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Cat Forum / Health and Behavior / September 2004

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Kitten with weird eye problem (infection?)

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Samantha G. - 14 Sep 2004 17:24 GMT
I was directed here from alt.med.veterinary. A lady said that there is
a woman here who has a cat that lost both its eyes due to this. If
this is you, could you respond? I would like some info, please.

> I apologize in advance for the length, it's hard to explain without
> telling the whole story.
>
> I have a question concerning a 7 week old kitten that I am hoping
> maybe someone can give me some advice, or maybe knows of an "ask a
> vet" type website that could help.
>
> My biggest problem is that I have been consulted two vets (because
> it's just so weird), and I'm getting conflicting diagnosis.
>
> Unfortunately, I need to give you the whole run-down to put it in
> context.
>
> The litter of 3 was abandoned at birth, never had any mother's milk,
> and had no nourishment for the first 24 hours. By age 1 week, only one
> kitten was still alive.  Her eyes didn't open until 3 weeks, and when
> they did, the left was not completely formed (cloudy-looking almost
> like a cataract)
>
> Vet #1 gave me terramycin (antibiotic ointment) as a preventitive to
> use indefinitely. Shortly afterward I accidentally knocked her in the
> eye with the bottle while trying to feed her. Swelling began two days
> later, which I assumed was a result of the injury. The swelling
> continued to an extreme point (on a Sunday when my vet was
> unreachable) and I called the only vet that was available.
>
> Vet #2 said that the terramycin was congesting the tear ducts and
> preventing drainage, causing the swelling (and should not be used for
> more than 10 days). He suggested stopping the ointment, which I did
> and two days later tears began to flow constantly and the swelling
> began to go down, slowly over two weeks.
>
> On Saturday, a large pocket of infection behind the eye (that we
> didn't know was there) burst and drained, finally bringing the eye
> back to normal size, which seemed like a happy ending
>
> But the draining continued...clear tear-like fluid. And now (2 days
> later) the eye seems to be shrinking (the side of her face appears
> concave), the eye and 3rd lid are pink and irritated looking, and the
> lid is trying to close.
>
> Vet #1 says that this is a normal reaction to the infection, the
> cornea is losing pressure but it will return to normal. He also thinks
> some limited vision may develop. He prescribed another antibiotic, in
> drop form and didn't seem very concerned about it.
>
> Vet #2 says that the infection bursting may have caused a tear in the
> "skin" of the eye, allowing the eye fluid to drain out. HE says that
> the eye will not return to normal and that when the draining stops, it
> should either close on its own or be sewn shut. He believes the eye
> will never have vision and that leaving it open will only encourage
> irritation and possibly allow contaminates (bacteria) to enter the
> eye.
>
> What do I do? She's never been able to see out of the eye, so I don't
> believe she will ever develop sight. I don't know which vet is correct
> as to the cause; if I did, I could make a choice easier as to what to
> do.
>
> Has anyone ever encountered this? Or know a website that might help?
>
> Also, both vets do not believe it is feline herpes, FIV, or FLeV.
> They are reluctant to do tests, as she is only 15.9 oz, but both have
> said tests can wait, as it doesn't appear to be any of the 3.(her
> growth/development is stunted, but thought to be result of a birth
> defect, not a virus/illness)
>
> This little kitten has had so many problems (slow growth, joints still
> soft, eyes developing slowly), and the vets here (rural small town)
> don't see this type of thing often. I'm not trying to second guess the
> vets, just trying to get some info to be sure that they are giving me
> good advice. I'm half afraid that they are both just guessing as to
> the cause and vet #1 doesn't seem like a "cat person", he doesn't seem
> very compassionate but vet #2 does. I would really like to find a vet
> who has experience with this, that I could talk to, or even get one of
> the vets into contact with for consulting.
>
> Also, I know that I am putting this all into "layman's terms." It's
> how they explained it to me.
Karen - 14 Sep 2004 17:55 GMT
Here are some good links to start with:

http://cats.about.com/od/eyeproblemsandblindness/

http://www.acvo.com/

http://www.animaleyeconsultant.com/

> I was directed here from alt.med.veterinary. A lady said that there is
> a woman here who has a cat that lost both its eyes due to this. If
[quoted text clipped - 79 lines]
> > Also, I know that I am putting this all into "layman's terms." It's
> > how they explained it to me.
zuzu22@webtv.net - 14 Sep 2004 19:11 GMT
>http://www.acvo/com

