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Recurrent conjunctivitis/eye infection with no visible teeth issue

neeshkabeesh

Warren Scout
Hello, my 10 year old Jess keeps getting eye problems. The first infection was thick, pale yellow mucus which stuck her eye together, the insides of her lids were very inflamed and red. I was given fucithalmic which I applied twice a day until symptoms disappeared. This was longer than the originally prescribed 5 days, but the vet said it was okay.

Only about 4 weeks later she had the issue again but the mucus is thinner and more often is white and stringy, initially with small amount of my pale yellow mucus, with the red inside the lid but not as inflamed and not sticking together. Again given fucithalmic which I use for a few days after the symptoms went away, but the issue comes up again a week or two later. The vet checked her teeth and was surprised to see how well they looked with very small spurs but not surprising for a 10 year old lion head to have. I asked about x-ray to see if tooth root was a problem but then considered whether we could do anything at her age anyway if teeth were a problem.

Since getting Timmy a younger rabbit to live with her she has not maintained a good weight as she eats slow (but still with a keen appetite) while he eats like he hasn't been fed for days! So currently trying to feed her up, this is probably not helping her body to heal her eye though.

The vet also mentioned tear duct issues, but I have seen the white discharge at that nostril, only on that side of her face where she has the eye problem, so assume its still able to travel down the duct as normal.

Please can anyone advise what to do next? Jess doesn't seem bothered by it whatsoever. She definitely was initially as there was a change in her behaviour but once the fucithalmic took hold she got back to normal. Do you think she may require oral antibiotics on top to really get it sorted? If it is a tooth root issue will she manage an anaesthetic to remove teeth at her age, as long as her body condition is improved? I'm not so sure.

Thanks all.
 
It is very likely that the primary problem is related to her tooth roots. Tooth root elongation can occur in elderly Rabbits and it can only be diagnosed from Xrays. It may be that you will simply need to manage the problem as opposed to actually curing it. Flushing the nasolacrimal ducts may help if they are full of thick discharge/pus. But if TRE is an issue the accumulation of discharge is very likely to occur again. Also, in some cases it is not possible to flush the ducts if they are badly scarred/thickened from longterm infection. In younger Rabbits regular Dentals under GA to keep the crowns of the teeth burred down low will reduce the rate of progression of TRE. But repeated Dentals under GA for a 10 year old Rabbit is not something to be undertaken lightly.

Management of chronic 'gunky' eyes involves regularly cleaning off the discharge (a bonded Rabbit friend may oblige with this) and the application of an abx eye ointment if active infection is present.

There is some information about 'Runny Eyes' here

http://wildpro.twycrosszoo.org/S/00dis/Miscellaneous/DacrocystitisRabbit.htm
 
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Thanks for the info on this Jane as my rabbit Albert is pretty close to the end I feel (he's 12-13ish) and he has a recurring eye infection. Poor bunny.x
 
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