cat eye ulcer sequestrum - surgery not an option

lmunsie1

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Hi All,

I'm an old member who hasn't been by in a while. I have a very troubling issue and looking for potential advice for anyone who has been through a corneal sequestrum.

Back story - adopted Freddy (11 Y/O siamese mix) last May when his owner passed from covid and family was going to put him down. He is a gem.

VERY LONG STORY SHORT - kitty has allergies that led to eye ulcer sometime in the fall and is under the care of a veterinarian ophthalmologist, it did turn into a sequestrum - at this point the ulcer is superficial but will not heal and the sequestrum is mild - after 8 weeks of no improvement (24/7 e-collar, aggressive course of lubricating drops, antibiotic drops, atropine, anti-viral drops and oral and lysine chews) we opted for surgery. We knew Freddy had a low heart rate and a bit of a murmur but when we went to do surgery anethesiolgist did not feel comfortable. So I took him to a cardiologist and got a full work up - he got diagnosed with third-degree atrioventricular block which is likely secondary to degenerative conduction disease. Prognosis unknown but anethesia is NOT an option with this condition.

So opthamologist is at a bit of a loss, it seems like we are in for the long haul of just aggressive treatment. If this is the case I will be removing the cone, he can't live like that long term and he is pretty old and docile, I am home 24/7 and never see him rubbing his eye, even after all the drops.

I was wondering if anyone has any stories of success treating this condition by medical management instead of surgery. When I searched the forum it seemed to be all success with surgery :( He doesn't seem to be in too much pain, but with cats it's hard to tell, everything I read implies this is quite a painful condition for them. I have pain killers and anxiety meds for him, but he is really taking the treatment well now so I'm trying not to use them. If we are having a rough day I give him some.

Everything seems stable, but if it starts to progress I don't know what my options are aside from putting him down......... Truly at a loss. Feel like we have done it all and been through it all.
 

Jesse James

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Camuti Consultation Service | Cornell University College of Veterinary Medicine
Corneal Ulcers | Cornell University College of Veterinary Medicine

Above are 2 sites from Cornell Veterinary College. (Cornell is one of the top veterinary colleges in the country.) One is a consultation service they offer - might be able to answer your question about medical management alone success. The other is their info on corneal ulcers.

Sorry - not much help but I don't have any experience with this issue personally.
 

neely

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I have pain killers and anxiety meds for him, but he is really taking the treatment well now so I'm trying not to use them. If we are having a rough day I give him some.
We had a young cat with a corneal abrasion but not the same eye issue as Freddy. Therefore, I can't offer any advice except to say you are a dedicated cat parent who has carefully weighed his options. Either way you are putting his well being and comfort as a priority and for that I commend you. 🤗 I hope there will be a few members who have experienced a similar problem and can offer their support. Sending special thoughts to both Freddy and you. :vibes::vibes::vibes:

BTW, welcome back and please keep us updated.
 
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lmunsie1

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ary College. (Cornell is one of the top veterinary colleges in the country.) One is a consultation service they offer - might be able to answer your question about medical management alone success
Camuti Consultation Service | Cornell University College of Veterinary Medicine
Corneal Ulcers | Cornell University College of Veterinary Medicine

Above are 2 sites from Cornell Veterinary College. (Cornell is one of the top veterinary colleges in the country.) One is a consultation service they offer - might be able to answer your question about medical management alone success. The other is their info on corneal ulcers.

Sorry - not much help but I don't have any experience with this issue personally.
Thanks! it's great to see this is available and I would definitely use this service, they don't seem to have an eye specialist sadly but I love that it's available. I had no idea.
 

decaterac

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My ragdoll Smudge had a sequestrum since the Fall of 2022. It was very dark, covered most of her pupil and looked thick. i‘m so underwater when it comes to money, I couldn’t even afford a vet visit. So I used a silver based eyewash a couple of times a day. I knew surgery wasn’t possible for me. So I was just trying to keep the eye from getting infected. It started to look kind of cloudy around the edges in recent weeks which was scary. I thought she might be going blind. I was worried about irritation so I got a hyaluronic eye drop a couple of weeks ago.
About an hour ago she was looking at me and her eye looked funny. Or less funny. The sequestrum had dropped off! Her eye is still a little cloudy and discolored, but her sight seems okay.
I’m not sure when I’ll be able to take her in. They both have insurance, but I can’t afford to pay up front.
I’m making no recommendations. But just thought I’d share.
 
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