咨询描述:你好,我们家猫咪眼睛有些异常,已经持续大半个月,之前看了医生开了一些消炎的眼药水和阿莫西宁药粉。它一年前也有过同样症状,当时在医院进行了缝合治疗。我们一直给它在用消炎眼药水和眼膏(附图),前段时间有所好转,但是最近两天给他换了软的伊丽莎白圈结果他自己挠到了眼睛,导致眼睛情况恶化,破溃范围扩大并且有红色血丝。请医生帮忙诊断。
问题大致一样,细节不同?
陈奕达
执业兽医师
根据上述的信息,我初步分析猫咪是有角膜炎,角膜溃疡问题,但仅仅根据目前信息还不能做出进一步的判断。我还有一些问题需要向你了解一下:
1. 猫咪是否还有其它症状?
2. 猫咪发病之后,是否有检查?可以上传一下检查结果了解一下。
3. 猫咪平时饲养在哪里?
4. 猫咪生活环境是否整洁?
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病情,然后帮你进行分析。
1. 猫咪没有其他症状。吃喝拉撒以及精神状态都很好
2. 去医院看了,医生没有给明确的症断结果,只开了消炎药
3.饲养在家中,室内活动,不外出
4.环境整洁。一年前眼睛初次出现症状推测可能是被蝙蝠抓了,但不确定
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角膜溃疡,角膜炎问题,从而导致了一系列症状。
跟外力刺激,抓挠刮蹭眼睛,都有一定的关系。
久治不愈的情况下,除了抓挠刮蹭,外力刺激因素以外,还需要考虑是否有支原体,衣原体,疱疹病毒,杯状病毒感染问题。
如果暂时不方便就诊检查治疗,可以尝试一下我的方案,在家先给宝贝吃一些宠物专用广谱消炎的口服药,配合宠物专用广谱消炎杀菌,促进角膜修复滴眼液药水,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。
稍后我会根据猫咪症状开具一套用药,供你采纳参考下。
猫咪以前是否有什么用药过敏史?
陈奕达
执业兽医师
好的,这边根据猫咪的情况,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. ******,宠物专用修复角膜滴眼液。
(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,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。
陈奕达
执业兽医师
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!
后续有什么疑问或者需要,可以随时到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问,平时有什么问题随时联系。
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
1、积极用药治疗观察
2、禁止抓挠刮蹭眼睛,佩戴塑料,医疗级别的伊丽莎白圈
感谢您的信任以及支持,后续有什么问题,可以随时联系我。
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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