徐灿
执业兽医师
你好,家长,对于这种情况来说,首先考虑的就是可能存在耳螨或者是内耳炎,从而导致了眼部的一些症状,能不能扒开眼睛让我看一下眼睑?还有就是检查一下耳朵里面是不是比较油或者是不是有黑点?他平时的时候是不是有抓挠的动作?有没有什么别的不同或者异常的?请详述。
徐灿
执业兽医师
看上去并没有太多的血丝,这种情况一定要检查一下耳朵,用一个干净的卫生纸套在手指上,然后掏一下他有问题眼睛这一侧的耳朵,然后检查一下是不是比较油,或者上面是不是比较多的黑东西?
这是油么。不太会看
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
看上去不是特别的油,我需要问一下他平时有没有挠耳朵的动作?还有就是有没有打喷嚏呢?如果有打喷嚏的话,也要考虑一下支原体或者衣原体感染,这些都是有可能的,所以说是否有抓挠耳朵的动作就比较重要。
徐灿
执业兽医师
?什么时候做的检查呢?重点是他有没有打喷嚏呢?之前是做过呼吸系统五联测试吗?所以说它有没有抓挠耳朵的动作呢?还有就是到现在为止是否使用过某些类型的药物。
做过类似核酸检测(就是棉签捅眼睛。嘴巴)。没有抓挠过耳朵。昨天做的。
徐灿
执业兽医师
如果是这种情况的话,更考虑支原体和衣原体,因为类似做核酸的那种检查的一般是疱疹病毒或细小病毒,而这种情况则要考虑一下,可能有支原体衣原体导致的类感冒症状,是不是滴完眼药水之后没有太好的效果呢?
如果是的话,一般建议后续口服一些对应的抗生素,并且一定要确认一下是否有抓挠,这个比较重要。如果完全没有抓挠的话,则主要考虑微生物支原体或者衣原体的感染,从而波及引起的眼部症状。
这是检测报告。滴完眼药水感觉好像还变严重了
为保护用户隐私不显示图片/视频
徐灿
执业兽医师
这个就是呼吸系统五联测试,如果是这种情况的话,相对来说不就比较迷离,没有打喷嚏,而且外耳的整洁程度是正常的,那么,能够想到的就是内耳炎,因为猫的耳朵是L型的,而且猫的眼睛上没有血丝,也没有异常的水肿增生,就更能侧面的印证这个问题,所以,综合考虑建议,后续的话可以使用一些抗生素口服,然后观察其后续症状,并且用一些滴耳液配合,看一下是否有所减轻,是目前来说比较建议的方案,帮你开了一个常规处方建,你可以参考使用。
总的来说就是考虑内耳发炎导致眼部出现症,因为瞳孔等反应都是正常。当然,如果有医疗条件的话,可以加测耳道内窥镜。
徐灿
执业兽医师
这种情况很大的概率,眼睛只是继发的,因为眼睛上没有血丝,而且两个瞳孔也没有异常,而且没有受到外部撞伤的历史,所以可以适当点一些用于缓解症状,但是只是辅助。
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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