Eye problem (warning graphic pictures)

dolphinmedan · May 14, 2014

Hi all. Greets from Indonesia. I have a cat, her name is Blue. She used to have really beautiful blue eyes. But since September last year. Until today, her eyes as you can see in my profile picture looks very terrible.

I went to the local vet yesterday, actually I've been to 3 Vets already. The last Vet, told me that she already blind and she's infected by Feline Herpes. I really hope is there anyone here know about this case maybe by looking at her picture. Or maybe anyone can suggest me to get any medicine maybe. Oral gel for her eyes or anything at all.

Hope somebody can give a hint. Thank you so much everyone...

miss mew · May 14, 2014

Welcome to TCS

Have any of the vets you have visited prescribed any types of medication or topical creams/ointments? What types of treatments have been done already? Is her other eye affected as well?

dolphinmedan · May 14, 2014

Thank you for reply. She was given Acyclovir yesterday. About almost 2 weeks ago, she was given Intraconazole and Methicol. There is also a spray, no brand. Home made by the Vet. She told me to spray to her eye as much as I can. The spray not be taken around electronic device such as mobile phone device. Cause there is electromagnetic contain in it.

Yeps. That all I can tell on her drug history

stephenq · May 15, 2014

Dolphinmedan said:
Thank you for reply. She was given Acyclovir yesterday. About almost 2 weeks ago, she was given Intraconazole and Methicol. There is also a spray, no brand. Home made by the Vet. She told me to spray to her eye as much as I can. The spray not be taken around electronic device such as mobile phone device. Cause there is electromagnetic contain in it.

Yeps. That all I can tell on her drug history

Hi and I'm so sorry for your cat. Are both eyes like the one in the photo? Did you discuss with the vet removal of the eye(s)?

The spray does not sound like a normal medicine, hopefully it won't make the situation worse. Being blind isn't a bad thing, I have a blind cat, but the infection looks very serious.

catwoman707 · May 15, 2014

So as you can tell, her eye is badly infected.

There are several questions I need to know correct answers for so I can offer my best advice.

How old is she and have you had her since she was a young kitten?

Has she ever had, especially as a kitten, a cold or an upper respiratory infection? If yes, treated? What med?

Is her other eye fine, is there now or has there ever been any drainage from it?

Has any other vet told you she has herpevirus or just the one? Did he test for this or is going by the way her eye looks?

How bad was her eye the first time she went to the vet? Is it worse now?

I won't offer any specific advice until I get the answers from you.

I am also very unsure of just what drugs will be available to you in Indonesia. I can at least mentions some I believe will help but you will have to list them and ask the vet there is any are available or not.

The spray.....hmmm, this is tough, I have no idea what it is. Is it helping at all? Has any treatment helped?

I am very concerned, her eye should NEVER be this extreme, so I am worried that the right meds to help her won't be available there.

Also, in my opinion her eye does not appear blind, but of course looking at it from the pic can be decieving. What did he do to make him think she is blind in this eye?

dolphinmedan · May 15, 2014

@ Miss Mew : Thank you for your reply. As I've change my avatar. You able to see both her eyes. Left eye hopefully not infected as much as right eye. Not infected in cornea area.

I've been to 3 Vets already. The last Vet gave ITRACONAZOLE (tablets) ; METHICOL (tablets) and latest ACYCLOVIR (tablets). She never give any ointments or tropical cream.

The latest thing the Vet did was she said something with putting oil, I don't asks on what drug she gave. But she said to prevent her lower eyelid to more widening.

So yep Thanks. Sorry for late reply due to our time different.

dolphinmedan · May 15, 2014

Miss Mew said:
Welcome to TCS

Have any of the vets you have visited prescribed any types of medication or topical creams/ointments? What types of treatments have been done already? Is her other eye affected as well?

@ Miss Mew : Thank you for your reply. As I've change my avatar. You able to see both her eyes. Left eye hopefully not infected as much as right eye. Not infected in cornea area.

I've been to 3 Vets already. The last Vet gave ITRACONAZOLE (tablets) ; METHICOL (tablets) and latest ACYCLOVIR (tablets). She never give any ointments or tropical cream.

The latest thing the Vet did was she said something with putting oil, I don't asks on what drug she gave. But she said to prevent her lower eyelid to more widening.

So yep Thanks. Sorry for late reply due to our time different.

dolphinmedan · May 15, 2014

StephenQ said:
Hi and I'm so sorry for your cat. Are both eyes like the one in the photo? Did you discuss with the vet removal of the eye(s)?

The spray does not sound like a normal medicine, hopefully it won't make the situation worse. Being blind isn't a bad thing, I have a blind cat, but the infection looks very serious.

Hi StephenQ, Thank you for your concern. I do change my avatar. So you'll be able to see her both eyes. The left eye looks ok. The virus doesn't infected her cornea, Hopefully,,,,

I haven't discuss on remove her eye. I do discuss on surgery. The lady vet does not recommend me to do so. As the virus still infected although it's been cosmetic surgery. My parents keep telling me to put her to sleep though. But I refuse to do that. I believe there is still Hope for her.

