So I have a new kitty...I named him Freckles

goholistic

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...would you believe this goofball will NOT eat those lysine treats?
I can't believe it! My cats will try to rip the bag open! I only use them when someone is flaring up, so I keep them locked up.

I'm sorry about the eye, too. While I could go back and try to skim through 140 posts, I'm feeling lazy. Can you remind me again what all they looked for when Freckles went to the eye doctor? Did they basically check for every possible eye problem? Or did they narrow their focus?
 
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peaches08

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I can't believe it! My cats will try to rip the bag open! I only use them when someone is flaring up, so I keep them locked up.

I'm sorry about the eye, too. While I could go back and try to skim through 140 posts, I'm feeling lazy. Can you remind me again what all they looked for when Freckles went to the eye doctor? Did they basically check for every possible eye problem? Or did they narrow their focus?
Oh, the others went bananas for them.  I swear this cat doesn't like to chew.  He will only eat ground food now, but used to bust up kibble, so I don't think it's his mouth.  Neither does either vet.  But we could all be wrong.  That I'll look at next.  For now, he eats just fine.  Just slow as Christmas.

I have to look to give a definitive answer on what we've all looked at as causes.  I remember lots of blood work, but that's it.  I'm going to ask about mycoplasma and if he thinks there is any other possibilities.  If anyone else has a thought, please feel free to mention it!
 

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Yeah, they'd have to run a UR panel to test for mycoplasma - so that's not blood work, it's culturing his runny eye stuff.

The Lysine dose is 125mg twice a day (1/2 the 250mg capsule).

Which brand of lysine treats? My cats love brewer's yeast, so I use the VetriLysine brand. They have more lysine per treat than the enisyl-F thingies anyway. Cost less to use.
 

goholistic

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Oh, the others went bananas for them.  I swear this cat doesn't like to chew.  He will only eat ground food now, but used to bust up kibble, so I don't think it's his mouth.  Neither does either vet.  But we could all be wrong.  That I'll look at next.  For now, he eats just fine.  Just slow as Christmas.

I have to look to give a definitive answer on what we've all looked at as causes.  I remember lots of blood work, but that's it.  I'm going to ask about mycoplasma and if he thinks there is any other possibilities.  If anyone else has a thought, please feel free to mention it!
I wonder if he had injured his jaw at some point. 
  We all know how well cats hide pain. Personally, I wouldn't discount a mouth issue just yet.

When Boo had a dilated pupil, the vet checked for glaucoma, corneal ulcers, and high blood pressure. He also had a feline serology blood test (I can't remember if it was panel 2 or panel 3), but I think you already had this done. We never did go to an eye specialist because the pupil returned to normal after stopping the steroid he was on at the time (we were doing a two-week trial run).
 
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peaches08

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Yeah, they'd have to run a UR panel to test for mycoplasma - so that's not blood work, it's culturing his runny eye stuff.

The Lysine dose is 125mg twice a day (1/2 the 250mg capsule).

Which brand of lysine treats? My cats love brewer's yeast, so I use the VetriLysine brand. They have more lysine per treat than the enisyl-F thingies anyway. Cost less to use.
Ugh, unfortunately he only had the runny eye 1-2 days, and not at the vet's.  I'll still be asking about it though.  The treats are Vetri-Lysine.  What dosage of lactoferrin are you using?  Right now I've upped him to 1/3 capsule of lactoferrin twice a day, and he gets the Carlson lysine powder at almost 1000 mg/day.  I haven't seen any changes, but since I'm not an opthamologist, I don't know what I'm looking for. 
 
I wonder if he had injured his jaw at some point. 
  We all know how well cats hide pain. Personally, I wouldn't discount a mouth issue just yet.

When Boo had a dilated pupil, the vet checked for glaucoma, corneal ulcers, and high blood pressure. He also had a feline serology blood test (I can't remember if it was panel 2 or panel 3), but I think you already had this done. We never did go to an eye specialist because the pupil returned to normal after stopping the steroid he was on at the time (we were doing a two-week trial run).
He may have injured the jaw at some point.  I don't think he has since I've taken him on, but it's something I'm going to look into in the near future.  Time is a problem lately when making appointments.  I may have to reschedule the upcoming appointment again due to work, which makes me sad, but I may not have a choice.

