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Need help managing phacoclastic uveitis / glaucoma question

RachelH

New Kit
Hello everyone! I decided to register here after spending hours and hours looking for info on the Internet (I may have read every thread and article about phacoclastic uveitis in English, Spanish and French by now, lol). But I found in this community someone I would like to contact (Jack's-Jane) because it's the only case that I've been able to find of a bunny actually living with the condition and not going for enucleation or another solution. I tried to send her a private message but the system won't let me, maybe because I'm a new user. So I hope she reads this, and at the same time if someone else can help with his/her experience, it will be greatly appreciated. So thank you very much in advance :)

I'm sorry about my looooooooong post, but this has been awful and I feel that telling the whole story is the best thing.

A month ago my rabbit got a extremely severe uveitis caused by EC. I've not been able to find a case like this in which the condition developed so quickly, we didn't have any margin to treat it and it's been devastating :( He 'lost' his sight the first day, although the vets said that he still had some response later (but he has later lost it to glaucoma). The uveitis was so severe that he developed glaucoma five days later.

He's been treated with tons of things, but right now he is on Panacur, Cloramphenicol (about to finish now because it's been a month since we started this), Voltaren drops (which I feel have helped a lot) and Trusopt for the pressure. Trusopt has been good too for now, he had a pressure of 36 when he got them prescribed and a week later it had dropped to 22, we're going this week to check if it's still working.

His eye has gotten a lot better since we started the treatment, at first the conjunctiva was very red and the whole eye was totally blue, the vets couldn't see well through it at first. But, the vet says that the lesion in the anterior chamber remains the same. It's been a month with intense treatment (just not corticoids because of the infection/defenses thing) and the fact that it's not healing is discouraging.

Well, this is the reason I wanted to contact Jack's-Jane and any other person that is in a similar situation: we are not really happy about having the eye removed because we can't find any specialist here that has done this surgery on a rabbit. I'm from Spain and while there is probably some vet in the country that has done it, at least for now I've not been able to find anyone near where I live. Also, he's turning seven soon, and while I don't think he's old already (he really doesn't seem so), he's not certainly young (he's a 3 kg rabbit). I feel like the anaesthesia and the risk of the op, that is greater than for dogs and cats, is not something I'm really willing to put him through, plus the fact that I'm not happy about having it done by someone that has not done a rabbit before.

In the threads that I've read here, you talk about using Maxitrol drops every three days or so. These have corticoids, right? Could you tell me a bit about how the rabbit on Maxitrol drops is doing? How long has he been on them? Do they have secondary effects? I'm worried about having to give medicines to him forever because it doesn't seem right, I really feel that enucleation should be the way to go because he has glaucoma too, the eye does not work anymore, and to stop pain and medicines, but at the same time I don't want to do it because of the reasons mentioned before. Oh, and I've read that Maxitrol is not indicated in patients with glaucoma because it can raise the IOP, so what about that? I think I read that your rabbit also has glaucoma. Is he fine then with these drops? Do you know of another drops or medicine that could also be used to keep this under control?

The only good thing I can mention about the situation is that he's had an excellent mood through the entire month (which is another reason why I don't think the risks of the operation are worth it). He hasn't stopped being himself, eating like crazy, even when he's been a month on antibiotics, he has not had diarrhea. You couldn't really tell his eye is a total mess just by looking at him! He goes to the garden and plays like if he was the two year old bunny he once was. But he's on Voltaren so maybe when we take that out he's going to show some signs of not feeling well. I understand that we won't be able to heal this and treatment will be required forever if we don't take the eye out, so any information about it will be really appreciated. I want the best for him, it's been an awful month, the last thing I expected to happen to my beloved bunny was a not curable disease, and all of a sudden, so quickly, it's just not fair :(

Again, thank you very much for your time. I hope I can give my bunny a good quality of life. This is him, he's always been my photography model :love:

6XFvZoZ.jpg
 
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Sorry to hear about all these issues. Jane isn't usually around at this time - hopefully she will see your post first thing in the morning. Not everyone has their PM system open to receive messages, but Jane is pretty good at replying to posts with a special medical interest as she has a lot more experience than most rabbit owners.
 
