓶/盒,一次滴眼2滴,一天3次,连用5-7天,尽可能滴在眼睑部位;
2、维克眼净 眼部生理清洗液,60ml/瓶/盒,适量将液体倒于干净的布上,轻轻擦拭眼周直至清洁,一天2-3次,没有眼屎后停止使用。
陆文健
执业兽医师
几点说明:
1、您家里已经有硫酸新霉素滴眼液,所以不需要进行购买;
2、您家里有***眼膏,也可以同时使用,涂抹在眼睑部位,一天2-3次,两用包5-7天;
3、特比萘芬是抗真菌类药物,目前您的猫咪不太可能是由于真菌感染眼睑产生小水泡,并且这个药物有一定的刺激作用,建议不要使用;
4、请用药5天后复诊,根据您的猫咪恢复的情况再来考虑是否需要调整治疗方案,有问题可随时在线联系。
他原来长小水泡的地方,现在变成这种结痂,第2张图片一只眼睛眼尾结痂的地方甚至有点脱毛
为保护用户隐私不显示图片/视频
陆文健
执业兽医师
眼睑炎症造成的因素确实有很多,细菌、真菌、蠕形螨等感染,但目前来看您的猫咪眼睑这种情况我的判断是非1型疱疹病毒,继发细菌感染导致,但确实还不能排除真菌感染,如果方便的话,可以去医院用显微镜检查一下是否有真菌感染。
给您的建议是先使用硫酸新霉素滴眼液,同时使用金霉素眼膏涂抹结痂和脱毛的部位,治疗5-7天观察疗效。
当然如果去医院检测有真菌感染的话,可能需要使用抗真菌药物,比如您目前使用的盐酸特比萘芬。
抗真菌的话克霉唑滴眼液可以吗,盐酸特比萘芬有能用在眼睛上的产品吗
陆文健
执业兽医师
当然克霉唑滴眼液是可以滴眼。
抗真菌的药物,酮康唑、克霉唑、特比萘芬使用在皮肤上都是可以的,也就是如果使用在猫咪结痂部位或者掉毛部位是可以的。盐酸特比萘芬凝胶,是对眼睛有比较大的刺激。所以您如果想要使用,一定要小心不要进入猫咪的眼睛内。
目前还没有宠物用于眼睛上的特比萘芬的产品。
陆文健
执业兽医师
我的建议是先试用硫酸新霉素滴眼液,同时使用金霉素眼膏涂抹结痂和脱毛的部位,治疗5-7天观察疗效。根据猫咪眼睛的恢复情况,再来考虑下一步用药方案。
陆文健
执业兽医师
建议使用动物专用的眼药产品。医生本人和平台是不支持给宠物使用人用药的,由于您家猫咪的就医条件不足给出了此次用药建议,该用药的治疗效果及意外风险无法承担,还请您考虑后采纳。
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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