They check for glaucoma each appointment, and corneal ulcer is what he had this past time.  The uveitis is what we can figure out the cause of.  It could be the bartonella or even idiopathic.  We have to wait 6 months after stopping the meds to recheck the bartonella...I'm guessing the titer may give false positives if checked too early?  I know we've checked for specific pathogens as well as some general blood work to check for the cause of the uveitis, and bartonella appeared to be the cause, but it could turn out that the bartonella was present yet NOT the cause (idiopathic). 
 

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Cat 8 year old Remy has FHV ( also FIV) he has some very runny eyes. They are never infected but so watery and sometimes because he has a white face it looks like dried blood.He also has a corneal scary and that eye ( his left is cloudy) I began L-Lysine powder for him in his food twice a day. I Used t order Tomlyn brand. It came with a little scoop and I mixed it in his food morning and night. I now use NOW brand as I was able to order a pound of it very cheap. I saved the scoop from Tomlyn and still use it.May  I also use Lysine for my 2 year old Desmond . When I adopted him he had a URI and an eye infection. When  stop the Lysine his eye gets awfully blinky again. Remy has to stay on the Lysine. I did use the Lactofferin but I just saw no results so I stopped. Can I ask why you would feed both the Lysine powder and Lysine treats? My cats never would eat the treats.
 

maureen brad

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Ah, my bad typing. The above should read - My cat, 8 year old Remy. I need to learn to preview before I submit.
 

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Between the dilated pupil and the chewing issue I'm wondering if he was hit by a car or otherwise injured? One of my Sister's cats had similar problems and that was the final determination. He's doing well now. I would try touching his head and jaws very gently to see if he has any areas he reacts to?
 
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peaches08

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Update: I took him to the eye vet today, and the corneal ulcer is worse. He's also presenting with secondary glaucoma in that eye. Uveitis is still present. He came home with a contact lens in the eye and 3 drops: an antibiotic (diff from last time), and antiviral, and timolol for the glaucoma. I let the vet know that he's on lactoferrin and lysine, which he agreed is worth a try. But to be perfectly honest, we're thinking he's going to lose the eye. I wanted to try this one more time to see if we can save it, but the prognosis is poor.

Mycoplasma tends to cause conjuctivitis, which he's not showing signs of. :dk:
 
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goholistic

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Update: I took him to the eye vet today, and the corneal ulcer is worse. He's also presenting with secondary glaucoma in that eye. Uveitis is still present. He came home with a contact lens in the eye and 3 drops: an antibiotic (diff from last time), and antiviral, and timolol for the glaucoma. I let the vet know that he's on lactoferrin and lysine, which he agreed is worth a try. But to be perfectly honest, we're thinking he's going to lose the eye. I wanted to try this one more time to see if we can save it, but the prognosis is poor.

Mycoplasma tends to cause conjuctivitis, which he's not showing signs of.
I'm so sorry that his eye is worse.  
  Perhaps something in this thread may be helpful: http://www.thecatsite.com/t/274938/lactoferrin-l-lysine-healing-time. The OP's cat had/has some kind of chronic uveitis, but hasn't given an update in awhile. In post #10 of that thread, I posted a link about uveitis: http://veterinarymedicine.dvm360.com/challenging-case-uveitis-and-secondary-glaucoma-cat.

Also, was Freckles being treated with steroid eye drops? They can cause ocular hypertension: http://www.ncbi.nlm.nih.gov/pubmed/1559550.  
 
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peaches08

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Does the contact lens stay in permanently?
No, it's temporary.  Very much like a human contact lens.
 
I'm so sorry that his eye is worse.  
  Perhaps something in this thread may be helpful: http://www.thecatsite.com/t/274938/lactoferrin-l-lysine-healing-time. The OP's cat had/has some kind of chronic uveitis, but hasn't given an update in awhile. In post #10 of that thread, I posted a link about uveitis: http://veterinarymedicine.dvm360.com/challenging-case-uveitis-and-secondary-glaucoma-cat.

