Poor Little Faye and her Herpesvirus Conjunctivitis
Faye, I simply love this cat. Poor little Faye, a patient of mine for a long time, has
chronic herpesvirus conjunctivitis. Her
eyes are always red, always inflamed, always runny. She’s seen the veterinary ophthalmologist a
few times, and basically there’s nothing that can be done except to give
antiviral eye drops when she has a flare-up, but otherwise, she’ll always have
a low level of eye inflammation. The cat
is fine with this. This is all she’s
ever known, and although the eyes are red, they don’t seem to bother her
much.
Except today.
Except today.
Faye’s owner reports today that Faye’s left eye has been
really runny and she’s squinting it, and seems really uncomfortable. Everything else is fine… appetite, thirst,
peeing, pooping… all normal.
I looked at lil’ Faye and could see the problem right
away. Faye’s left lower eyelid was
rolled inward a bit, and the hair on the skin just below the margin of the
eyelid was now contacting the cornea.
Anyone who’s ever gotten an eyelash caught under a contact lens knows
that the cornea is loaded with pain receptors, and that Faye was in significant
discomfort. Her eye was tearing a lot,
which was the eye’s attempt at flushing out these irritating hairs, but to no
avail. This condition is called
entropion, and it will sometimes happen to cats with chronic eye inflammation.
The treatment for entropion is surgical. You have to roll the eyelid back out, so that
the hairs no longer contact the cornea.
Normally, these cats are sent to a board-certified veterinary
ophthalmologist, however, I know how to do this surgery, and I like to do them
myself. You see, when I was in
veterinary school at the University
of Florida, the dean of
the school was Dr. Kirk Gelatt. He is a
big-name veterinary ophthalmologist. He
wrote the main text book about veterinary ophthalmology. So, our ophthalmology department was very
well-developed. In fact, when I was a
senior in veterinary school, we had four ophthalmology residents that were
being trained. Four! That’s unheard of. So, I was very familiar with the condition,
and when I graduated, I decided to give these surgeries a try when I was out in
practice. I did a few, and soon got
pretty good at them. Then, when I was at
the ASPCA, I was the only doctor (out of the nine that were there) who knew how
to do the surgery, so whenever one of the doctors had a case of entropion, they
scheduled me to do the surgery.
I like the surgery because there’s a little “art” to
it. It’s like plastic surgery. You need to know how much skin to remove so
that you roll the lid out correctly. You
don’t want to take out too much skin and over-correct, and you certainly don’t
want to under-correct. Also, you use
very thin suture material, as thin as a human hair, and I kinda like working
meticulously with such delicate suture.
I explained all of this to Faye’s owner, and he was fine with
it. We’ve been caring for their cats for
years. In fact, one of their cats, Chester, was adopted from us. Chester was the sweetest, funniest cat, and
we were happy to adopt him out to such nice folks, and we love the fact that we
still get to see him twice a year for his exams. It’s always a great day when he comes
in.
Anyway,
we scheduled Faye for her eyelid surgery, and things
went very well. I took the right amount
of skin, I believe, and the eyelid looked pretty good when all was
done. Faye did NOT like having the Elizabethan
collar around her neck when she went home, though. But she had no
choice. If she were to rub the incision line, she
could disrupt the sutures and the surgery would have to be redone. We
weren’t about to risk that. The sutures were dissolvable, so after
about
7 days, there’d be enough healing so that they could take off the
collar, and
if she were to rub at the incision, it would be unlikely to break open.
So Faye’s gotta deal with her collar for 7
days. She’ll be fine.
I’m sure March will bring its share of fascinating cases as
well. As always, I’ll keep you posted.
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Remember to keep voting for this blog "Cat Man Do," a finalist in About.com's 2012 Reader's Choice Awards. We need your help to win, so keep voting every day, share the voting page with your friends, and remember to tell them to vote CAT MAN DO.
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