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 Infection - Prolapsed 3rd eyelid

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GliderguyKev

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PostSubject: Infection - Prolapsed 3rd eyelid   Wed Apr 03, 2013 11:15 am

I checked on Betty Sue this morning and this is what I saw. I didn't notice anything the day before so this came up within 24hrs.



I just returned from the vet where he did a thorough exam of the eye and an xray. No cultures were taken.
The vet thinks this is inflammation of the 3rd eyelid/gland and possible infection although there are no signs of conjunctivitis. The xray looked okay - no sign of tooth/bone involvement.

He put her an a broad spectrum antibiotic (Orbax) 1x/day; Ciprofloxin Eye drop 4-5x/day; and diclofenac drop (for inflammation) 2-3x/day.

Hopefully, this will heal her up quickly. I will follow-up with the vet in 5 days and if there's no improvement or it gets worse he may consider steroid drops to reduce the inflammation.

Anyone else have experience with this?
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DCMuffin
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Thu Apr 04, 2013 8:57 am

Kev - call Val. Seems to me she has dealt with this one or more times.
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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 05, 2013 9:22 am

Thanks Aimee, I'll give her a call.

The swelling was more more protuberant the following morning covering up over 3/4 of the eye. I wasn't able to start the diclofenac drops until yesterday afternoon because the pharmacy had to order them. We went back the vet yesterday afternoon and he added metacam to her meds, but wants me to be careful she doesn't ingest the diclofenac drops because combined with the metacam could damage her liver. He asked me to also use an artificial tears drop to keep the eye moist to avoid corneal ulcers in between the cipro and diclofenac drops.

I am taking her to work with me so that I can put drops of one sort or another about every hour or two. Luckily the oral antibiotic is only once daily.
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Something_To_Believe_In
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 05, 2013 10:03 am

I've seen this a few times and each time seemed to have a different cause. LOL

In any case, sounds like you have a firm treatment plan and you will likely see a difference within a week or so.

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~*~ Val ~*~
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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 05, 2013 11:15 am

Thanks Val, that's encouraging.

I have no idea what may have caused this either.

I just snapped this photo. This is the third day since it showed up.



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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 05, 2013 11:29 am

Betty Sue is one of 4 I received from a voluntary surrender to animal control. One of the 4 had a bad tail injury requiring amputation and also had what appeared to be this same eye problem. She passed away the day after I brought her home from the vet. My vet doesn't think this is a genetic problem, but it's strange that this same issue has shown up in 2 gliders from that group. scratch

This is a pic of Billy Jean the day before she passed:

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DCMuffin
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sat Apr 06, 2013 8:19 am

Poor baby - Val, is there even a way to know a firm cause of these issues?
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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Tue Apr 09, 2013 10:23 am

There hasn't been much change. Here is a pic taken yesterday:



The Vet spoke with an ophthalmologist yesterday and he is doing some more research since it hasn't reduced in size much. He is thinking about doing a biopsy to rule out a tumor if it's not better in the next couple of days. He has mentioned the possibility of removing the third eyelid. However, I am planning to give the current treatment more time before jumping to biopsy/surgery.

Val, has Dr. Walsh dealt with this before? If so, I'd like to have my vet consult with him.

Thanks,
Kevin

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Tue Apr 09, 2013 10:58 am

Yes he has.
Are they sure, sure there was no bone involvement?

If you read up on Jackie Chan's similar issue, you will find that it was about 9 days before there was much improvement. Those eye issues sometimes take a bit to show us that they are healing.

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~*~ Val ~*~
Passionate = one step down from crazy

We can only be said to be alive in those moments when our hearts are conscious of our treasures - Thornton Wilder

We are what we are, no matter what we might wish to be, or pretend to be. - Dean Koontz in The Face

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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Tue Apr 09, 2013 11:14 am

Thanks Val, I will definitely wait through this weekend before considering anything invasive. They took a number of views via xray and they looked okay, but there's always the possibility something could be missed or may have been too early to show.
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Tue Apr 09, 2013 3:19 pm

I'm so tired of posting sad pictures of this sweet girl.

