Joey's Eye Issue UPDATE -- NEED INPUT PLEASE

[sisters3]

Maybe I've been out of the loop a bit but...
These new ulcers...what caused them?
Does Joey have entropion?
Is this "doc" an eye specialist?
I assume that this sedation does not require intubation...that's good IMO.

Joey had a scratch across her eye, either dew claw or stick, not sure, so ulcers from the trauma to her eye. Sorry, not familiar with entropion. Joey has had zero health issues, thank God.

Not eye specialist but has performed this debridement many times. The “light sedation” does not require intubation. Which I assume is best?

We’ve been treating with antibiotic ointment and atropine drops for about 2 months, doc is concerned for her vision at this point

 

[sisters3]

Sending prayers... any eye issue needs to be dealt w/immediately!!! I agree w/the gang... the partial sedation sounds like the best choice IMO.

Thanks so much Tracey! It relieves me so much knowing that the longtime bully parents here are in agreement. Prayers appreciated too friend!

 

[oscarmayer]

Joey had a scratch across her eye, either dew claw or stick, not sure, so ulcers from the trauma to her eye. Sorry, not familiar with entropion. Joey has had zero health issues, thank God.

Not eye specialist but has performed this debridement many times. The “light sedation” does not require intubation. Which I assume is best?

We’ve been treating with antibiotic ointment and atropine drops for about 2 months, doc is concerned for her vision at this point

IMO, Joey needs to see an eye specialist. This has gone on for far too long. An non perforated ulcer should have healed completely weeks ago unless there is something preventing the healing. A 2nd opinion is advised.

 

[sisters3]

IMO, Joey needs to see an eye specialist. This has gone on for far too long. An non perforated ulcer should have healed completely weeks ago unless there is something preventing the healing. A 2nd opinion is advised.

Thanks for your input. Doc told us that it would take time to heal initially, and has, but at the center, not on the edges. I’ll ask about “perforated” or not. Joey is a very healthy dog, what would prevent the healing?

 

[oscarmayer]

... what would prevent the healing?

Misdiagnosis of the initial cause.

What we see most often is:
Entropion...
https://vcahospitals.com/know-your-pet/eyelid-entropion-in-dogs#:~:text=Entropion%20is%20an%20abnormality%20of,which%20can%20interfere%20with%20vision.

Also:
Ectopic cilia...
https://vcahospitals.com/know-your-pet/ectopic-cilia-or-eyelash-problems-in-dogs#:~:text=Ectopic%20cilia%20are%20one%20or,intense%20pain%20and%20corneal%20ulcers.%22

Lastly, what MINI had(combined with mild chronic dry-eye) that totally screwed her eyes up. She's OK now, BTW.
Distichiasis
https://vcahospitals.com/know-your-pet/distichia-or-distichiasis-in-dogs

 

[sisters3]

Misdiagnosis of the initial cause.

What we see most often is:
Entropion...
https://vcahospitals.com/know-your-pet/eyelid-entropion-in-dogs#:~:text=Entropion%20is%20an%20abnormality%20of,which%20can%20interfere%20with%20vision.

Also:
Ectopic cilia...
https://vcahospitals.com/know-your-pet/ectopic-cilia-or-eyelash-problems-in-dogs#:~:text=Ectopic%20cilia%20are%20one%20or,intense%20pain%20and%20corneal%20ulcers.%22

Lastly, what MINI had(combined with mild chronic dry-eye) that totally screwed her eyes up. She's OK now, BTW.
Distichiasis
https://vcahospitals.com/know-your-pet/distichia-or-distichiasis-in-dogs

Thanks Chip! Joey has no issues in the other eye, just the one that was scratched. I read all the links and thankfully Joey has none of the signs of these underlying issues. BTW the scratch was clearly seen on eye, even by me. Doc is confident the ulcer developed from the trauma.

Glad to know Mini is now ok.

 

[oscarmayer]

I have gone back and re-read the content of both threads. Your vet has been treating Joey since late Oct./early Nov...nearly 9 weeks. Based on our experiences...Ulcers like you have described usually take 2 weeks to heal...sometimes a little longer.

"concerned for her vision at this point"

"Concerned for her vision" after 9 weeks of treatment would raise a huge RED FLAG with me.
IMO, your vet should have referred you to a specialist long ago.
Eyes are not something to take chances with...and I fear your vet is out of her league.
I hope that I'm incorrect and if you go through with this procedure you come back and tell us all is GREAT! That would be an awesome start to the NEW YEAR!

