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Cat Forum / Health and Behavior / July 2005

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need help for my Reggie

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Glitter Ninja - 07 Jul 2005 16:17 GMT
 The Reggie saga continues...
 Reggie is about 10 years old and has always been in good health.  In
March, Reggie got what we thought was a cold and an eye infection.  The
vet said it was actually an eye scratch and gave him an ointment, which
never really did the trick.
 Later the vet said Reggie had an infected tooth under the eye,
probably causing the problem.  They went to extract the tooth, decided
the tooth WASN'T infected, so pulled ANOTHER tooth and didn't tell us
until we discovered it ourselves a day later.  They gave us another
ointment to try for the eye and an oral antibiotic.
 Reggie's eye improves a bit but never completely.  After two ointments
and an antibiotic over four months, the doc wants to try another
antibiotic.  However I'm worried that this is actually herpesvirus.  The
doc doesn't want to test him yet, but I think it's because she can't do
it, we'd have to be referred.
 After the tooth incident I'm wary of the advice the vet is giving us.
What do you think, make her give us a referral right now, or is it worth
more antibiotics?  It's been four months.  We have 3 other cats and I'm
scared to death they will all have herpesvirus.

Stacia
PawsForThought - 07 Jul 2005 17:41 GMT
Hi Stacia,
I would absolutely go to a different vet.  I would have the test for
the herpesvirus, to rule it out, or treat it, and put your mind at
rest.  Regardless, Reggie needs to see a good and competent vet, and
hopefully one who is knowledgeable about cats.

Good luck and keep us posted.

LAUREN

See my cats:  http://community.webshots.com/album/56955940rWhxAe
blkcatgal - 07 Jul 2005 18:45 GMT
If it was me, I get the referral and see another vet.  You want to take care
of this problem asap...both for Reggie's sake and the sake of your other
cats.

S.

>  The Reggie saga continues...
>  Reggie is about 10 years old and has always been in good health.  In
[quoted text clipped - 17 lines]
>
> Stacia
Trish - 08 Jul 2005 05:21 GMT
>   The Reggie saga continues...
>   Reggie is about 10 years old and has always been in good health.  In
[quoted text clipped - 6 lines]
> until we discovered it ourselves a day later.  They gave us another
> ointment to try for the eye and an oral antibiotic.

What is the name of the antibiotic and ointment?  I've no idea how many vets
are in your area, but if there are other vets I'd recommend making an
appointment elsewhere.  Is there any swelling of the eye, drainage or
redness?  Is your cat scratching his eye?  How did the vet see the scratch?
Can you see it?
Glitter Ninja - 08 Jul 2005 16:01 GMT
>What is the name of the antibiotic and ointment?  I've no idea how many vets
>are in your area, but if there are other vets I'd recommend making an
>appointment elsewhere.  Is there any swelling of the eye, drainage or
>redness?  Is your cat scratching his eye?  How did the vet see the scratch?
>Can you see it?

 I don't have the names of the meds right now but will post them when I
get home.
 The eye has a little swelling around the lid area.  The drainage is
clear with occasional white (not yellow or green) stuff in it, but
that's only once every few days.  He doesn't scratch the eye but the
inner lid does close halfway sometimes.  I didn't see the scratch myself
and my hubby can't see it either, but the vet said it was a scratch
initially.  She seems to have forgotten that now, though.
 I spoke with her again and she said she didn't even know how to test
for herpesvirus but that she was sure it would be both eyes if it really
was herpesvirus.  I didn't see that confirmed anywhere online, but I
don't know if it means much.  She did say it might be a clogged tear
duct and wanted to try cortisone.

Stacia
Karen - 08 Jul 2005 16:30 GMT
> >What is the name of the antibiotic and ointment?  I've no idea how many vets
> >are in your area, but if there are other vets I'd recommend making an
[quoted text clipped - 17 lines]
>
> Stacia

Hmm. I don't think it has to be both eyes for herpes. Not sure, but I could
swear people have had Herpes kitties have one bad eye. Is there a vet
opthamologist in your area? http://www.acvo.org/publicframe.htm
Wendy - 11 Jul 2005 11:36 GMT
>> >What is the name of the antibiotic and ointment?  I've no idea how many
> vets
[quoted text clipped - 24 lines]
> swear people have had Herpes kitties have one bad eye. Is there a vet
> opthamologist in your area? http://www.acvo.org/publicframe.htm

I had a foster kitten last fall who had herpes that only seemed to effect
one eye. The infection was so bad in that eye that the globe had ruptured
before we found him. Once we got him cleaned up the other eye didn't get
goopy or watery. The ruptured globe did heal but if he got stressed that eye
would start watering again where the other eye didn't show any symptoms.

W
Trish - 08 Jul 2005 16:46 GMT
> >What is the name of the antibiotic and ointment?  I've no idea how many vets
> >are in your area, but if there are other vets I'd recommend making an
[quoted text clipped - 17 lines]
>
> Stacia

If I were you, I'd seriously look into a new vet.  Cortisone should work if
it's herpesvirus or conjuntivitis, and if it is prescribed, please follow
the directions carefully and use only the prescribed amount.  I used to use
it for my own eye allereges (which led to conjuntivits) and it burns like
hell.  You mentioned earlier the vet said Reggie had a cold, URI is
associated with herpesvirus in cat. But testing for the virus is not so
difficult, your vet should know how to do it.  Here's what I found on
testing, perhaps it will help your vet, but again I'd go to a new one.  I've
been there and done that with vets, I've spent too much time and money on
wasted tests, and felt my cats were becoming test subjects over the years,
til finally I said enough of this crap and searched high and low for the
best vet I could find, then had all their files moved over to the new vet
and we've been happy ever since.  Fortunately, I have 4 animals that see the
vet regularly and no vet wants to lose that clientelle, so it gives me a
little buying power when I say "no, this is what I've researched , now you
tell me why you want to do it your way, what are the benefits".