A Australian Vet I've chat with also recommend me to put her to sleep. As she really in pain and discomfort. When she still love to eat even being grumpy, I'll do my best to take care of her.

catwoman707 · May 15, 2014

@Dolphinmedan I feel terrible for your cat! Oh it looks so very painful.

I really need to ask you, has any vet done testing on the eye discahrge to confirm it is herpevirus?

If it is definitely caused by herpevirus, then an antibiotic cream and Idoxuridine drops is needed.

The Idoxuridine is a strong anti-viral eye medicine that works amazingly.

I just can't figure out why it looks like the eye drainage seems to burn her skin under her one eye, and all around the other.

This is a horrible painful thing here.

Very sad.

I just looked up if Idoxuridine is available in Indonesia, and it is!!

It looks like it will be called Isotic Ixodine. She also needs antibiotics to be given to heal up the outer skin areas.

Please ask the vet and if he doesn't have it he can order it for you.

It will help her so much, I really have had wonderful results with very bad eyes.

Good luck!

dolphinmedan · May 15, 2014

catwoman707 said:
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Hopefully you can see her eyes progress. I do have her since kitten. I took her from street. But I did vaccination straight away. I think I have her almost 12 years now.

Since her kitten, she never have any problem at all. No sneezing, flu or cold. She never have any of these.

As you might be able to see from pics, her left eye it seems not infected to her cornea. Her cornea looks fine.

The last pics I've sent, there is a small gap in the cornea. I really scared the eye ball might fall out. I hope it won't happen though.

I went 3 Vets already.

No. 1 = The 1st Vet, he was the Senior Vet in here. He also the K-9 Police Dog (German Sheppard) Vets

Treatment : He keep inject her 2-3 times each time I visited him. He doesn't tell me what drug it is. I took her to this Vet about 15 times. Around 3 times a week.

No. 2 = The 2nd Vet, she was sterilized by this Vet.

Treatment : Cleaned up her eyes and gave her once injection and ointment to her eyes. I took her to this Vet twice only. He suggest to do cosmetic surgery.

No. 3 = The 3rd Vet, Lady Vet. The first time I came to her, she said it was Sapporo Virus. After 2 weeks, I came back again, she said it was Feline Herpes FVR-1.

She is the only Vet that can give a me clue what has been going on with her eyes. She doesn't do any lab thing or taking blood sample etc. She only said the virus by looking at her eyes.

Treatment : She was given ITRACONAZOLE , METHICOL and the latest ACYCLOVIR. She does gave a spray, which Home Made Spray by her. It doesn't have a brand. But she said everytime I spray, makes sure it doesn't close to any Mobile phone device. As it says contain Electromagnetic. The spray looks just plain water. Need to be given as many time I can.

Spray can make the watery around her lower eyelid getting dry a bit. But every time I sprayed I have to put plastic cone otherwise she scratched her eyes and bleeding.

About 5 days ago, Vet said she's already blind.

________________________________________________________________________________________________________________________________

I do have younger brother live in New Zealand and a friend in Australia. If you can help me to any medications or oral gel or anything at all. I can asks them to send it to me.

I did some reading and I find a L-lysine products. It has oral gel, powder etc. Do you think it's worth to give her?

Or maybe you know any medicine please let me know. I'll look for it.

Thank again for your concern. Hopefully there is a chance to cure her eyes. Looking forward to hear from you again.

dolphinmedan · May 15, 2014

catwoman707 said:
@Dolphinmedan I feel terrible for your cat! Oh it looks so very painful.

I really need to ask you, has any vet done testing on the eye discahrge to confirm it is herpevirus?

If it is definitely caused by herpevirus, then an antibiotic cream and Idoxuridine drops is needed.

The Idoxuridine is a strong anti-viral eye medicine that works amazingly.

I just can't figure out why it looks like the eye drainage seems to burn her skin under her one eye, and all around the other.

This is a horrible painful thing here.

Very sad.

I just looked up if Idoxuridine is available in Indonesia, and it is!!

It looks like it will be called Isotic Ixodine. She also needs antibiotics to be given to heal up the outer skin areas.

Please ask the vet and if he doesn't have it he can order it for you.

It will help her so much, I really have had wonderful results with very bad eyes.

Good luck!

Thank you for great information you gave me. I will look for Idoxuridine you told me.

What about the antibiotics? We do have AMOXICILLIN for antibiotics. How many mg do you suggest?

catwoman707 · May 15, 2014

Okay the pictures in the middle, her eyes look alot better, is this how they look now or are they like the really bad pictures?

I'm really hoping the middle pictures are how she looks now after treatments.

Which picture is the most recent?

I posted above, I highly recommend Idoxuridine drops, and an oral antibiotic like clavamox.

If your friends in Australia or New Zealand can help you get Idoxuridine drops and clavamox oral medicine I think it will be very helpful.

Can you ask about these meds?

catwoman707 · May 15, 2014

Amoxicillin is clavamox with an additional drug in it, which makes it even better than amoxicillin alone.

Don't you have to have a prescription to buy it?

I do not think that l-lysine is going to be of any help at this time. Her eyes are very bad. Lysine is more to help prevent herpevirus from flaring up.