Sorry to hear about all these issues. Jane isn't usually around at this time - hopefully she will see your post first thing in the morning. Not everyone has their PM system open to receive messages, but Jane is pretty good at replying to posts with a special medical interest as she has a lot more experience than most rabbit owners.

Thank you very much! Okay, no need to hurry though, not much can be done for the eye by now, sadly. Though I can't stop thinking about if we had done this, or that other thing... I feel kind of guilty, but I have to understand that the condition didn't give us time to try different things. And that he seems very happy even so :)
 
Welcome to RU :wave:

I had a bunny live to a ripe old age, who developed phacoclastic uveitis from a young age, due to E.C. I know I'm not the person you'd like to hear from, so won't go into details right now :)

Good luck!
 
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Welcome to RU :wave:

I had a bunny live to a ripe old age, who developed phacoclastic uveitis from a young age, due to E.C. I know I'm not the person you'd like to hear from, so won't go into details right now :)

Good luck!

Hi!! Thank you for the welcome and luck :D

No, no, of course I'd like to hear! Sorry if I wasn't clear about it, I was just asking for Jane's opinion because I've spent two weeks searching like crazy and I've not been able to find any other case (reported in a forum, surely there are more out there) where the bunny is treated for the uveitis long term. Sorry if I made it look like I wouldn't want any other opinions, of course I'd like to know, any info/experience is greatly appreciated :D did your bunny live for years with the uveitis or did it eventually get resolved?

What I would have liked to do at first was phacoemulsification of the lens because it seems it's the only way to 100% solve the uveitis, but the vet told me that his eye was so bad that the surgery couldn't be performed, because his lens could not be seen clearly. After we added the Voltaren drops, his eye got a lot better and is now almost like the other from the outside (if it wasn't for the glaucomatous blue tinge, that is), but as he has developed glaucoma now, the surgery is no longer useful I'm afraid :( really bad luck
 
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Welcome to RU Rachel. Your bunny is stunning. It must be very frustrating struggling to find an experienced rabbit vet in your area. I have no words of advice or wisdom but wanted to wish you & your rabbit all the best.
 
Welcome to RU Rachel. Your bunny is stunning. It must be very frustrating struggling to find an experienced rabbit vet in your area. I have no words of advice or wisdom but wanted to wish you & your rabbit all the best.

Thank you very much :) Yes, it is :( I feel kind of jealous when I read threads here and all the things that your vets do, haha. We do have exotic pets vets but I'm afraid something like phacoemulsification in a rabbit eye would be extremely rare to see here and I would have to travel to a very very specialized center; almost the same with enucleation, but I'm afraid that's also because my bunny has just had very bad luck, it's not a requested procedure around here :/
 
Hello everyone! I decided to register here after spending hours and hours looking for info on the Internet (I may have read every thread and article about phacoclastic uveitis in English, Spanish and French by now, lol). But I found in this community someone I would like to contact (Jack's-Jane) because it's the only case that I've been able to find of a bunny actually living with the condition and not going for enucleation or another solution. I tried to send her a private message but the system won't let me, maybe because I'm a new user. So I hope she reads this, and at the same time if someone else can help with his/her experience, it will be greatly appreciated. So thank you very much in advance :)

I'm sorry about my looooooooong post, but this has been awful and I feel that telling the whole story is the best thing.

A month ago my rabbit got a extremely severe uveitis caused by EC. I've not been able to find a case like this in which the condition developed so quickly, we didn't have any margin to treat it and it's been devastating :( He 'lost' his sight the first day, although the vets said that he still had some response later (but he has later lost it to glaucoma). The uveitis was so severe that he developed glaucoma five days later.

He's been treated with tons of things, but right now he is on Panacur, Cloramphenicol (about to finish now because it's been a month since we started this), Voltaren drops (which I feel have helped a lot) and Trusopt for the pressure. Trusopt has been good too for now, he had a pressure of 36 when he got them prescribed and a week later it had dropped to 22, we're going this week to check if it's still working.

His eye has gotten a lot better since we started the treatment, at first the conjunctiva was very red and the whole eye was totally blue, the vets couldn't see well through it at first. But, the vet says that the lesion in the anterior chamber remains the same. It's been a month with intense treatment (just not corticoids because of the infection/defenses thing) and the fact that it's not healing is discouraging.