And as far I know herpevirus can just be in one eye, it does not necessarily
have to affect both.  The fact that the eye is not healing with the
antibiotics also supports herpesvirus.

Testing for herpesvirus

To diagnose a herpesvirus infection, after applying a topical anesthetic, a
scraping of cells is made from the eye and placed on a slide. The slide is
submitted to a laboratory for a specific test procedure known as an
Polimerase Chain Reaction (PCR) test. This test is quite specific when
compared to other tests. A different staining test can be performed which is
known as the Indirect Flourescent Antibody Test (IFA). While the IFA test is
not as precise as the PCR test, performing both tests simultaneously gives a
better infection indicator as to whether your cat does or doesn't have
herpes than either test alone.

I wish you the best of luck, please let us know how the test goes.
Glitter Ninja - 09 Jul 2005 05:15 GMT
>What is the name of the antibiotic and ointment?  

 Looks like the ointment is Trioptic -- we've used it for nearly 4
months now.  After Reggie's fang was removed we also had a liquid
antibiotic which I don't remember the name of.  Today we got
neomycin/polymyxin B/sulfates/dexamethasone eyedrops (2x/day) and
another antibiotic, Baytrill (1x/day).
 After one dose of eyedrops and Baytrill the drainage has really slowed
down.  The eye itself looks good.  The upper eyelid is slightly swollen
but not red.  The only part that looks bad is the inner eyelid, which
has some red in it which I haven't noticed before.  Maybe that's the
scratch?
 We have an opthamologist at the KSU Vet Med Center who we will see if
this doesn't clear things up.  Reggie's in good spirits at least so I'm
pretty sure he's not in pain.

Stacia
Meghan Noecker - 09 Jul 2005 05:46 GMT
>  After one dose of eyedrops and Baytrill the drainage has really slowed
>down.  The eye itself looks good.  The upper eyelid is slightly swollen
>but not red.  The only part that looks bad is the inner eyelid, which
>has some red in it which I haven't noticed before.  Maybe that's the
>scratch?

Is she pawing at it at all? When my eyes get itchy, I will scratch at
them with my finger, and then I make them worse. If I go to long, I
will get that inner lid kinda thing, which is even more annoying. I
just had to stop myself a few minutes ago. If I put a kleenex there
and hold it, I can get the itching to stop and not make my eye worse.

It could be that she has an allergy, or responded to an original
injury and made it worse.

>  We have an opthamologist at the KSU Vet Med Center who we will see if
>this doesn't clear things up.  Reggie's in good spirits at least so I'm
>pretty sure he's not in pain.

Glad to hear you are near an opthamologist.
Signature

--
Meghan & the Zoo Crew  
Equine and Pet Photography
http://www.zoocrewphoto.com

Glitter Ninja - 09 Jul 2005 06:17 GMT
>Is she pawing at it at all? When my eyes get itchy, I will scratch at
>them with my finger, and then I make them worse. If I go to long, I
>will get that inner lid kinda thing, which is even more annoying.

 Reggie does rub his eye like he's cleaning it, but more frequently, so
that could be causing the irritation.  I know what you mean about
allergies!  When I get to rubbing my eyes I have to force myself to
stop.

>Glad to hear you are near an opthamologist.

 Me too, I feel better about getting his eye fixed for good.  Thanks
for the links earlier in the thread!

Stacia
Trish - 09 Jul 2005 07:47 GMT
> >What is the name of the antibiotic and ointment?
>
[quoted text clipped - 13 lines]
>
> Stacia

Did you talk to your vet about the herpesvirus test?  Btw, not to lay a
guilt trip or anything, but cat's hide pain extremely well, and they hide
illness as well.  Hopefully the new meds will work quickly.
Glitter Ninja - 11 Jul 2005 05:52 GMT
>Did you talk to your vet about the herpesvirus test?  Btw, not to lay a
>guilt trip or anything, but cat's hide pain extremely well, and they hide
>illness as well.  Hopefully the new meds will work quickly.

 The vet's seen Reggie four times now so between all of us, I am
reasonably sure someone would have noticed the pain.  He definitely was
distressed a few weeks ago but it improved slowly over the weeks, and
now with the new meds it's improved quickly.
 Thankfully the eyedrops and/or antibiotic have been helping a lot.  
Reggie's eye is much clearer and he's already perkier than he was
Friday.
 The vet wanted to try new meds before referring Reggie to an
opthamologist, and while I'm glad that Reggie's eye is finally
improving, I'm afraid it is herpesvirus and will come back later. I will
call the KSU Vet Med Center myself and ask if they think a test is a
good idea, even if Reggie's eye is cleared up.
 Thanks for all the help!

Stacia
Trish - 11 Jul 2005 05:55 GMT
> >Did you talk to your vet about the herpesvirus test?  Btw, not to lay a
> >guilt trip or anything, but cat's hide pain extremely well, and they hide
[quoted text clipped - 15 lines]
>
> Stacia

This is great, please keep us updated on Reggie's progress :)
 
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