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Cat Has Misty eye - would really appreciate advice before it is removed by vet

post #1 of 7
Thread Starter 
This is a horrible way to introduce myself and cat to the forum but I would really appreciate advice from those who know about these sorts of things.

We noticed that my cat, Moog, had different sized pupils about two weeks ago and took him to the vet. He prescribed a topical antibacterial eye drop – Chhloramphenicol and some broad spectrum antibiotics – Clamoxyl (Amoxicillin). He noted that the cat had a slightly high temperature of 102.8 deg F or 39 deg C.

A few days later I noticed that the cat had a cloudy section in his eye that resembled a Hubble Space Telescope image of a galaxy – about 2mm across. I returned to the vet who changed his antibiotics to Synulox (Amoxicillin and Clavulanic acid) and replaced the eye drops with Fucithalmic viscous eye drops that contain the active ingredient fusidic acid.

Unfortunately the condition got much worse over a few days and the cat’s eye went milky opaque and he became sluggish and started to refuse food. I took him back to the vet who then referred him to the local ophthalmologist (the only one near Oxford UK).

I took him to the ophthalmologist the next day after a night of worrying if the cat would actually make it to the morning when his appointment was due. The specialist couldn’t see into his eye and used an injection of super clot busting drug to clear the eye of Keratitis so he could have a proper look. This partially cleared the eye and the specialist prescribed Chloramphenicol ophthalmic ointment and a course (4days) of Marbocyl P tablets. He was unsure as to what was causing the problem and did tests for leukemia and feline AIDS – both of which were negative.

The specialist requested that we return on the following Monday, four days after our initial consultation. The cat was much better over the weekend – his sluggishness had gone although there was still some evidence of localized cloudiness in his eye. The Specialist then recommended another injection of the clot busting drug which cleared the eye further and went on to prescribe Pred Forte – a corticosteroid every six hours and requested that we continue to use the prescribed Chloramphenicol every 6 hours. he also prescribed 15 medrone 2mg tabs to be taken ½ every 48 hours. He said it might be a tumor but can see no signs of one with his microscope.

The cat seemed to be making progress well over the weekend and for the early part of this week, but I noticed last night a new patch of cloudiness that has since started to turn the eye milky white. Unfortunatly the specialist has gone on holiday, but said before he left that if the condition did not respond he would recommend that I take Moog to his practice and have the eye removed. I know medicine is an art not a science, but I am surprised that after spending over £700 UK pounds I have no idea what is causing this problem and the cat is in a similar position to when this started.

Before I make the decision to have them remove the eye I would love some advice – I have looked on several websites and there seem to be things that just haven’t been done to the cat such as cultures taken from the cornea and full blood tests. I want to make sure that this issue cannot be dealt with correct prescriptions before I subject my little cat to surgery.


If anyone can offer advice I would really appreciate it. I am going to take him back to my original vet this evening to see what he suggests
post #2 of 7
My Fafeena has a cloudy eye. It came on slowly over the past 4 years, and is possibly due to some sort of trauma, or is just an age thing. The eye itself doesn't bother her, it's never weepy, nor dry....so we're leaving it there. She is pretty much blind in that eye, though.



That said - she has never presented with any physical symptoms. Your kitty being lethargic worries me - have they ever done any bloodwork to rule out any secondary/underlying health issues? How old is your kitty?
post #3 of 7
Quote:
Originally Posted by optik View Post
I know medicine is an art not a science, but I am surprised that after spending over £700 UK pounds I have no idea what is causing this problem and the cat is in a similar position to when this started.

Before I make the decision to have them remove the eye I would love some advice – I have looked on several websites and there seem to be things that just haven’t been done to the cat such as cultures taken from the cornea and full blood tests. I want to make sure that this issue cannot be dealt with correct prescriptions before I subject my little cat to surgery.
I think you're wise to hesitate before doing the surgery. I agree that you should have more answers after having gone to a specialist.