Well, this is the reason I wanted to contact Jack's-Jane and any other person that is in a similar situation: we are not really happy about having the eye removed because we can't find any specialist here that has done this surgery on a rabbit. I'm from Spain and while there is probably some vet in the country that has done it, at least for now I've not been able to find anyone near where I live. Also, he's turning seven soon, and while I don't think he's old already (he really doesn't seem so), he's not certainly young (he's a 3 kg rabbit). I feel like the anaesthesia and the risk of the op, that is greater than for dogs and cats, is not something I'm really willing to put him through, plus the fact that I'm not happy about having it done by someone that has not done a rabbit before.

In the threads that I've read here, you talk about using Maxitrol drops every three days or so. These have corticoids, right? Could you tell me a bit about how the rabbit on Maxitrol drops is doing? How long has he been on them? Do they have secondary effects? I'm worried about having to give medicines to him forever because it doesn't seem right, I really feel that enucleation should be the way to go because he has glaucoma too, the eye does not work anymore, and to stop pain and medicines, but at the same time I don't want to do it because of the reasons mentioned before. Oh, and I've read that Maxitrol is not indicated in patients with glaucoma because it can raise the IOP, so what about that? I think I read that your rabbit also has glaucoma. Is he fine then with these drops? Do you know of another drops or medicine that could also be used to keep this under control?

The only good thing I can mention about the situation is that he's had an excellent mood through the entire month (which is another reason why I don't think the risks of the operation are worth it). He hasn't stopped being himself, eating like crazy, even when he's been a month on antibiotics, he has not had diarrhea. You couldn't really tell his eye is a total mess just by looking at him! He goes to the garden and plays like if he was the two year old bunny he once was. But he's on Voltaren so maybe when we take that out he's going to show some signs of not feeling well. I understand that we won't be able to heal this and treatment will be required forever if we don't take the eye out, so any information about it will be really appreciated. I want the best for him, it's been an awful month, the last thing I expected to happen to my beloved bunny was a not curable disease, and all of a sudden, so quickly, it's just not fair :(

Again, thank you very much for your time. I hope I can give my bunny a good quality of life. This is him, he's always been my photography model :love:

6XFvZoZ.jpg

Hello

I am sorry to hear about your Rabbit. I am a bit pushed for time now, but I will PM you later today with an account of two of my Rabbits who developed Phacolastic Uveitis. One had to have an enucleation, the other did not.
 
What a beautiful bunny!!!

I'm sorry, I haven't experience but I wish you both well.
 
Thank you very much everyone! I've received and replied to your PM, Jane, thank you for your time :) we'll keep going with the treatment as long as Trusopt works and he seems content, he's been playing today in the garden and destroying tons of things :D also, as treatment with Panacur hasn't finished yet, we'll see if the uveitis gets better when it does.

I'll post how everything's going here, thank you everyone for your warm welcome :p and willing to hear any other experience too with uveitis.
 
Thank you very much everyone! I've received and replied to your PM, Jane, thank you for your time :) we'll keep going with the treatment as long as Trusopt works and he seems content, he's been playing today in the garden and destroying tons of things :D also, as treatment with Panacur hasn't finished yet, we'll see if the uveitis gets better when it does.

I'll post how everything's going here, thank you everyone for your warm welcome :p and willing to hear any other experience too with uveitis.

Your welcome. Your Rabbit obviously has a wonderful care-giver who will make sure he receives all the help he may need. He's a very handsome lad :love:
 
Thank you very much everyone! I've received and replied to your PM, Jane, thank you for your time :) we'll keep going with the treatment as long as Trusopt works and he seems content, he's been playing today in the garden and destroying tons of things :D also, as treatment with Panacur hasn't finished yet, we'll see if the uveitis gets better when it does.

I'll post how everything's going here, thank you everyone for your warm welcome :p and willing to hear any other experience too with uveitis.

