Thursday, April 17, 2008

First re-check

Catcher's eyes had not improved in the two days since the first visit. Both eyes were completely covered with film. He could barely open them.

Finding this exam:
weight: 42.2 pounds
Schirmer Tear Test - no tear production in either eye
Flourescein Stain - stained only eye with worst abrasion, mild uptake

Diagnosis:
Sudden onset Bilateral Keratoconjunctivitis Sicca (KCS). Possible triggers: no recent vaccines, bloodwork within normal limits 2 months prior, thyroid panel within normal limits 8 months prior, possibly an unidentified autoimmune disorder?


Treatment:
Optimmune ointment bilaterally twice daily
Dexospore ointment bilaterally three times daily
recommend tear replacement

Re-check in 2 weeks

Tuesday, April 15, 2008

Things Begin to Change

Catcher started showing some mucousy discharge in both of his eyes a few days ago. It progressed to the point that he had a film of mucous covering each eye. I began treating it with BNP however when it wasn't getting better I decided to take him to the vet. I figured it needed steroids, however since he had been rubbing his eyes I was almost certain he had ulcerated to a degree.

Initial physical exam findings:
greenish discharge, bilateral conjunctivitis, corneal edema left side, increased ocular discharge, suspect allergies, fluorescein stain showed + Left side - Right side. Mild stain uptake on left eye, very superficial, suspect steroid would still be responsive.

Treatment:
Dexospore bilateral three times daily. optional benadryl 25-50mg twice daily

Re check in 2 days