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Cat Forum / Health and Behavior / February 2004

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Corneal ulcer with complications

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Denise - 25 Feb 2004 14:18 GMT
Hello,

I posted recently about my concerns for a cat that I have reserved at
a local cat sanctuary. I mentioned that he had a corneal ulcer which
had been treated using antibacterial drops for 2 weeks.

He has now seen an eye specialist and they confirmed that he has an
ulcer which is on the surface of the cornea. As I think one person who
repiled to my first post suggested, the ulcer also has a viral
infection. To make matters worse he has a dysfunctional tear duct. The
specialist does not want to operate to remove the ulcer, saying that
most likely it will return. The cat has been given two ointments which
are to be administered for 4 weeks. I need to go the sanctuary to get
more details.

Is it worth pushing for surgery to remove the ulcer in the first
instance? I could probably afford it. If all else fails, much as I
don't want the eye to be removed, is this a likely best option?

Thanks in advance.

Denise
zuzu22@webtv.net - 25 Feb 2004 16:13 GMT
> I posted recently about my concerns for
> a cat that I have reserved at a local
[quoted text clipped - 16 lines]
> Is it worth pushing for surgery to
> remove the ulcer in the first instance?

I wouldn't do it. The reason the eye is so bad is because the cat wasn't
getting the proper treatment. Now that that is resolved the ulcer should
resolve as well. Since this is herpes related, putting the cat on a
lifetime regimen of L-Lysine should prevent or eliminate any serious
flare-ups in the future.

> I could probably afford it. If all else
> fails, much as I don't want the eye to
> be removed, is this a likely best
> option?

Removing the eye should only be a last resort. The condition your cat
has is treatable and the tear duct is a separate issue. I have seen
pretty bad eye problems w/ulcers that have been resolved and kept under
control with L-Lysine @250 mg once or twice daily.

Here is one example.
Before:
http://pic10.picturetrail.com/VOL320/476350/1617042/18983347.jpg

After:
http://pic10.picturetrail.com/VOL320/476350/960290/11171587.jpg

Megan

                                   
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Denise - 27 Feb 2004 20:53 GMT
An update:

I now have the cats at home. Plimsole (the cat with the ulcer) has eye
lubricant/interferon drops, an antibacterial ointment and lysine
tablets. Adminstering the medication is difficult but I'm learning
fast.

He doesn't appear to be experiencing too much discomfort, based on how
often he washes his eye and minimal squinting. He is a totally
different cat now that he has a house to roam around in. My furniture
is taking a bashing: he does like to hang from it during his sillier
moments.

The vet he was seeing during his stay in the shelter was considering
removal of the eye if the ulcer hasn't responded to treatment in the
next 8/9 days. I don't want this!

I won't give up without a struggle, but ulimately I need to see that
he is comfortable.
mbk@webtv.net - 28 Feb 2004 01:08 GMT
Denise,
Is there a vet ophthalmologist in your area? A general vet no matter how
good does not have the same expertise as a specialist. If there is one
you may want to consult him/her first.  

My oldest cat did have to have that operation 2 years ago at age 14 and
she is just fine. She simply has a permanent wink!

Michele
(N.C.)

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