To the OP- this is perfect. It has a locator on the site where you can
search for doctors in your area:
http://www.acvo.com/public/Publicdatabase.asp

Megan

                                   
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"The only thing necessary for the triumph of evil is for good men to do
nothing."

-Edmund Burke

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http://www.stopdeclaw.com

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"Concerning all acts of initiative (and creation), there is one
elementary truth the ignorance of which kills countless ideas and
splendid plans: that the moment one definitely commits oneself, then
providence moves too. A whole stream of events issues from the decision,
raising in one's favor all manner of unforeseen incidents, meetings and
material assistance, which no man could have dreamt would have come his
way."

- W.H. Murray

mbk@webtv.net - 18 Sep 2004 13:56 GMT
Samantha,
Carolina Veterinary Specialists in Charlotte have 2 ophthamologists.
They have 2 locations in Charlotte which is about 2 hours away from you.
If I remember correctly from 2.5 years ago Dr. Ecihenbaum also makes
weekly trips to Asheville. They are a referral only practice so your vet
would have to make a referral before you could make an appointment. But
you could call first to find out if he still comes to your area
periodically.  

CVS:  
phone: 704-504-9608
fax:704-504-9606
web: www.carolinavet.com

Michele
zuzu22@webtv.net - 14 Sep 2004 19:08 GMT
Is there a veterinary opthamologist within even a few hours driving
distance? With such conflicting opinions, and considering the fact that
you are dealing with rural vets who often focus on large animal medicine
and don't deal a lot with the intricacies of small animal medicine, it
would be in your cat's best interests for you to make what might be a
long drive so you can get help from someone that specializes in this
area. A veterinary opthamologist has tools that regular vets don't have,
and also have the ability to determine if the cat has any sight in that
eye and give you a better idea of what will happen. If you post where
you're located maybe someone here will know of an opthamologist within
range, and if you have a veterinary university within driving distance
you'll definitely be able to find one there. Eye issues can be very
frustrating, and the few times I've had to deal with this sort of thing
taking the cats to an opthamologist was by far the best course of
action.

Megan

                                   
Signature


"The only thing necessary for the triumph of evil is for good men to do
nothing."

-Edmund Burke

Learn The TRUTH About Declawing
http://www.stopdeclaw.com

Zuzu's Cats Photo Album:
http://www.PictureTrail.com/zuzu22

"Concerning all acts of initiative (and creation), there is one
elementary truth the ignorance of which kills countless ideas and
splendid plans: that the moment one definitely commits oneself, then
providence moves too. A whole stream of events issues from the decision,
raising in one's favor all manner of unforeseen incidents, meetings and
material assistance, which no man could have dreamt would have come his
way."

- W.H. Murray

Samantha G. - 15 Sep 2004 00:21 GMT
I am in Elk Park, NC. Near Boone, NC and Elizabethton, TN. I had never
even heard of a veterinary opthamologist until reading the posts here.
But if anyone knows of one, let me know! My guess is Asheville, NC
would be the closest possibility.

I also wanted to say that there is no behavior change with her at all;
if anything, she is even more active and acting more content since the
infection drained.  Her face is also not very sore, she will let me
wash it but doesn't like anyone else to touch it.

I worry because when the vet mentioned FLeV (even though he said he
didn't think it was the cause), I looked it up online and the symptoms
do seem similar.

