Eye problem (warning graphic pictures)

dolphinmedan · May 17, 2014

Dr Kris said:
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

@ 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

stephenq · May 17, 2014

@Dolphinmedan

Dr Kris also meant to say that all of his advice should be discussed with your vet. I would print out or copy down his post and bring them to discuss with your vet.

"Eye Drainage" that @catwoman707 mentioned is any liquid, pus or infection that comes out of the eye area should not be touched, or if touched, you should wash very carefully so that you don't contract the infection. If this is MRSA, it is possible that a person could catch it too, and it is very hard to treat, and dangerous. I personally wouldn't want to touch any part of the infected area, or possibly any part of Blue at all without gloves.

I am going to translate some of what Dr. Kris says into plain language :-)

He thinks it looks like MRSA (a very dangerous flesh destroying bacteria that is also contagious to people, and is known in some cases to be fatal). Because of this other things could be going on which make it more complicated.

He also mentions eye drops (but not steroid drops without testing the eyes first with a special dye first).

In consultation with your vet and on the belief that it's MRSA he recommends certain medications that are applied only to the skin and not to the eye itself. He also mentions wearing gloves so you don't become infected yourself.

When he says "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." the word "enucleate" means to remove the eye, so he is saying that you and your vet may decide the safest course of action for your cat is to remove the eye and any infected tissue, and leave only healthy tissue behind. Then he mentions another possibility given that your cat is white in color (a risk factor) for a type of cancer (squamous cell carcinoma) which would be revealed by a "biopsy and culture" which means a small amount of infected tissue is removed and looked at under a microscope.

I wish you all the best for Blue, poor thing is very sick.

dolphinmedan · May 17, 2014

StephenQ said:
@Dolphinmedan

Dr Kris also meant to say that all of his advice should be discussed with your vet. I would print out or copy down his post and bring them to discuss with your vet.

"Eye Drainage" that @catwoman707 mentioned is any liquid, pus or infection that comes out of the eye area should not be touched, or if touched, you should wash very carefully so that you don't contract the infection. If this is MRSA, it is possible that a person could catch it too, and it is very hard to treat, and dangerous. I personally wouldn't want to touch any part of the infected area, or possibly any part of Blue at all without gloves.

I am going to translate some of what Dr. Kris says into plain language :-)

He thinks it looks like MRSA (a very dangerous flesh destroying bacteria that is also contagious to people, and is known in some cases to be fatal). Because of this other things could be going on which make it more complicated.

He also mentions eye drops (but not steroid drops without testing the eyes first with a special dye first).

In consultation with your vet and on the belief that it's MRSA he recommends certain medications that are applied only to the skin and not to the eye itself. He also mentions wearing gloves so you don't become infected yourself.

When he says "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." the word "enucleate" means to remove the eye, so he is saying that you and your vet may decide the safest course of action for your cat is to remove the eye and any infected tissue, and leave only healthy tissue behind. Then he mentions another possibility given that your cat is white in color (a risk factor) for a type of cancer (squamous cell carcinoma) which would be revealed by a "biopsy and culture" which means a small amount of infected tissue is removed and looked at under a microscope.

I wish you all the best for Blue, poor thing is very sick.

@ Stephen

Trhank you for kindness to help me to understand Dr Kris medical terms. I just bought my self a pair of gloves today. I only used masked to prevent myself from her watery eyes. I do touched her eyes to cleaned up those black spotted around her lower eyelid. I cleaned up with wet cotton and baby oil. I did washed my hand after touching her. Can you suggest me what kind of washing products to cleaned up my hands? In Indonesia the most famous brand is DETTOL. I don't know whether you have this in America. is this good enough? Do you have other suggestion?

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I do feeling my left eye a bit watery. Does it starting to infected to me? What is the first symptoms I might get infected from my cat? It kind a scared me now. Thanks again Stephen

stephenq · May 17, 2014

@Dolphinmedan

The best type of gloves if you can get them are disposable latex or rubber gloves so you don't reuse them.

If you can afford to see a vet again, it seems the biggest concern now is determining is this MRSA or squamous cell carcinoma (a type of skin cancer) or can both be ruled out? Both are treatable, but in entirely different ways and if its MRSA you may be at risk. I can't tell you what your first symptoms would be precisely, but most people who get MRSA get a very bad skin infection which kills the skin and can progress from there. By definition MRSA is resident to common types of antibiotics.

A vet can test the skin for MRSA and for the type of cancer ,mentioned provided they have the resources and equipment or labs to do the testing.

This link is about MRSA, you can also google images of it.

http://www.mayoclinic.org/diseases-conditions/mrsa/basics/definition/con-20024479

You can also translate any of these pages or links using https://translate.google.com/

For washing your hands you would want a good antibacterial soap, hot water, and at least 60 seconds of washing, but that is just my opinion. You may wish to also consult a medical doctor. If you develop any usual infections you should see a doctor immediately.

But to try and put your mind at least at some rest, many people carry MRSA and never get sick, it lives in people's noses and they often only get sick if they develop a compromised immune system. And we don't know that Blue has MRSA.