 

[cefe13]

[MENTION=14995]sisters3[/MENTION]
I think what [MENTION=15364]oscarmayer[/MENTION] says is very wise; if your vet is not an ophthalmologist, Joey should probably see one. It's always good with a second opinion, and at least here, ophthalmologists have more advanced equipment and can therefore see much more than the ordinary vet.

Castor has had eye issues for several years - first enthropion and now a dry eye which requires daily medication. Our ordinary vet clinic has always diagnosed him correctly, but on a few occasions they have referred him to an eye specialist, which has been good.

Castor is snoring beside me - it sounds as if he is humming 'say hello to Joey'

 

[sisters3]

I have gone back and re-read the content of both threads. Your vet has been treating Joey since late Oct./early Nov...nearly 9 weeks. Based on our experiences...Ulcers like you have described usually take 2 weeks to heal...sometimes a little longer.

"Concerned for her vision" after 9 weeks of treatment would raise a huge RED FLAG with me.
IMO, your vet should have referred you to a specialist long ago.
Eyes are not something to take chances with...and I fear your vet is out of her league.
I hope that I'm incorrect and if you go through with this procedure you come back and tell us all is GREAT! That would be an awesome start to the NEW YEAR!

Thanks for your guidance! I’ve asked all along to take a treat and see approach as long as it’s safe, she has said all along the second it’s apparent that a more aggressive treatment is needed that’s what we need to do, we were concerned about sedation.

Doc has scanned her eye once a week throughout, it has healed, but not enough. I definitely trust her, very experienced with bullies, french and English.

It’s definitely not her vets actions that concern me, it’s the sedation.

Thanks again very much Chip!

 

[sisters3]

[MENTION=14995]sisters3[/MENTION]
I think what [MENTION=15364]oscarmayer[/MENTION] says is very wise; if your vet is not an ophthalmologist, Joey should probably see one. It's always good with a second opinion, and at least here, ophthalmologists have more advanced equipment and can therefore see much more than the ordinary vet.

Castor has had eye issues for several years - first enthropion and now a dry eye which requires daily medication. Our ordinary vet clinic has always diagnosed him correctly, but on a few occasions they have referred him to an eye specialist, which has been good.

Castor is snoring beside me - it sounds as if he is humming 'say hello to Joey'

Thanks friend! She’s not an ophthalmologist but is a sub specialty of hers, I looked for closest canine ophthalmologist and there is one about 4 hours from here. Of course we would travel days if needed. I really feel that if doc wasn’t sure she could treat her we would be sent elsewhere.

This has been her same vet all of her life. She’s done this procedure many times.

Joey snoring next to me now lol, saying hi to Castor!

 

[sisters3]

I thought that we were doing the right thing for Joey, if I ever thought we were wrong it would break my heart. Her care and comfort have been my highest priority. I would do anything for her. I was totally in agreement to take the least invasive route, antibiotic ointment, atropine drops, weekly scans and check ups.

Thank you all for your support and kindness, I will stay in touch.

 

[2BullyMama]

I thought that we were doing the right thing for Joey, if I ever thought we were wrong it would break my heart. Her care and comfort have been my highest priority. I would do anything for her. I was totally in agreement to take the least invasive route, antibiotic ointment, atropine drops, weekly scans and check ups.

Thank you all for your support and kindness, I will stay in touch.

No one ever questioned you not doing the what is best for your beautiful girl.... we all know you will and always would!!!

We are with you... keep us posted


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[sisters3]

No one ever questioned you not doing the what is best for your beautiful girl.... we all know you will and always would!!!

We are with you... keep us posted


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Thanks, truly, thank you. Oh I know no one questioned my decisions for Joey, I just got scared. I started questioning myself. Stressful, as so many know.

I’ll stay in touch for sure

 

[2BullyMama]

Thanks, truly, thank you. Oh I know no one questioned my decisions for Joey, I just got scared. I started questioning myself. Stressful, as so many know.

I’ll stay in touch for sure

Very stressful.. big a$$ hugs [emoji847]


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[sisters3]

Very stressful.. big a$$ hugs [emoji847]


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Thanks Christine! A big a$$ hug is exactly what I needed!