Also, was Freckles being treated with steroid eye drops? They can cause ocular hypertension: http://www.ncbi.nlm.nih.gov/pubmed/1559550.  
Thanks for the link.  I remember Toxoplasmosis being something we tested for and it came back negative.  Bartonella was a strong positive, hence we treated for it.  It's only one eye affected, but it's affected pretty aggressively at the moment. Either way, good article and food for thought.  I'll be mentioning it next time if this doesn't work.

He was on steroid eye drops (dex) until the ulcer first showed up about a month ago.  We stopped it mostly due to wanting to make sure that we could properly treat any bacterial causes with tobramycin (antibiotic eye drop). 

Here's the lysine treats he loves at the eye vet:  http://www.kvsupply.com/optixcare-l-lysine-chews-60-count?CA_6C15C=320011160000034448
 

goholistic

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Admittedly, I didn't read the article again, so I forget what it says.  


I know you're doing everything you can, and it seems you're covering all the possible causes. I wish I could be of more help.  
 
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peaches08

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Oh no, there's a lot of similarities between that case and Freckles and some of the info might be useful!  It's truly food for thought to see what our possibilities are before such a permanent solution like removing the eye.

Last night was the worst that the eye has looked.  I was actually scared, AND I had to get ready for work.  Thankfully I spoke with the staff at the eye vet who spoke with the eye doctor (who was performing emergency surgery on an animal), and we decided that just pain meds might be worth a try.  Another "thankfully" is that my local vet let me pick up 5 days of bupe to give him in premeasured syringes.  Yet another "thankfully" is that a neighbor agreed to watch him so I could medicate and run to work.  That last one is due to making sure he wasn't alone and without help if he had a reaction to the bupe.  This morning when I gt home, he looks much more comfortable.  Now to arrange sleep and working 12+ hour shifts while needing to medicate the eye 4 times a day...
 

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Oh.peaches
you are such a good person.
Of course being.a nurse already shows that but all this worry about the kitty. How are the children reacting to all this!
 

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But contacts in a human come out and go back in so how is it managed with a kitty!
 
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peaches08

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I don't have any children.  Was never an interest of mine.

The contact lens is to stay in until the vet takes it out.  Contact lenses have come a long way, some can stay in much longer than before.  This lens is to help protect the eye as well as hold the medication against the eye a little better/longer.
 

goholistic

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Last night was the worst that the eye has looked.  I was actually scared, AND I had to get ready for work.  Thankfully I spoke with the staff at the eye vet who spoke with the eye doctor (who was performing emergency surgery on an animal), and we decided that just pain meds might be worth a try.  Another "thankfully" is that my local vet let me pick up 5 days of bupe to give him in premeasured syringes.  Yet another "thankfully" is that a neighbor agreed to watch him so I could medicate and run to work.  That last one is due to making sure he wasn't alone and without help if he had a reaction to the bupe.  This morning when I gt home, he looks much more comfortable.  Now to arrange sleep and working 12+ hour shifts while needing to medicate the eye 4 times a day...
Oh, no. 
  I was wondering if there is perhaps something going on behind the eye, but you already said the vet is pretty such it's not cancer. Unfortunately, I think the only way to diagnose that is with a CT or MRI, as you know. Sooooo expensive.

I'm sorry about your schedule. It's a lot to juggle. 
 
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peaches08

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Oh, no. 
  I was wondering if there is perhaps something going on behind the eye, but you already said the vet is pretty such it's not cancer. Unfortunately, I think the only way to diagnose that is with a CT or MRI, as you know. Sooooo expensive.

I'm sorry about your schedule. It's a lot to juggle. 
I won't sit here and say that cancer is completely off the table, just that it isn't likely to be the cause of all this.  They use a stain and a light to look for ulcers, and this one is pretty big.  The bupe I think is still helping quite a bit, he's not holding it tightly shut like the other day and I can medicate him with less fuss.  It's certainly worth a try, but I'm trying not to get my hopes up.
 
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