Again, I would discuss a biopsy/culturing with your vet to see if you can either grow MRSA bacteria or determine if its a cancer.

dr kris · May 17, 2014

Thanks Stephen for elaborating on that and including those important details!

Dettol is a common household antiseptic that I actually remember as a kid (popular amongst the islands i think). I would use that (for you only - not blue!). See if you can find Hibitane. A local pharmacy might be able to compound it for you. That you can use for both yourself and Blue.

The last kitty I saw with MRSA I pretty much did what Stephen mentioned above as far as hand washing went, and I was fine.

k

dolphinmedan · May 18, 2014

Dr Kris said:
This is the latest photo of her. I just took it this morning. Before I cleaned it up with Baby Oil. The lower part keep bleeding. Well, I hope there is miracle for her. Thanks again Dr Kris and Stephen

dolphinmedan · May 18, 2014

View media item 218843 View media item 218844
My baby Blue..she used to hear Beethoven music from my brother bedroom. I put songs while I cleaned up her eyes this morning. And I sang along and teased her and kissed her nose ( with my masked on )... She love to hear I'm singing. She did " Meow Meow " and wagging her tail. She enjoyed that moment. It really tears me apart...

These 2 photos of her and her babies. My baby Blue with her beautiful Blue eyes..

Norachan · May 18, 2014

Poor Blue,

I'm so sorry that you are going through this. I'm praying for a miracle for your beautiful girl.

stephenq · May 18, 2014

@Dolphinmedan

No one here is quick to recommend euthansia, we are not present in person with your cat, no one knows your cat or your situation as best as you do. As to the Vet Amanda's comments on this subject, what I would suggest is there is not going to be a miracle for your cat in terms of one dropping from the sky. The appearance of this disease process, whatever it is, appears so severe that Blue's only real hope (if there is one) is major medical intervention, not with a vet who creates his own spray, but with a hospital for animals or some form of advanced medical care where you can do as these vet's suggest, test the "infection" for cancer or MRSA or other bacterial growth. The cat is unlikely to get better without very advanced care, and she is not likely to get better with what you are doing now - i say this based on the photos and your description of what's been done to date.

If you cannot obtain the type of care needed to test the skin (or perhaps even if you could), think about this: If you knew later that your cat was not going to get better given what you believe to be her quality of life now, what would you do, let her live out her life in this or a worsening condition or would you let her go? If you can answer that question, it may guide your decisions.

goholistic · May 18, 2014

I have not responded in this thread because the images upset me a great deal. I agree with the Australian vet that this cat is likely in a lot of pain despite her eating. There is deep tissue and nerves exposed. At the least, she should be on pain medication, if she isn't already. It has been eight months of medications, sprays, creams and ointments that are not helping. I agree with StephenQ that this cat needs advanced medical intervention. If it were my cat, I would have had a consultation/appointment to remove the eye and infected tissue months ago if I knew that was the only effective solution. I know you are in a different country than I, so I do not know what kind of care is available where you are.

I'm sorry you're going through this, as it sounds like you love Blue very much. Because of this love, please consider her quality of life and what is best for her.

I apologize in advance if my post offends anyone.

stephenq · May 18, 2014

GoHolistic said:
I have not responded in this thread because the images upset me a great deal. I agree with the Australian vet that this cat is likely in a lot of pain despite her eating. There is deep tissue and nerves exposed. At the least, she should be on pain medication, if she isn't already. It has been eight months of medications, sprays, creams and ointments that are not helping. I agree with StephenQ that this cat needs advanced medical intervention. If it were my cat, I would have had a consultation/appointment to remove the eye and infected tissue months ago if I knew that was the only effective solution. I know you are in a different country than I, so I do not know what kind of care is available where you are.

I'm sorry you're going through this, as it sounds like you love Blue very much. Because of this love, please consider her quality of life and what is best for her.

I apologize in advance if my post offends anyone.

@GoHolistic

How do we know its been 8 months? I'm looking for a reference to that.....

goholistic · May 18, 2014

StephenQ said:
@GoHolistic

How do we know its been 8 months? I'm looking for a reference to that.....

The OP's very first post. My emphasis in red below. I assumed this meant that this all started in September.

Dolphinmedan said:
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...

denice · May 18, 2014

It has been 8 months, I didn't realize until just now how long it had been. I had been following this also but I hadn't replied either. I too think the options are either aggressive treatment with surgery or euthanasia.

cocheezie · May 18, 2014

Here is a list of veterinary schools in Indonesia (from wikipedia)

Indonesia[edit]

Airlangga University Faculty of Veterinary Medicine^[130]

Bogor Agricultural University Faculty of Veterinary Medicine^[131]

Gadjah Mada University Faculty of Veterinary Medicine^[132]

Hasanuddin University, Faculty of Veterinary Medicine^[133]

Nusa Cendana University Undana Faculty of Veterinary Medicine^[134]

Syiah Kuala University Faculty of Veterinary Medicine^[135]

Udayana University Faculty of Veterinary Medicine^[136]

University of Brawijaya Faculty of Veterinary Medicine^[137]

University of Wijaya Kusuma Surabaya Faculty of Veterinary Medicine^[138]

I strongly suggest getting in touch with one that deals with cats (or at least small animals). The eye problem is serious enough that someone at one of these schools will be interested enough to take on your case.

dolphinmedan · May 18, 2014

Norachan said:
Poor Blue,

I'm so sorry that you are going through this. I'm praying for a miracle for your beautiful girl.

