Vet Case Study. Cat with left eye perforated corneal ulcer.
TELE-CONSULTATION VIA WHATSAPP WITH DR SING KONG YUEN
19 NOV 2024:
Hi, Is this Toa Payoh Vets?
Yes
Hi, I'd like to make an appointment to seek 2nd opinion for my cat's eye condition.
According to the other vet, she has a ruptured eye. She recommended to
surgically remove her eye.
Please phone 6254 3326 for appointment.
WHAT IS A PERFORATED CORNEA?
A perforated cornea in a cat is a serious eye injury that occurs when all layers of the cornea are destroyed. It can lead to blindness or even the loss of the eye
CAUSE:
- Corneal ulcers: These can be caused by a variety of things, including scratches, dirt, exposure to chemicals, or a viral or bacterial infection. The most common cause is the feline herpesvirus (FHV).
- Penetrating trauma: A foreign object or wound that completely passes through the cornea.
- Cat claws: A common cause of corneal lacerations in cats.
SYMPTOMS
- Pain
- A visible wound on the eye
- Involuntary closing of the eyelids
- Excessive blinking or squinting
- Discharge
- Redness and/or swelling around the eyes
- Cloudy eyes
- Rubbing and/or swiping at the eye
Diagnosis of Corneal Laceration in Cats
History of trauma to eye, Physical examination, Eye Test
A
definitive diagnosis by taking an eye test and administering special
eye drops that will temporarily dye the cornea, highlighting any damage
present.
Fluorescein Dye Test. A drop of fluorescein dye or paper strip with fluorescein is placed between the eyelid and the eye for 5 minutes. Residue of green dye left on the corneal ulcer indicates the cornea is ulcerated. Normal corneas do not get stained green.
20 NOV 2024:
SINGAPORE: The left eye of the 17-year-old cat has a PERFORATED cornea causing pain and thick watery eye discharge. Cat was given eye drops, medication and e-collar by Vet 1.
24 NOV 2024:
27 NOV 2024: Fluorescein Eye Test
30 NOV 2024:
2 DEC 2024:
20 DEC 2024:
VIDEO
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TREATMENT
How do you treat a ruptured cornea in a cat?
Mild cases can be treated with topical eye drops and medications, while more serious cases may be treated with surgery or eye removal.
Surgery:
What is tarsorrhaphy? Tarsorrhaphy is the joining of part or all of the upper and lower eyelids so as to partially or completely close the eye.
Temporary tarsorrhaphies are used to help the cornea heal or to protect the cornea during a short period of exposure or disease.
This procedure aids in protecting the corneal surface of the eye while promoting and accelerating the healing process. Tarsorrhaphies are classified as either temporary or permanent. If the tarsorrhaphy is temporary, the cornea is expected to heal within two to eight weeks.
Elizabethan collar. Do not allow your cat to continue to rub at the affected eye, as this may transfer bacteria to the eye, causing infection and worsening the condition.
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1. Cite the incident (the plot) telling what it is.
2. Build rising tensions toward the climax
3. Work towards the resolution (what it could be).
Story arcs help readers and viewers understand the cause-and-effect connections between events, and provide a sense of purpose and meaning
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