15岁已绝育串串母犬,眼睛有明显分泌物
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咨询描述:郭医生你好,咨询15岁已绝育串串母犬,平日偶有挠脸/洗脸动作,不知是否因为小时候跟猫生活过。眼睛偶有透明分泌物,5月底发现右眼略带血丝。
6月9日点了一次典必殊,6月10日血丝减少,后停止。
6月11日点了两次硫酸新霉素,无明显变化,后停止。
近几天发现粘稠分泌物增多,血丝增多。
6月19日点了3次诺氟沙星。
照片为今天6月19日拍摄。
问题大致一样,细节不同?
郭秋萍
执业兽医师
根据您讲到的欧迪的情况,我初步判断有结膜炎,白内障或者核硬化,不排除葡萄膜炎或者青光眼的可能,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. 他这个眼睛除了有血丝以外,平时有没有眯眼或者不敢睁开眼睛?
2. 他的瞳孔发白是什么时候出现的?有没有给他做过眼科检查?他现在视力情况怎么样?
3.他有没有糖尿病?或者其他的疾病史?
4. 你轻轻触是什么呀?压一下他的眼球,看他的眼球,有没有硬邦邦的感觉?
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。(若您需要离开本诊室,稍后可以到官方微信公众号“蘑菇宠医”内找到问诊订单继续和我沟通。)
狗年龄15岁9个月,体重10.43公斤。6月10日******驱虫。
1.没眯眼或不敢睁开眼睛。
2.注意瞳孔到发白至少一年。6月12日复诊用手电筒照,右眼(玻璃体?)浑浊,有一条细线,从特定角度才能看到。因当时不是主要看眼睛,未作其它检查。
3.血糖应该是正常的,指标见附图。其它疾病史:5月30日就医发现心脏:二尖瓣闭合不全,左心增大,反流,疑b2期,在吃匹莫苯丹。肾脏:右肾缩小、有肾结石,左肾正常,SDMA 17μg/dL 。
4.眼球触感稍硬,有弹性,和按人的眼球相似。
附上近半个月生化、血常规等检查图片。电子版为5月30号检测,拍照纸质版为6月12日检测。
为保护用户隐私不显示图片/视频
视力情况:没有撞障碍物,没有明显看不清东西的样子,能辨认出十几米外的小狗,并作出反应(摇尾巴想打招呼)。食欲和散步精神较好,在家侧卧休息和睡觉时间多。
补充其它疾病史:5月底发现漏尿,就医后疑有膀胱炎,吃10天速诺。散步时排尿顺畅,正常留记号。在家时偶尔自行定点站立排尿。6月16戴防挠圈,可能不太适应,16-19号恢复在家自行站立排尿。现在没戴防挠圈,没观察到漏尿。近期饮水略有减少,约400毫升/天。原约500毫升。
郭秋萍
执业兽医师
实在不好意思,这个急诊是外伤,耽误时间久了一点,让您久等了!
从你上传的化验报告来看,他无论是30号还是12号,他白细胞都高,还是有炎症的,这种全身性的炎症,有时候也会在眼睛部位表现出来,出现红血丝和结膜炎。
但是考虑到他这么大的年纪已经有心脏病,我还是担心他的眼压过高,可能有青光眼的倾向,所以为了保守起见,你最好是能够带到医院去做一下眼压检测,以及荧光素钠染色,同时要裂隙灯检查他是不是已经出现的白内障还是单纯的核硬化。
无论青光眼还是白内障,也都会继发结膜炎。
对于他的眼球出现红血丝,这种结膜炎单纯的治疗是很简单的,但是如果是有青光眼白内障等这样的其他眼科疾病那治疗就比较麻烦,甚至可能需要手术治疗。
对于结膜炎,可以按照下面处方用药:
1,***,一天三次,冲洗眼睛,连用15天。
2,*********,一天三次,一次1滴,连用15天。
3,*****,一天两次,一次0.5片,连用7天。
没事,急诊辛苦了。
请问需不需要在你所开处方的基础上另******(***)或****** 或***?
节省追问次数先谢谢,后续如想到其它问题再咨询。
郭秋萍
执业兽医师
暂时是不需要的,因为你没有做荧光素钠染色,不知道他有没有角膜溃疡,这个时候使用***很有可能会加重角膜溃疡。
有***就可以了,暂时不用使用太多抗生素滴眼液。
好的好的,以后有问题欢迎随时回来咨询^_^
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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