@ Norachan : Thank you very much for great wishes for my Blue. I really appreciated. Thank you

dolphinmedan · May 18, 2014

StephenQ said:
@Dolphinmedan

No one here is quick to recommend euthansia, we are not present in person with your cat, no one knows your cat or your situation as best as you do. As to the Vet Amanda's comments on this subject, what I would suggest is there is not going to be a miracle for your cat in terms of one dropping from the sky. The appearance of this disease process, whatever it is, appears so severe that Blue's only real hope (if there is one) is major medical intervention, not with a vet who creates his own spray, but with a hospital for animals or some form of advanced medical care where you can do as these vet's suggest, test the "infection" for cancer or MRSA or other bacterial growth. The cat is unlikely to get better without very advanced care, and she is not likely to get better with what you are doing now - i say this based on the photos and your description of what's been done to date.

If you cannot obtain the type of care needed to test the skin (or perhaps even if you could), think about this: If you knew later that your cat was not going to get better given what you believe to be her quality of life now, what would you do, let her live out her life in this or a worsening condition or would you let her go? If you can answer that question, it may guide your decisions.

@ Stephen Q

Thank you for your reply. In my hometown, there's only 3 best Vet. They don't even have great Lab and facility or hospital for animals. The latest Vet which told me the Herpes virus. She is the only Vet can tell me the disease. Animals in Indonesia are very badly treated. There are thousands cats on the streets. Homeless kittens. Cats on streets always accidently crashed by cars and motorcycle. People don't care. They don't burried them properly. They leave the cats on the street or just put it away from the roadway.

I really do my best to give my Blue great medicine. I was on the phone yesterday with the Vet and she even not sure whether it is skin cancer. My Father heading to Singapore tomorrow. I will asks him to buy medicines as Dr K suggests. If I can't get them in Singapore, I'll asks my younger brother in New Zealand to send me over. I really do my best to keep her alive and be healthy.

It has been since September last year, but due to our low Vet Clinic, it's does really makes me upset. So, I do understand on your concern in Blue, me too. I do appreciated a lot for your help makes me to understand this disease. Thank you Stephen

furmonster mom · May 18, 2014

Okay.... from what I've seen mentioned by at least two vets this is either MRSA or cancer.

You need to do biopsy and tests to determine which it is.

If it is MRSA, she needs a specific regimen of antibiotics, and the infected tissue surgically removed.

If it is cancer, she needs the tissue surgically removed, and possible treatments to prevent the cancer from returning.

Either way, she needs major surgery and professional medical attention.

If you are unable to get this for her, you need to consider HER pain and suffering.

I am so very sorry you are going through this, but I agree with others that waiting for a miracle is truly a disservice to yourself and to kitty. Sometimes, we have to be responsible for making very difficult decisions, even if it breaks our hearts.

dolphinmedan · May 18, 2014

StephenQ said:
@GoHolistic

How do we know its been 8 months? I'm looking for a reference to that.....

@ GoHolistic :

It's been September last year. As I've describe, I went to 3 Vets already. Only the last Vet can told me that she infected by Herpes virus. Those 2 Vets before her, only keep giving medicines and injects her. So yups. In my hometown, we are lack of facility or animals hospital. Thank you for concern GoHolistic

dolphinmedan · May 18, 2014

cocheezie said:
Here is a list of veterinary schools in Indonesia (from wikipedia)

I strongly suggest getting in touch with one that deals with cats (or at least small animals). The eye problem is serious enough that someone at one of these schools will be interested enough to take on your case.

@ Cocheezie

Thank you for references on Vet faculty in Indonesia. I'll try to make contact with them. Thank you for your concern.

dolphinmedan · May 18, 2014

Furmonster Mom said:
Okay.... from what I've seen mentioned by at least two vets this is either MRSA or cancer.

You need to do biopsy and tests to determine which it is.

If it is MRSA, she needs a specific regimen of antibiotics, and the infected tissue surgically removed.

If it is cancer, she needs the tissue surgically removed, and possible treatments to prevent the cancer from returning.

Either way, she needs major surgery and professional medical attention.

If you are unable to get this for her, you need to consider HER pain and suffering.

I am so very sorry you are going through this, but I agree with others that waiting for a miracle is truly a disservice to yourself and to kitty. Sometimes, we have to be responsible for making very difficult decisions, even if it breaks our hearts.

@ Furmonster mom

Thank you for your concern. I'm taking her to Vet again tomorrow and discuss all I knew from this forum. I've more knowledge know about this disease. Thanks to all that help me so much to understand.

I do hope there is way to cure her. The Vet told me and she confident that her cornea doesn't needs to be removed. Her skin is the more important thing to taking care of. Not her cornea, eye ball. I hope you understand what I'm trying to tell you.

Thanks so much Furmonster Mom

Eye problem (warning graphic pictures)

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