Double Enucleation On Kitten. Not Recovering From Anesthesia

toulousesmomma

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Hey everyone! I'm posting here in hopes i can get some peace of mind, success stories, or any advice/wisdom.

I adopted my foster kitten from my work a little over a month ago. She came to us as an owner surrender and they said they found her under a bridge as a young kitten. She had an ulcer in her left eye and both eyes had a mild case of eyelid agenisis. She went to a specialist before I adopted her and the vet said that the left eye had ulcered, ruptured and then healed over(she had no vision in this eye either). They said there was potential risk for that eye to rupture again in the future and that it would probably need to be removed. The right eye was fine aside from the eyelid agenisis. I made the decision to adopt her because we do same day adoptions which leads to many people impulsively adopting cute animals without thinking. I work in the admissions department so any pet that gets returned, I know about. and we do quite a lot of returns due to behavioral and medical problems. i did not want that to be the case with this kitten. i knew that i could get her the help she needed when and if that eye ruptured. a few weeks after adoption, her RIGHT eye (the good one) started getting a bit weepy. within 24 hours it was swollen and she was squinty. hours after that, it had an ulcer on it. (this was monday) it progressively got worse and worse throughout the week. obviously i told her to the vet, they gave me meds for her and told me to recheck in a week. but saturday of that week, the right eye EXPLODED. i was putting in her eye meds, (i had her cone off bc it is easier to scruff her with it off and i cant give her the meds without scruffing bc she struggles) she jerked her paw across the right eye and it ruptured. blood squirted out of it and down her face. i rushed her to the emergency vet. they cleaned her up, gave her some pain meds and told me that i needed to get that eye removed as soon as possible. it was going to be over 1000$ and since i just paid rent i didnt have the money and the dr said it wouldnt hurt to wait a few days as long as she got antibiotics. i brought her into my vet on tuesday and me and two other vets discussed all possibilities and checked her vision. both eyes had no vision. the right one ruptured, left one ruptured previously and would probably rupture again in the future. both the vets and me thought it was best to do a double enucleation. this was not an easy decision and it is something we talked about for a while, discussing the risks, pros and cons. the surgery went well and i picked her up tuesday around 5. she was VERY wobbly and drunk. pretty normal after waking up from sedation. but its been over 24 hours and she is just as wobbly as she was when i picked her up. she can not stand. she can not walk. she can pull herself up and take one step before she falls on her side. i had to support her body so she could use the litter box. i have to hold her food bowl in front of her so she can eat. i had the vets look at her again today and they agreed, this isnt really normal. we did fluids under the skin. she seems to be the same in her head? like she got herself in the litter box and tried to use it. she plays with my hair still (her favorite thing) and shes stretching and purring and everything. she just is wobbly and her limbs seem too weak to support her? has ANYONE experienced anything similar to this? my partner and i are so worried about her. her incisions look GREAT. and she is otherwise fine? but idk its almost like she has CH (Cerebellar hypoplasia) now :( other things ill mention is her ears were VERY dirty, cytology came back, lots of bacteria and inflammatory cells. vet said its possible her eardrums could have had some trauma. she also was a LITTLE weird before this surgery. kind of like she had vertigo? she didnt fall over and wasnt as wobbly as she is now but her coordination was a BIT off? neither of the vets that have seen her can think of why she is so wobbly now. so idk. anyone have any ideas??
 

Margret

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It could be an ear infection; she may have been using her eyes to compensate and doesn't know what to do now - that's the only thing I can think of. Anyone else?

I read Homer's Odyssey, by Gwen Cooper, which is about a kitten named Homer who had to have the same surgery your kitten just had. Homer was a remarkable cat, in some ways more capable than the other cats in the household. Also, when I was growing up we had a Siberian Husky who was blind as a result of distemper. After she was hit by a car she also had to have a double enucleation. My mother told me that she thought the dog had been in a lot of pain ever since the distemper, and that the surgery relieved that pain, because the dog seemed so much happier after the surgery. Therefore, from both these examples, I'm pretty sure that you've done exactly the right thing for your kitten.