I know of two others besides myself with experience, so I shall try and alert them to also give you advice :D

Good luck with the Trusopt and look forward to hearing your updates :D
 
Thank you very much both!! :love:

I'm beyond happy right now!! A few hours ago I discovered that my bunny has regained his sight!!!!!!! At least to distinguish a broom, which I think is very good because it means he doesn't see only shadows/poorly!

I was re-reading on the Internet when I found someone saying that bunnies can regain vision after high pressures better than humans. So I thought it was worth it trying to check again... I got a torch closer to his eye and he definitely closed it :DDDDDDD but the definitive test was the broom, because he totally hates it, it's the only thing in the world that makes him growl and being mad. And.. YES! He reacts to the broom like always, two weeks ago we discovered he was blind because of this same trick, he didn't react to the broom even when we put it extremely close to his eye.

So I'm very happy because the eye functions, it's not totally lost, and it's worth keeping fighting for it before thinking of enucleation, a lot more than before. This Thursday we're going to the ophthalmologist and after that I think I'll take him to a very specialized exotic vet that is in a city near here to have yet another opinion. I want to do as much as possible for him because I know phacoclastic uveitis has a poor prognosis of healing with medicine.

I have the following question, which I would like to ask to the vets: since this problem started I've been considering phacoemulsification of the lens, after all the reading I think it's the only way to 100% get rid of the condition. As I mentioned in another post, at first my bunny had his eye in so bad condition that the vet said that he wouldn't be able to perform such a surgery because his lens could not be seen clearly. Now he only has a little blue tinge, other than that (and being a bit enlarged because he had high pressure for a while), it's much better. I would like to know if this procedure could still be done once he has developed glaucoma. The ophthalmologist said that in order to treat the glaucoma, we had to treat the uveitis first (because the glaucoma was secondary to that). Does that mean that if the uveitis is resolved, the glaucoma will 'disappear'? To go straight, could the phacoemulsification solve EVERYTHING in his eye? (the surgery solves the uveitis, does the pressure get solved too then?). Because if it does, as his sight isn't lost yet, I would try to find an specialized vet that could do it, cause I fear that if we stick with the medicines it will come a day when the pressure drops stops working and then he will lose his sight and possibly have to have his eye removed, which I'm trying to avoid because it's far more invasive than the other surgery.

I will ask this to the vets, but would like to know if anyone has any info. Everywhere I've read says that once secondary glaucoma is developed, enucleation should be done, but then I don't understand why my ophthalmologist and other sources say that in order to control the glaucoma the uveitis has to be resolved, if glaucoma once developed it's forever? I'm a bit confused, I think I don't understand glaucoma at all lol :shock: I thought it was 'chronic' but then I don't understand those statements :?

Thank you!!!
 
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Thank you very much both!! :love:

I'm beyond happy right now!! A few hours ago I discovered that my bunny has regained his sight!!!!!!! At least to distinguish a broom, which I think is very good because it means he doesn't see only shadows/poorly!

I was re-reading on the Internet when I found someone saying that bunnies can regain vision after high pressures better than humans. So I thought it was worth it trying to check again... I got a torch closer to his eye and he definitely closed it :DDDDDDD but the definitive test was the broom, because he totally hates it, it's the only thing in the world that makes him growl and being mad. And.. YES! He reacts to the broom like always, two weeks ago we discovered he was blind because of this same trick, he didn't react to the broom even when we put it extremely close to his eye.

So I'm very happy because the eye functions, it's not totally lost, and it's worth keeping fighting for it before thinking of enucleation, a lot more than before. This Thursday we're going to the ophthalmologist and after that I think I'll take him to a very specialized exotic vet that is in a city near here to have yet another opinion. I want to do as much as possible for him because I know phacoclastic uveitis has a poor prognosis of healing with medicine.

