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Upset about bunny with glaucoma

Bindi

Warren Scout
My boy is a 5 year old Netherland Dwarf. This is the situation at the moment.

During prolonged treatment for a corneal ulcer, I noticed that Oren’s affected eye was different to his healthy one- cloudier and the pupil was much larger. When I brought this to the attention of the vets, I was told the pupil was totally non-responsive and he had a pressure test which came out at 45. He has glaucoma and is totally blind in that eye.

The vet did say ideally he should be referred to a specialist, but that would be seriously more money than I can afford (I remember the one time I looked up an out of hours vets a few years ago… it was £100 just to get through the door!)

Before we got the results of the pressure test back, she was talking theoretically about treating the secondary symptoms (such as the ulcers if they reoccur, although I'll add the original ulcer was caused by a piece of hay) unless they occur so frequently as to rethink the plan. After the pressure test, she says that anything above 30-35 mean he's in pain, so I don't think that's so much of an option as it was theoretically. Basically as I understand it, I have two main choices, either to give him eye drops for glaucoma or I have the eye removed.

Both of these present problems.

With the eye drops, I’m told they are licensed for human use and giving them to rabbits is out of the usual territory. She says the treatment is very expensive and not guaranteed to have success. A friend of hers who knows more about it said that there are side effects of the treatment and often the treatment is successful for around 6 months and then tails off, leading to the prospect of eye removal in the end anyway. One big problem with this approach is that Oren would have to be caught once a day for the eye drops. Now, the totally dumb set-up I have; a double decker shed I can only get into by crawling Commando style through the attached run. Oren can no longer be bribed out after weeks of eye drops for his ulcer and so unfortunately catching him would be a hassle stressful for both myself and him. He’s made it quite clear that he’s had enough of his treatment, which has thankfully ended for now, because when a shy, generally agreeable character like Oren starts trying to bite you, you know it’s the last straw. Of course, one equally expensive option would be to get rid of the shed and redo the set-up with something more practical, so catching him would be a speedier affair, but to be honest I don’t know that I could finance that and I don’t know if I could fit anything company-bought in the space the shed is in (because I custom made it myself).

With the eye removal… aside from the fact that it would break my heart to see his pretty face with only one eye… she says it is a dangerous procedure and in fact although she’s removed plenty of animal eyes, she’s never done a rabbit and doesn’t know anyone who has. This is also a procedure that will cost several hundred pounds. Removing it, if he gets through the op OK, would cut out all the stress of constant medication and any health issues associated with the meds and the potential failure of that treatment option, but on the other hand I think I’d feel guilty to go for the easy option like I’m too lazy and selfish to buy him a new set-up and put effort into treating him, even more so if the op kills him.

I’m feeling rather emotional and overwhelmed at the moment.

Of course, if eye drops are his best option and I can’t provide for him in the best way I can, there might be the third option of giving him back to the Rescue Centre so they can find him someone who can look after him like he deserves to be looked after, but I really don’t want to do that.
 
I had a Rabbit who developed Glaucoma. He was treated with eye drops at first, but eventually these ceased to keep things under control. He had the eye removed, The operation went really well and he was back to normal the next day. He was blind in the effected eye anyway, so it was of no use to him and in the end all it did was cause him pain. So given that your Rabbit is stressy about lots of handling I'd opt for enucleation and I'd suggest you ask your Vet to refer you to someone who has carried out the procedure on Rabbits before.

This is the Rabbit I am referring to, Mr Bean. He is at The Bridge now (his passing was unrelated to his eye problems)

010-12.jpg
 
Thanks, bless him.

I get the feeling it's going that way. My vet doesn't know of anyone who has done the procedure and is getting treatment options either second hand or trying to use dog/cat knowledge, so I think I'll have to go to another vet practice anyway for someone with greater expertise in this area. Annoyingly, the one recommended to me by other rabbit owners is not available for over two weeks, and I'm not enthralled with the idea of leaving my bunny in pain that long. So I'll have to research more.

What kind of short term and long term changes/medical practices did you observe or have to put into place after the operation?
 
Thanks, bless him.

I get the feeling it's going that way. My vet doesn't know of anyone who has done the procedure and is getting treatment options either second hand or trying to use dog/cat knowledge, so I think I'll have to go to another vet practice anyway for someone with greater expertise in this area. Annoyingly, the one recommended to me by other rabbit owners is not available for over two weeks, and I'm not enthralled with the idea of leaving my bunny in pain that long. So I'll have to research more.

What kind of short term and long term changes/medical practices did you observe or have to put into place after the operation?

None really. He obviously had a course of antibiotics and pain relief for 7 days post surgery. But he was totally back to normal within 24 hours. He was actually in less pain during his post op' recovery than he had been in the days leading up to it. Uncontrolled Glaucoma can be very painful. He really was so much happier after the op' and he had nothing to adjust to as he had no vision from the 'bad' eye anyway and had not had for about a year. I am 100% certain that the op' greatly improved his quality of life. He was not a young Rabbit either, probably about 8 ( a Rescue so not sure of exact age).
 