I have raised her from the age of 2 days, and I am hopelessly attached
to the little darling. I don't know how I would pay for a trip to an
opthamologist, but I will find a way.  (My own vet is giving me a
discount as she is an orphaned/rescued kitten, so the bill hasn't been
very high)

> Is there a veterinary opthamologist within even a few hours driving
> distance? With such conflicting opinions, and considering the fact that
[quoted text clipped - 36 lines]
>
> - W.H. Murray
zuzu22@webtv.net - 15 Sep 2004 03:18 GMT
Maybe you didn't see this but you can locate veterinary opthamologists
by city and state here:
http://www.acvo.com/public/Publicdatabase.asp

There are several listings for North Carolina, and I would suggest you
check in Tennessee as well since you're close to the border. If this
were me, I would definitely drive a few hours if that was what was neede
to get to a specialist. I don't know about the cost for vets in your
area, but here in Minnesota the exam fee for the VO was $45, which isn't
that much more expensive than the current office visit fee I pay at my
regular vet which is $38. Medication that is prescribed would add
something to the total, but I think it's a pretty reasonable way to go,
especially for a specialist that can give you answers your vet can't.

Megan

                                   
Signature


"The only thing necessary for the triumph of evil is for good men to do
nothing."

-Edmund Burke

Learn The TRUTH About Declawing
http://www.stopdeclaw.com

Zuzu's Cats Photo Album:
http://www.PictureTrail.com/zuzu22

"Concerning all acts of initiative (and creation), there is one
elementary truth the ignorance of which kills countless ideas and
splendid plans: that the moment one definitely commits oneself, then
providence moves too. A whole stream of events issues from the decision,
raising in one's favor all manner of unforeseen incidents, meetings and
material assistance, which no man could have dreamt would have come his
way."

- W.H. Murray

-L. : - 15 Sep 2004 07:29 GMT
> I am in Elk Park, NC. Near Boone, NC and Elizabethton, TN. I had never
> even heard of a veterinary opthamologist until reading the posts here.
[quoted text clipped - 15 lines]
> discount as she is an orphaned/rescued kitten, so the bill hasn't been
> very high)

Sounds like to me the kitrten had a severe herpes infection of the
eye, followed by a secondary bacterial infection.  The eye needs to be
removed and the cavity closed - I have seen a few cases like this.
Not likely that it will resolve on its own, and the longer you wait,
the more likely the infection is to get worse.

-L.
Samantha G. - 16 Sep 2004 00:36 GMT
The drainage has stopped completely and the eye closed yesterday. The
vet said that it closed to facilitate healing.  I called him today, to
give a progress report and he was much more informative. He has
apparently contacted someone at University of Tennessee who has had
experience with this (and visiting the OP website, I see there are
several vet opthmalogists at U of T).

At any rate, the vet says that I should bring her back Mon or Wed for
check-up, unless there is more discharge, swelling, fever, or behavior
change, I should bring her in right away.  She will be tested for
herpes, FLeV, FIV, etc. in about 2-3 weeks to be sure to allow her
time to recover from the infection and a mild flea infestation (which
is now cleared up).  This is just a precaution, they think she was
exposed to a mild infection, but with no mother's milk she didn't have
the antibodies to fight it off.

She is on antibiotics, and seems to be more energetic, playful and
wanting to interact/play more every day. She is also eating very well,
an entire can (5.5 oz) every day! (yes, she's been wormed, too) The
vet is encouraged that she is improved slowly, but steadily.  They are
still not sure what the final effect will be, if her eye will return
to normal size or not. I'm not that concerned with her appearance, I
just want to be sure that she is healthy.

Thanks for all the input, if anyone thinks of anything else, let me
know to ask the vet, it never hurts to be informed, especially with
such a little one.
Karen Chuplis - 16 Sep 2004 01:38 GMT
> The drainage has stopped completely and the eye closed yesterday. The
> vet said that it closed to facilitate healing.  I called him today, to
[quoted text clipped - 23 lines]
> know to ask the vet, it never hurts to be informed, especially with
> such a little one.

