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
Catcher was born June 12, 2006. Just prior to 2 years old he was diagnosed with Exocrine Pancreatic Insufficiency (EPI) and Diabetes secondary to the EPI. This is the story of our journey through education and exploration of treatment options.
Thursday, April 17, 2008
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
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
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