She's probably the sweetest glider I have in the house. She was just chattering away when I took these pictures today. flower



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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Wed Apr 10, 2013 1:24 pm

Poor baby. I'm so glad that she has someone who truly cares about and for her Very Happy

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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 12, 2013 11:06 am

Not much change with Betty Sue, but she is enjoying all the attention she's been getting

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Mon Apr 15, 2013 2:27 pm

What a sweet girl, Kevin, you're doing a great job with her. As Val said above, it sometimes takes several days so hopefully she'll be on the mend soon. Did your vet consult with Dr. Walsh?
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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Tue Apr 16, 2013 9:44 am

Thanks Aimee, and yes, she is a very sweet girl. She hasn't fussed once during all of this. My vet did not contact Dr. Walsh. I wanted to give the meds more time based on Val's advice before considering invasive treatment (biopsy or surgery to remove the lid). And I think that was a very good decision, fingers crossed, because I think the eye is looking better. It is not as red and swollen as it was. Val said she saw no improvement until day nine and I think it was the 9th or 10th day that I felt I was seeing some mild improvement. I am cautiously optimistic that it will continue to improve. We have a follow-up appointment with the vet on Thursday. Here's the lovely lady this morning. She got rewarded with some mealies after her photo shoot and eyedrops.


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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Thu Apr 18, 2013 11:46 am

Betty Sue's eye looks even better today.
We went to the vet this morning for a follow-up and she has developed a corneal ulcer which he said looked like it was due to exposure from being unable to close her eye.

So we are starting her on a triple-antibiotic ointment 4x/day, Metacam every other day, and supplementing Blink natural tears drops to try to keep her eye lubricated. He said corneal ulcers typically heal pretty quickly. We go back for a follow-up appointment next week.
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Fri Apr 19, 2013 6:49 pm

Thank you so much for keeping us updated. I haven't been posting on here since I really don't have anything helpful to add or ask, but I have been reading constantly. She is such a pretty girl and so obviously well loved and taken care of by you. I am hoping she will make a full recovery soon and this story will be a wonderful tool to assist any who may find themselves in this situation in the future. Thank you! :)
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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sat Apr 20, 2013 11:48 am

Thanks Brenda. My hope is that my experience with this may help others that encounter similar issues. For instance, if Val hadn't told me it took 9-days to see any improvement when Jackie Chan had a similar issue I probably would have gone ahead with a biopsy and possible surgery when really I just needed to be patient and let the meds do their work. I am VERY thankful for Val and all of you who step up to share their experiences. It DOES make a difference!

If the eye relapses now that we've stopped the anti-inflammatory drops the next step will be to take her to the vet school at Virginia Tech to see an ophthalmologist. I am optimistic that we're through the worst though - the eye looks 100% better, and that next week this will all be over.
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sat Apr 20, 2013 7:27 pm

So glad to hear that things are going so well! Thank you for keeping us up to date on her progress. I'm cheering you both on from the sidelines!

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Bobbie    


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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sat Apr 20, 2013 10:24 pm

Here's a pic taken this afternoon. The ointment makes her eye a bit messy, but looks pretty good I think.


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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sat Apr 20, 2013 10:48 pm

She looks lots better!!

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Bobbie    


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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sun Apr 21, 2013 12:23 am

WOW!!! What a HUGE difference, Kevin!! She looks fantastic. You, my dear, have done a fantastic job and I am SO glad that you've shared this with us!
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Sun Apr 21, 2013 6:40 am

Patients prevailed great job!

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GliderguyKev

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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Wed Apr 24, 2013 10:03 am

We just returned from our follow-up visit at the vet.
I am very happy to report that the ulcer has healed and only a small amount of scarring remains which the vet says may resolve completely over time.
He said that the 3rd eyelid may remain visible in the corner of her eye, but not to be concerned unless it becomes inflamed or swollen again.

So now I just need to find Betty Sue and her cagemate, Bella, a forever home!

I'm so happy this turned out well. Thanks to everyone for following along.
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PostSubject: Re: Infection - Prolapsed 3rd eyelid   Wed Apr 24, 2013 12:02 pm

Woo hoo! You did SUCH a fantastic job with your girl, Kev! I am so happy for both of you!!!

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