Margret
 

1 bruce 1

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Since the vet and you both seem/seemed so smart about the pros and cons of this surgery, I am going to assume pre op bloodwork was done. I feel stupid for even saying that, because of course it was done...
Did they re-check her basic functions (liver, kidneys, etc.?) after the surgery and after she started doing this flopping thing? Do they know her approximate age, and what is her weight?
(I'm not grilling you, at all, or "demanding" answers or wanting you to feel like you're on trial or something. :hellocomputer: I just find this to be a very odd situation and am genuinely curious to see what they find the problem is. It might help many others in the future.)
Fingers crossed this little girl is back to herself in no time and will gift you many happy years of love, friendship, and antics that will make you laugh until your ribs hurt! :beerchug:
 
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toulousesmomma

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Since the vet and you both seem/seemed so smart about the pros and cons of this surgery, I am going to assume pre op bloodwork was done. I feel stupid for even saying that, because of course it was done...
Did they re-check her basic functions (liver, kidneys, etc.?) after the surgery and after she started doing this flopping thing? Do they know her approximate age, and what is her weight?
(I'm not grilling you, at all, or "demanding" answers or wanting you to feel like you're on trial or something. :hellocomputer: I just find this to be a very odd situation and am genuinely curious to see what they find the problem is. It might help many others in the future.)
Fingers crossed this little girl is back to herself in no time and will gift you many happy years of love, friendship, and antics that will make you laugh until your ribs hurt! :beerchug:
No worries ask away! I also think this is an extremely odd situation and me and the vet are both stumped. Blood work was done post op but not afterwards. I'll have them do that. She is... better? kind of? its friday night and surgery was done tuesday. she is able to stand and walk now, still very wobbly and flops when she changes directions but shes been walking in circles a lot recently. it started yesterday. ill stand her up and she just walks in circles until i call to her and she will sort of walk my way but then do circles again. she has been sleeping a lot which i think is expected. she just went through a lot of course. her approximate age is 4-5 months and shes ~4.74 pounds. I did talk to the vet thursday just to touch base with her and give her updates and she said it we could do some x rays if it doesnt get better by next week. we also discussed possible MRI but my vet doesnt do those. id have to go to a specialist and the cost is around $2000 AND they would have to sedate her for it which i dont want to do because sedation is what seemed to do this. i really do not think shes so wobbly because she cant see. her head tremors a bit and she literally FLOPS over hard. and she couldnt see saturday after the eye ruptured. i took a snapchat video of her wednesday night and showed my coworkers and they all said she looked like a cat with severe CH. shes not AS bad anymore but motor skills are still not great :( ill keep everyone updated on the progress. this is a very curious situation and im trying to document everything so it may be able to help others in the future. im wondering (and this is just a hunch, im not a vet) if she had a mild case of CH before surgery and the anesthesia exasperated that? but since the circle walking now im thinking it may be some kind of previous trauma (which would explain the previous eye damage and the inflammatory cells from the cytology)

also sorry this is unorganized and rambly sounding. ive been working a lot (and taking her to work with me) and not sleeping a whole lot so my brain is a lil wonky at the moment
 
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toulousesmomma

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Ok so its 12/15. I feel like her behavior yesterday was a slight improvement. but now shes acting strange again.

I forgot to mention what medications the dr prescribed so ill list those now. Gabapentin, Onsior, Clavomox, and Tresaderm (for her ears). The clavomox was prescribed Saturday of last week, the day her eye ruptured and I've been giving that to her since. She seems to be doing fine on that. The other three were giving to me after her surgery was done (which was Tuesday night) with instructions to start those meds Wednesday morning. However she wasnt eating Wednesday so i couldn't give those meds. She saw the vet that day who got her to eat some Royal Canin recovery and they went ahead and gave her an injectable pain med and told me to skip the onsior. I gave her the Gabapentin Wednesday night and Thursday morning.The first time I gave her the onsior was Thursday night and she was OUT. She was in a deep sleep and it was difficult to rouse her. Looking at the dosage it says its for cats and kittens OVER 5 1/2 pounds or over 6 months which...she is neither of those? Not sure If the Doctor made a mistake or if it was okay to give her that but it concerned me a tiny bit how out she was. I was planning to talk to my doctor about it Friday but she was unavailable and time got away from me. So Friday night I gave her the Gabapentin, her ear drops and Clavomox but not the Onsior. I did give her some drops of this CBD oil a coworker gave me. (no hate please. it is for pets and is from the company super snouts hemp company. and it was purchased at a local dog/cat boutique in our area. i have given that to her before with no issues so i dont think thats whats causing her to act weird this morning)