Please keep us posted on her progress! (and a link to pics anytime is
welcome. We love kitty pics.)
-L. : - 16 Sep 2004 07:37 GMT
> The drainage has stopped completely and the eye closed yesterday. The
> vet said that it closed to facilitate healing.

Keep an eye on it - if the eye has died, it still may become infected,
and if it is sealed, it could be a really bad problem.

Glad kitty is doing better!  Please keep us posted!

-L.
Samantha G. - 16 Sep 2004 21:54 GMT
> Keep an eye on it - if the eye has died, it still may become infected,
> and if it is sealed, it could be a really bad problem.
>
> Glad kitty is doing better!  Please keep us posted!
>
> -L.

The vet directed me to keep the eye open enough to continue the
antibiotic drops, until the appointment Mon.  It is a little more than
half closed, but from what I can see, the eye is a
milky-pink/milky-blue color now (as opposed to yellow-brown and bright
red it was at the first post)

Still no discharge (which is good, right?), and she's still very
active and playful, and eating like a horse. LOL. If I had a dig.
camera/scanner, I'd post pics, but I am a poor college student :(  I
am lucky that the vet gave me a break on fees, and a local rescue
group has helped too, buying her antibiotics (who knew they were so
dang expensive?)

BTW, the closet vet opthamologist is 4 hours away, and we are under
severe flood warning for the next 2-3 days, but my vet is now
consulting with a vet opth. so I am less concerned, as he is better
able to explain things to me.

On another note:
Trinity is the only survivor of the litter. I've been letting her play
a little with my chihuahua for the last two days, as she is very
hyper. I keep an eye on them, and the dog is very gentle.
Vet #1 said this was BAD, because she hadn't had her vaccines and has
no immune system (no clostrum from mom)
Vet #2 said this was GOOD because she would benefit from having a
playmate, i dunno if he meant psychologically, psychosomatically, etc.

I'd appreciate advice on what is best - to let her play or to keep her
isolated? She's the only cat in the household.
Karen - 16 Sep 2004 22:16 GMT
> > Keep an eye on it - if the eye has died, it still may become infected,
> > and if it is sealed, it could be a really bad problem.
[quoted text clipped - 32 lines]
> I'd appreciate advice on what is best - to let her play or to keep her
> isolated? She's the only cat in the household.

Hmmm. I don't *think* there are many, if any viruses that go between cat and
dog species. Maybe there is someone more knowledgeable out there, but I did
not think it was possible in most instances. If the dog is healthy,
Iwould'n't worry, myself. I think it is good she has a buddy.
Karen - 16 Sep 2004 22:19 GMT
> > > Keep an eye on it - if the eye has died, it still may become infected,
> > > and if it is sealed, it could be a really bad problem.
[quoted text clipped - 37 lines]
> not think it was possible in most instances. If the dog is healthy,
> Iwould'n't worry, myself. I think it is good she has a buddy.

You know, I did a quick google, and really don't see anything that your dog
could *possibly* pass to your cat. I'm beginning to worry about vet #1
Cheryl - 16 Sep 2004 22:49 GMT
In the fine newsgroup "rec.pets.cats.health+behav", "Karen"
<kchuplis@nospamalltel.net> artfully composed this message within
<news:7N6dnQiLYdQHn9fcRVn-qQ@giganews.com> on 16 Sep 2004:

>> > Trinity is the only survivor of the litter. I've been letting
>> > her play a little with my chihuahua for the last two days, as
[quoted text clipped - 17 lines]
>> healthy, Iwould'n't worry, myself. I think it is good she has a
>> buddy.

The only thing I can think of is that assuming the dog goes out for
its business-doing, there are cat virus's that can be picked up,
but in the same way we too, can bring in something on our shoes,
clothes, etc. I'd think the risk is minimal.

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Cheryl

 
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