Good Morni g everyone. Finally sitting down here to catch up and let you know what’s been going on here this past week. Molly has been in the forefront of the week. I think I mentioned awhile back about her eye issue. That has gotten worse and when we saw the vet on Monday, the eye pressure was really high. She said in the past that that eye needs to be removed and Molly needs to see a specialist.
She knows I have an appt. Set up at MSU, but that’s not till April. So about all I can do is continue with drops. Long story short, I have a list of veterinary Opthomologists, all of whom are downststate. Eliminated some due to being booked out 3-4 months, retired or semi retired. So in Wednesday, I decided to try one north of Detroit. Explained situation and found out they had a cancellation at their satellite office, the next morning. So grabbed that. 200 miles and a bit over 3 hours driving, with a stop for quick bite to set, we got there. Exam concurred with my vet. This is a summary of findings.. Molly is blind in her left eye due to uncontrolled glaucoma. She has a significant episclerokeratitis in the left eye, preventing full visualization into the anterior chamber, however, I can appreciate that she has a uveitis as well. I believe her glaucoma is secondary, and likely to the uveitis present, although an intraocular tumor can not be ruled out due to incomplete visualization. As Molly is permanently blind in the left eye, and her glaucoma is uncontrolled despite receiving Dorzolamide/Timolol, enucleation with histopathology is recommended. Molly's owner plans to discuss scheduling this procedure with your office. We recommend histopathology be performed with Michigan State University or COPLOW (https://www.vetmed.wisc.edu/lab/coplow/).
In the meantime, I have recommended increasing the Dorzolamide/Timolol to three times daily, as well as switching over to Prednisolone acetate and Tacrolimus to better control inflammation. I have also recommended consistent treatment with a pain medication (Gabapentin) until surgery can be performed.
Molly also has a Nodular Granulomatous Episclerokeratitis (NGE) with a secondary pinpoint corneal ulcer in the right eye. Episclerokeratitis and Nodular Granulomatous Episclerokeratitis (NGE) are immune mediated diseases affecting the episclera and commonly the cornea. Lesions often appear as raised red nodules over the sclera and/or cornea. This disease can progress to involve the entire cornea and sclera leading to visual deficits and secondary glaucoma and uveitis. This disease cannot be cured but it can often be managed with the use of topical and oral anti-inflammatory and immune-modulating medications. I have therefore, recommended treatment with a topical prednisolone acetate and Tacrolimus in the right eye as well. Once inflammation is controlled, the goal is to taper off of the prednisolone acetate while continuing the Tacrolimus long term. Due to the presence of the corneal ulcer, I have recommended treatment with a topical antibiotic. While typically we do not like to treat an eye with an ulcer with a steroid, Molly's ulcer is secondary to the underlying pathology. Recheck or enucleation should be performed within 10-14 days.
So, I made the decision to have it done here rather than down there due to distance to and from their office, weather has to be taken into consideration since it is Winter and if there’s a problem, my vet is close by. We were supposed to see the vet tomorrow anyway, so will go from there. in the meantime, she has to have different drops in both eyes, 3 every 8 hours, 2 every 12. Plus some capsules every 12 for pain. Needles to say, I have become a caregiver overnight. Have to keep a chart of all the dosage times and try to keep them on schedule so I can get my own rest and sleep. Starting to adjust to a 6 a.m. to 10 p.m. or thereabouts routine. The 3 times a dsy drops need to be spaced about 10 minutes apart too. Life got interesting fast around here. She’s doing really well though, so that’s good.
We have just had a couple that beautiful mild sunny days and we have not had any snow other than a light dusting the other. That snow we have had is melting down and there is not a heck of a lot left. Temps have been way above normal for this time of year and it looks like it will stay that way for at least another week. Been really nice being out walking the last two days.
Beth, I was thinking the same thing about the bed when I first read that u til she got into the compostall that stuff. LOL. Karen, having a raised bed myself, make sure that you allow for water drainage through the bottom of your dirt will become waterlogged. Judy, glad to hear your son is slowly improving. Velda, hope things continue to improve with Chris as well. Barbie, glad you have another realtor taking over your listing.
This is getting lengthy, so am going to stop. Need to wash my hair and get ready for church. Will come home and go back for chicken dinner gu d raiser a bit later. Not sure if I will set there or bring it home as it’s at one and drops are scheduled for around 2. Have to keep that in m d when I am out for now. Have a nice day all.