猫猫眼睛发炎很久了有什么办法吗

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患宠信息:布偶猫/弟弟/1岁6个月

咨询描述:曹医生您好,我捡的流浪猫眼睛发炎很久了,捡来将近一个月,一直给她用****和****,但是现在变成这样了,这边医生说角膜和结膜黏连了,想问问您有什么建议吗?我如果保守治疗每天给她滴药,她会自己恢复吗?图片3反而是早些时候的,现在是不是更严重了?为什么用药反而更严重了?

问题大致一样,细节不同?

点击获取针对性解答

曹元钊

执业兽医师

你好,这个很明显是一个角膜的水肿炎症,并且可能存在溃疡。 情况之所以越来越严重是因为没有对因。就算****滴眼液对一般的细菌性结膜炎效果较好,但是如果涉及到病毒,如果涉及到角膜损伤它就效果不行。请问有没有给这个猫咱们做一个检查,包括荧光染色这些。

做了疱疹和杯状的检查,都是阴性

曹元钊

执业兽医师

如果这样的话,他可能是别的原因,比如说耐药菌这种而引发的一个角膜水肿炎症同时可能患有溃疡。 请问您有条件或者说有能力给他做个眼科手术吗?就是我们做个荧光染色,如果有溃疡的话是需要个手术来解决的。

这边医院不太能做,医生也已经做了他们能做的,有医生建议做角膜和结膜的黏连分离手术,所以我想听听您的建议。

曹元钊

执业兽医师

如果我们把手术排除在这个选项以外呢,那么医生之前都提供过什么药物,能不能告诉我一下?我看看有没有什么改进的余地,我看看给您提供一点对症治疗的方案,试试看有没有效果。

这边医生开的这些药。另外我还想问下,她这种情况必须要做眼球摘除吗?如果摘除眼球会对影响猫猫吗?因为后续如果她没有领养可能会放归。如果可以不用做手术保守治疗的话,会引起大面积感染吗?

为保护用户隐私不显示图片/视频

曹元钊

执业兽医师

我觉得吧,眼球摘除手术不失为一个一劳永逸的办法,但是我们可以放到后边再说。摘除眼球,理论上来讲不会影响这个猫的生命。不做手术的话呢,我希望能提供给你一个保守治疗方案。就以7~10天为限,不见好转就做手术。

曹元钊

执业兽医师

如果您愿意的话呢,在用户端申请开药,我提供个方案给您。

可以的,但是我找了一下没找到在哪里开药,您能告诉我一下吗。我刚又重新浏览了一下您说的,猫确实存在溃疡的。

曹元钊

执业兽医师

说实话,这个方案有点冒险,但是你可以试一下。 第一,你去买人的滴眼液****或者是****其中一种就可以。然后一天6次,每次1~2滴。 第二 ****迪眼液一天六次,每次1到2滴。第三****一天6次,每次1~2滴,这三个都是连用7天,这每一种滴眼液间隔10分钟。 口服药三种,一种****龙,一天两次,每次一片口服10天,第2种****一天两次,每次0.5毫升,口服7~10天。第3种****一天两次,每次半片口服10天,防止****龙和****合用产生的副作用。

曹元钊

执业兽医师

以10天为限不见好转,我觉得你可以考虑再摘除眼球

好的,您说的这个方案,冒险的地方在哪里呢?如果有好转,她会有什么表现?是浑浊变轻吗?这个过程会不会导致她感染加剧?

曹元钊

执业兽医师

这个方案冒险的地方呢,在于****龙和****一般不能合用,合用的话容易引起胃肠道溃疡,但是呢,别的地方倒没什么。 嗯,它有可能是控制不住,但是不会说由于药物而导致它感染加重,他控制不住就会越来越严重,这是真的。有好转的话,它会表现出来浑浊程度减轻。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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