cat eye ulcer sequestrum - surgery not an option

lmunsie1

TCS Member
Thread starter
Kitten
Joined
Feb 24, 2021
Messages
7
Purraise
3
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

TCS Member
Young Cat
Joined
Feb 21, 2021
Messages
34
Purraise
65
Location
Syracuse, NY
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

May the purr be with you
Veteran
Joined
Dec 22, 2005
Messages
19,815
Purraise
48,260
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.
 
  • Thread Starter Thread Starter
  • #4

lmunsie1

TCS Member
Thread starter
Kitten
Joined
Feb 24, 2021
Messages
7
Purraise
3
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

TCS Member
Kitten
Joined
Jun 27, 2019
Messages
7
Purraise
9
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.
 
Top