The best thing to do would be to get another opinion, from another specialist, if at all possible. A specialist should be able to at least give you an idea of what could possibly be causing Moog's cloudy eye, even if he can't tell you what it is with 100% certainty. Removing an eye is serious business - you want to be sure you've covered all the bases before doing that.

If you absolutely can't get to a different specialist, make a list of questions from the info you've found on-line and ask the specialist. Cornea cultures and bloodwork sound like very reasonable steps to take before doing something so drastic as removing the eye.

The best of luck to you and Moog. I hope he won't need the surgery. Please let us know how he's doing.
post #4 of 7
Welcome firts to all... I´m so sorry I wished your welcomed would be in another circunstaancess...

My Catulina has a bad eye as well you can see here....


She never been letargic or else,........I´m so sure as well said White Cat Lover she didn´t see in that eye but never been for she can be happy and plenty of life...
Please listen another opinion about....Is a wise advice...
Thank you for sign here on TCS!...
post #5 of 7
Thread Starter 
Thankyou all for your kind words and advice -

i took moog back to my original vet and he prescribed another set of antibiotics; nfortunatly the condition has worsened and Moog has become sluggish and his eye swollen again. I am going to take him to see one of the Vets at the same practice as the ophthalmologist (who is currently on holiday) and hope that she can help moog, otherwise I fear he may have to have his eye removed as I just can't stand seeing him suffer like this.

he's only 7 years old and still a baby - I'm going t talk over the options with the vet and make some suggestions to herregarding tests etc.

I'll let you know how it goes.

thanks again

toby
post #6 of 7
Thread Starter 
I cross posted this to another board and recieved some great suggestions from Drew (a Vet)

http://boards.webmd.com/webx?THDX@@....hild=.89e3709f

and have an update:

so to continue the story - I spoke to my vet over the phone and she was interested by Drew's suggestions and thought them quite plausible and I arranged to go and see her the next day if Moog (who at this time seemed to be getting better) started to feel unwell. She suggested not coming in if he continued to improve. The next day came and Moog was much better – he was walking around, eating and acting relatively normally and most importantly his eye was much clearer. We monitored him over the course of the day but by about 10pm he was becoming sluggish and I started to notice some weird signs: he seemed to be limping a little in his back legs, and I noticed that his ear was twitching. As it was about midnight I felt there was little we could do, but went to the internet to check for information of Toxo and Barto – upon reading further I noticed that these symptoms were cordial with Drew’s Toxoplasmosis diagnosis moving into the CNS; I also read that this is extremely dangerous and animals can die quite quickly if left untreated. We made the decision to drive him to the 24 hour medical hospital as I wanted to get him treated at any cost as soon as possible.

The Vet was excellent – giving him a full clinical examination (everything was fine except for a slightly lumpy kidney) and he suggested a full blood work-up which I readily agreed to (other vets had told me we would need to know what we were looking for before we asked for the tests!) and a test for toxoplasmosis. More importantly he prescribed Clindamycin after agreeing with the diagnosis of toxoplasmosis. We also realized that Moog was now completely blind in his right eye – something I had strongly suspected over the last few days.

Anyway -it is now 36 hours later and moog is showing a marked improvement I think from the Clindamycin – he seems much happier and much more active. He still isn’t right and I am interested to see what the blood work brings up, but I am starting to feel that I am doing enough to help him and hopefully we’ll get him fixed. I am most surprised in all of this that the ophthalmologist did not suggest or test for Toxo; even in my research I was able to find images of Toxoplasmosis cat’s eyes that were extremely similar to what Moog was presenting with; especially in conjunction with the fever.

please ask your vet about toxoplasmosis if your cat has similar symptoms - it can be steted for and may save your cat.
post #7 of 7
Moog is so blessed to have you and your family in his corner...many prayers for a good outcome.

And thank you for sharing the WebMD link - I guess I never thought of them for other than human health resources....bless that Drew for responding, and for your own vets for following up (what a great ER vet you found).
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