I do believe and feel very confident that Idoxuridine and clavamox if available would be appropriate.

Are her eyes improving with any of the treatments so far?

Which pictures are the most recent? The pictures in the middle are much better and look like they are improving alot.

dolphinmedan · May 16, 2014

catwoman707 said:
I just took this pic, just now.

Amoxicillin are free to get in Indonesia. I don't know about Clavamox though. I'll look for it. Thank you very much

Norachan · May 16, 2014

Poor little thing, that looks so painful. Sorry, I've never dealt with an eye infection that severe before so I don't have any advice for you.

I'm going to keep checking this thread to see how things turn out.

I hope you find some way to help your girl.

stephenq · May 16, 2014

This looks more like a skin infection than an eye infection per se, about the worst Ive ever seen. It almost reminds me of MRSA in a way (flesh eating bacteria), but whatever it is it seems horrible.

catwoman707 · May 16, 2014

StephenQ said:
This looks more like a skin infection than an eye infection per se, about the worst Ive ever seen. It almost reminds me of MRSA in a way (flesh eating bacteria), but whatever it is it seems horrible.

YES!! That is exactly what I believe. Trying to understand how it is that the eye drainage is actually burning/eating her skin away, you read my mind.

I advised meds last night based on the vet's diagnosis of herpevirus, which I couldn't help but feel skeptical of already. Just, just doesn't look like herp.

Wow. Yes, it looks very bad.

catwoman707 · May 16, 2014

I have been searching for answers for this cat. Not only is this a very unusual looking, difficult case, but is also in that you are in Indonesia, where the drugs are different, etc.

From the pictures, as hard as they are to really look closely at, I have been using a magnifier for viewing them. They just did NOT follow what the vet said was the herpevirus. I have had some extremely bad herpe eyes I've treated in the past, but never has any of them ever looked like this cat's eyes, the flesh/skin surrounding the eyes seems to be disintegrated from the actual eye drainage. That definitely does not look like any herpevirus I have ever seen.

The advice I gave you last night was based on the vet telling you it is herpevirus.

This really looks to me like a serious staph infection.

MRSA whih stands for Methicillin-resistant staphylococcus aureus. Methicillin is common antibiotics like amoxicillin and penicillin, etc.

It has an affect of eating/disintegrating skin, and it makes sense to me that the eye drainage has the staph infection in it, and is causing the serious damage it is.

Yes, cats can get this type of infection, and in their eyes as well. It is not commonly seen, and why the vets so far are not sure what to properly treat her with. If they did, she would not be this bad, it has advanced quite extensively.

Even in Indonesia, human doctors know about MRSA too,as it is more common in humans, and are able to test and treat for this as well. So perhaps if you were able to consult with a vet about possibly this being a staph type or MRSA infection, you will then have a correct diagnosis and the right treatment for her.

It is not easily treated, since staph infections are not cured by common antibiotics, and must be staphylococcus specific strong antibiotics to be effective.

Also note, that humans and cats can infect one another. In other words, YOU must be very cautious when handling her, the eye drainage would be infectious and can make you sick as well.

So when handling her and her bedding, be sure to wash your hands very well, with a good antibacterial soap for at least 60 seconds to remove any germs/bacteria.

Another negative note here, as it continues to grow in her system, she will eventually get other bodily damage, even pneumonia.

dr kris · May 16, 2014

Poor Blue!

This does look like a periocular MRSA infection unless proven otherwise (but see my comment below)! It's complicated as the hairs getting caught up into the infection are probably causing a foreign body reaction (think ingrown hair x 100), and since the eye is now exposed to the environment, and stressed, without normal tear coverage you could have all sorts of things going on with the eye itself (including herpes virus).

This kitty needs drops into the eye every couple of hours. Any sort of drops that deals with keratitis. Or potentially uveitis. If there are any steroids in those drops, you have to be careful using them (the eye should be stained with fluorescein dye before using anything with a steroid in it).

Assuming this is MRSA I would try mupricin ointment applied right onto the skin, and Chlorhexidine Gluconate 2% applied topically as well. But you shouldn't really get any of that in the eye itself. You could also try a 1% amikacin spray. If this is MRSA you can become infected, so wear gloves and take precautions!!! Probably would benifit from some sort of oral antiinflammitory (for the forgein body reaction).

I don't know what you have access to in indonesia. Chlorexidine is a common ingredient in surgical scrub solution. Mupricin will be found under various names as well. Steroids are everywhere.

There is a part of me that says enuclate that eye, eliminate the infected tissue and close up with the healthy tissue that remains. Since Blue is a white cat, this could also be a periocular squamous cell carcinoma.

Very complicated. A biopsy and culture of that affected eyelid tissue would reveal a lot. But keep strong and dont give up! I wish you all the best in helping Blue.

k

dolphinmedan · May 17, 2014

@ Dr Kris

Thank you for replying. I really appreciate your diagnosed on my Blue. But please forgive me, due to my English understanding. There are some medical words that I don't understand. Can help to describe more please?

The word is : Eye drainage

Thank you Dr.Kris

Eye problem (warning graphic pictures)

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