Anyway friday night she was acting mostly normal. still wobbly and pretty sleepy. i read to her and she fell asleep with me on the bed and stayed there pretty much all night. i woke up around noon since i was awake till 4am with her. when i opened her crate (shes been staying in a big dog crate overnight so she doesnt wander and hurt herself) she was sitting with her head all the way down. i called to her but she didnt respond. i pet her back and she did her lil chrip meow and stretched. (she stretches a LOT btw. way more than a normal cat i think) i pulled her out and sat her down and one of her ears was down. when i went to touch it she kind of freaked out like shook her head and backed up really fast. I went ahead and mixed up her food and what ive been doing that shes been responding to is taking a little plastic knife and hitting the side of her bowl with it. she normally makes her way over to it but she just kept sitting there with her head down and the only direction she went was backwards. i picked her up and put her in front of the food and it took her longer than normal to start eating and she didnt eat as much as she usually does. Hopefully she improves throughout the day. this is the first day she and i wont be working since her surgery so ill be able to watch her every move basically and ill keep documenting her behavior and such here.
 

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My thoughts were maybe she was having some problems getting the anesthetic out of her system, it's not very common but it has happened before and they do act dopey/lay around a lot for several days.
When did they start her on the gabapentin, is there any correlation between the time you started using this and when this started happening? It might be "too rich for her blood" if you get what I'm saying.
 
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toulousesmomma

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the first day i gave her the gaba was wednesday night so i dont think there is any coorilation to that and her walking cirlces. she is on those ear meds so but i feel like it should be getting better at this point not worse. shes still walking circles whenever shes up and moving. which isnt often. she mostly sleeps. when she does walk in circles i try to call her to get her out of it but shes not super responsive to noise anymore
 
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toulousesmomma

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not yet. the circle walking started on friday so i wasnt able to talk to her doctor. im working tomorrow so ill be able to speak with her then. ill keep updating as i get more info
 
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toulousesmomma

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hey all! so x rays came back normal. doc took her off the gabapentin and she finished her clavomox. dr noticed that luna always circles to the right so thats...something? maybe?

i thought she would be more active off the medication but she isnt. ive been following instagrams of blind cats to try and like have hope for luna. but she just lays down all the time. she doesnt play or walk around much and when she does walk around she circles. my other cats used to cuddle and play with her but since the surgery they dont really seem interested in her at all. they avoid her. and i feel like shes so miserable and scared and i dont know what to do now. my doctor said the only other test we could do is an MRI. but id have to go to a specialist, spend 1500-2000$ and they would have to sedate her again which i dont want to do. im second guessing all the choices ive made with her and starting to feel very down about the whole thing. i just want her to be happy. sorry for the woe as me post :(
 

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  1. No need for apologies, not here. We all know about worries for our fur babies.
  2. Does the vet think an MRI might provide a diagnosis that could result in either a cure or a good treatment? If not, why bother? If so, does the vet think that things are likely to get worse if the MRI is delayed? In other words, does the vet think there's an urgent need for an MRI, or would it just be intended to make you feel that you've done everything you can?
  3. If there's no urgent need for an MRI, I'd hold off on it. Not only is it expensive and stressful for your kitten, I still believe there are other problems that really are urgent, such as finding out what the problem is with her ears. This is especially important because it could be a contributing factor to her other problems.
Margret
 
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toulousesmomma

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the vet said that the MRI could diagnose a brain or spine lesion or CH. :/ but she did say to hold off due to cost and due to the fact that she would have to be sedated again.

she did have a look at her ears when she saw her last and said they were not that dirty anymore? so idk i guess im just supposed to wait. she has a check up next wednesday (the day after christmas) to see how her surgery site looks so i will update again then.

im home with luna today and i took her cone off for a while to see if that would stop the circling but it didnt. she did walk around the room a bit but eventually sat in the middle of the floor after circling a bit. i called to her and she turns her head towards me but does not get up and come to me
 
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