咨询描述:症状描述:5天前狗跟猫打架,怀疑猫的猫爪插进了狗的右眼
医院检查: 隔天带了看兽医,兽医说怀疑插到眼前房,先给了消炎药,和消炎眼药水
现在过了5天,狗本来眼睛中间是白的,现在看像是有血在内边
1 想知道大概是什么情况
2 进一步的检查大概会做点什么
3 可否估计到狗现在的眼睛痛不痛吗( 碰他的眼睛没有叫,测试他能否看到 他也有眨眼的)
4 这样的情况是不是眼前房出血,可以在不做手术情况下治疗到吗?因为狗已经13岁
有红点的是5天前,其他4张是今天影的
问题大致一样,细节不同?
陈奕达
执业兽医师
根据你讲到的信息,我暂时还不能做出进一步的判断。我还有几个问题需要向你了解一下:
1. 我截图这个图片,是否能够提供一下更加清晰的?
2. 狗狗现在都做了什么检查?可以上传一下化验结果了解一下。
3. 狗狗是否还有其它症状?
以上这些情况需要你详细的描述给我,我好进一步了解宝贝情况,帮你进行分析。
为保护用户隐私不显示图片/视频
1 这个已经好了 影不到了(当时是眼睛有个血泡),一天后已消了。
2医生看了狗没做什么检查,只是用肉眼看了说怀疑插穿了眼膜刺破了眼前房而流出的啫哩状物体( 但第二天的时候已经没有在流出任何液体,血泡没 了,眼睛只是入面有血)
目前狗的症状就是其他4张照片中,像是眼前房有血在内,像是有血遮盖了原来白色那个位置。
我打错了,受伤的是左眼
你可看其中一张照片,左右眼明显不同,其中一张放大可清晰看到左眼入边的血和白色的位置,右眼是原来的状态, 可以对比一下。
所以想了解下是怎样的一个情况
陈奕达
执业兽医师
好的,非常感谢你的回复,谢谢。根据你描述的症状以及提供的信息,以我多年的经验判断宝贝是有眼前房积脓积血问题,从而导致了一系列症状。
很有可能发生了葡萄膜炎,青光眼问题。
如果进一步检查,需要进行眼部超声,眼压,眼部裂隙灯,血液常规检查。
狗狗现在疼痛等级应该不高,属于低到中度的程度。
狗狗现在的情况,可以尝试一下保守治疗(保守治疗失败,只能考虑眼球摘除手术),尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱消炎,抗炎(角膜溃疡康复的情况下)的口服药,配合宠物专用广谱消炎杀菌,营养眼睛的滴眼液,来进行治疗,观察5-7天的时间。如果有效果,可以持续用药2-3周左右,直到疾病康复为止即可。
稍后会根据狗狗症状开具一套用药,供你采纳参考一下。
陈奕达
执业兽医师
你好,然后这边根据狗狗的情况,我给宝贝开个处方。供你采纳一下,以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. ***,宠物专用广谱消炎,控制炎症感染问题。
2.硫酸***滴眼液,宠物专用广谱消炎杀菌滴眼液,能够起到局部广谱消炎,杀菌的效果。
3. ******,宠物专用提供眼部营养,修复角膜,以及眼部异常,滴眼液。
4.***,宠物专用抗炎止疼用药,能够起到抗炎,缓解眼部炎症症状。(角膜有溃疡情况下禁用)
(使用多种滴眼液情况下,需要每个滴眼液之间,间隔10-20分钟以上用药)
可以根据需求自行选择购买。
宝贝眼睛发病期间,可能会瘙痒,疼痛,不舒服。所以会有抓挠刮蹭眼睛的情况,很大概率会出现二次损伤,或者加重眼部症状。所以一定要佩戴伊丽莎白圈,防止抓挠刮蹭眼睛。
1 想了解下,如果情况乐观下, 会不会有机会在纯粹滴眼药水和吃消息药的过程中积血能够慢慢消除?
2 如果情况慢慢恶化是不是成青光眼,是不是只能够用手术切除眼球,而并没有其他方法去治疗?
3 有什么方法可以观察他的眼睛会不会逐渐疼痛?
狗没有敏感历史, 但是我看见你开的两种口服药丸里都是消息, 有没有可以只吃一种的消息药,不想给狗吃太多药
是不是有一些降眼压的眼药水? 可以先滴着预防吗?
4 刚刚上面提到很有可能已经成了葡萄膜炎和青光眼, 这两个情况是不是只有去验才能够知道,能不能凭用眼看得到的?
谢谢你耐心的回覆
陈奕达
执业兽医师
你好,1.有可能。
2.你好,是的,恶化之后可能会发展成青光眼,或者眼球萎缩。只能考虑手术治疗。
3.眼睛疼痛,会有抗拒触碰,精神状态极度萎靡。
4.上述药物,每个都有不同功效的,建议配合使用。治病需要根据狗狗的状态进行,特殊情况,需要特殊对待。
5.没有眼压异常,不能乱用降低眼压的用药。不然会起到反作用。
6.青光眼,葡萄膜炎,必须检查才能判断。
陈奕达
执业兽医师
补充一点,如果狗狗角膜有溃疡的情况下,那么就只能使用处方内的***这个药物。***是无法使用的。
我刚刚都是在想这个问题,因为现在不确定狗是眼前房积血还是还在出血,所以也不敢给他用贝安,有没有别的药可代替? 还是只吃一种消炎药就可以了?
陈奕达
执业兽医师
你好,***一类的药物没有替代,都是有角膜溃疡的情况下不能使用的。那么就只能先给予狗狗吃***这个药物,先用药观察一下后续的情况如何。
陈奕达
执业兽医师
不用客气,非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
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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