Thanks again. Do they put anything into the eye cavity or is it just a void behind the sewn up eyelids and they just let it fur over? Is it particularly unsightly or does it just look like he's snoozing or something? (I'm not factoring looks into my decision, I'm just curious).

I'm just still looking for someone to do it... the second vet practice that I enquired to earlier also said they've never done one.
 
I think you may find that the first vet practice you asked at the vet could see him before she goes away - even if the op could not be for two weeks.

I suspect that painkillers or other treatment could be used for that period of time.

If it was absolutely urgent I know the person IS operating this Friday.

PM me (we are already talking via email).

I have some appts with the vet you are thinking of on both Thursday and Friday and could donate one to you!! (timewise)
 
Thanks again. Do they put anything into the eye cavity or is it just a void behind the sewn up eyelids and they just let it fur over? Is it particularly unsightly or does it just look like he's snoozing or something? (I'm not factoring looks into my decision, I'm just curious).

I'm just still looking for someone to do it... the second vet practice that I enquired to earlier also said they've never done one.

The first picture I posted shows the enucleation site fully healed. This photo is 24 hours after the op'

001-2.jpg
 
Thanks again, both!

Well!

Oren had his consult with the knowledgable vet this morning and she gave him a full check over before coming to his eye (she says his teeth are good, which is a thumbs up). She did two sight tests (shining a light in the eye and poking her finger towards the eye to make him blink) and bizarrely he failed both tests in both eyes, although I’m confident he actually can see in his left eye at least to some extent (the vast majority of the times I’ve been taking notice of it recently, he’s had his left eye facing me and I haven't noticed the same lack of awareness that Sealy had).

She then took another pressure reading of his eye (actually 3-4 readings in each eye) to confirm the diagnosis and actually his good eye got an average of 13 and his bad eye was consistently 10, so she says if he did have glaucoma, he doesn’t now. He also doesn’t have the telltale cloudy cornea of a glaucoma eye (the blueness in his eye she says is a reflection of the back of the eye because of the wide pupil) and although she can’t confirm that he had glaucoma, she says it is possible that he’s had or having spikes of high pressure rather than persistent glaucoma, in which case she just recommends keeping an eye on him and perhaps using temporary treatments of eye drops if he presents with high pressure again.

She also recommended a comprehensive blood test because she thinks he’s a bit on the skinny side (he’s about a kilo though) and glaucoma can be caused by EC (so I’ll buy some Panacur anyway).

In other words, although £42 lighter, I came out of the appointment a happy bunny, lol
 
Thanks again, both!

Well!

Oren had his consult with the knowledgable vet this morning and she gave him a full check over before coming to his eye (she says his teeth are good, which is a thumbs up). She did two sight tests (shining a light in the eye and poking her finger towards the eye to make him blink) and bizarrely he failed both tests in both eyes, although I’m confident he actually can see in his left eye at least to some extent (the vast majority of the times I’ve been taking notice of it recently, he’s had his left eye facing me and I haven't noticed the same lack of awareness that Sealy had).

She then took another pressure reading of his eye (actually 3-4 readings in each eye) to confirm the diagnosis and actually his good eye got an average of 13 and his bad eye was consistently 10, so she says if he did have glaucoma, he doesn’t now. He also doesn’t have the telltale cloudy cornea of a glaucoma eye (the blueness in his eye she says is a reflection of the back of the eye because of the wide pupil) and although she can’t confirm that he had glaucoma, she says it is possible that he’s had or having spikes of high pressure rather than persistent glaucoma, in which case she just recommends keeping an eye on him and perhaps using temporary treatments of eye drops if he presents with high pressure again.

She also recommended a comprehensive blood test because she thinks he’s a bit on the skinny side (he’s about a kilo though) and glaucoma can be caused by EC (so I’ll buy some Panacur anyway).

In other words, although £42 lighter, I came out of the appointment a happy bunny, lol

That's good news :)

Mr Bean's Glaucoma was EC related.
 
Thats great!!!

Sometimes seeing a specialist can actually save money (if a bun doesnt actually have wrong what non specialists thought!!).

Vets have to be very 'polite' about pvs diagnosis wth other vets so you sometimes have to read between the lines.

When I asked on FB about the glaucoma I was heading towards the EC question - dont forget that its 28 days course and NOT the 9 days (which is just for worms and not for the parasites that cause EC). a cloudiness or disc of white in the eye, plus weight loss and often slightly dragging back legs can be the first signs of EC that an owner notices (followed by head rolling and fits) - though there are other signs and not all buns get these - its a complex of various poss symptoms etc. So maybe keep an eye out for any

So glad he does not have to have his eye out!
 
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