I have the following question, which I would like to ask to the vets: since this problem started I've been considering phacoemulsification of the lens, after all the reading I think it's the only way to 100% get rid of the condition. As I mentioned in another post, at first my bunny had his eye in so bad condition that the vet said that he wouldn't be able to perform such a surgery because his lens could not be seen clearly. Now he only has a little blue tinge, other than that (and being a bit enlarged because he had high pressure for a while), it's much better. I would like to know if this procedure could still be done once he has developed glaucoma. The ophthalmologist said that in order to treat the glaucoma, we had to treat the uveitis first (because the glaucoma was secondary to that). Does that mean that if the uveitis is resolved, the glaucoma will 'disappear'? To go straight, could the phacoemulsification solve EVERYTHING in his eye? (the surgery solves the uveitis, does the pressure get solved too then?). Because if it does, as his sight isn't lost yet, I would try to find an specialized vet that could do it, cause I fear that if we stick with the medicines it will come a day when the pressure drops stops working and then he will lose his sight and possibly have to have his eye removed, which I'm trying to avoid because it's far more invasive than the other surgery.

I will ask this to the vets, but would like to know if anyone has any info. Everywhere I've read says that once secondary glaucoma is developed, enucleation should be done, but then I don't understand why my ophthalmologist and other sources say that in order to control the glaucoma the uveitis has to be resolved, if glaucoma once developed it's forever? I'm a bit confused, I think I don't understand glaucoma at all lol :shock: I thought it was 'chronic' but then I don't understand those statements :?

Thank you!!!

I am glad that you are feeling a little more optimistic about things now and I hope that the Consultations with the Opthalmologist and the Exotics Specialist prove to be helpful.

Secondary Glaucoma can be quite complex and I am not qualified to try to explain it. I am not even sure that I fully understand it myself !

Whilst there is likely to be a distinct lack of documented accounts of the condition specifically related to Rabbits (usually most of the papers are in the research/experimental field .........) there is some general information about Uveitic Glaucoma, I expect you have already seen most of it though. Here are two examples

http://www.glaucoma.org/glaucoma/understanding-uveitic-glaucoma.php

http://ophthalmologytimes.modernmed...ne-feature-articles/intricacies-treating-uvei
 
Thank you very much both!! :love:

I'm beyond happy right now!! A few hours ago I discovered that my bunny has regained his sight!!!!!!! At least to distinguish a broom, which I think is very good because it means he doesn't see only shadows/poorly!

I was re-reading on the Internet when I found someone saying that bunnies can regain vision after high pressures better than humans. So I thought it was worth it trying to check again... I got a torch closer to his eye and he definitely closed it :DDDDDDD but the definitive test was the broom, because he totally hates it, it's the only thing in the world that makes him growl and being mad. And.. YES! He reacts to the broom like always, two weeks ago we discovered he was blind because of this same trick, he didn't react to the broom even when we put it extremely close to his eye.

So I'm very happy because the eye functions, it's not totally lost, and it's worth keeping fighting for it before thinking of enucleation, a lot more than before. This Thursday we're going to the ophthalmologist and after that I think I'll take him to a very specialized exotic vet that is in a city near here to have yet another opinion. I want to do as much as possible for him because I know phacoclastic uveitis has a poor prognosis of healing with medicine.

I have the following question, which I would like to ask to the vets: since this problem started I've been considering phacoemulsification of the lens, after all the reading I think it's the only way to 100% get rid of the condition. As I mentioned in another post, at first my bunny had his eye in so bad condition that the vet said that he wouldn't be able to perform such a surgery because his lens could not be seen clearly. Now he only has a little blue tinge, other than that (and being a bit enlarged because he had high pressure for a while), it's much better. I would like to know if this procedure could still be done once he has developed glaucoma. The ophthalmologist said that in order to treat the glaucoma, we had to treat the uveitis first (because the glaucoma was secondary to that). Does that mean that if the uveitis is resolved, the glaucoma will 'disappear'? To go straight, could the phacoemulsification solve EVERYTHING in his eye? (the surgery solves the uveitis, does the pressure get solved too then?). Because if it does, as his sight isn't lost yet, I would try to find an specialized vet that could do it, cause I fear that if we stick with the medicines it will come a day when the pressure drops stops working and then he will lose his sight and possibly have to have his eye removed, which I'm trying to avoid because it's far more invasive than the other surgery.

I will ask this to the vets, but would like to know if anyone has any info. Everywhere I've read says that once secondary glaucoma is developed, enucleation should be done, but then I don't understand why my ophthalmologist and other sources say that in order to control the glaucoma the uveitis has to be resolved, if glaucoma once developed it's forever? I'm a bit confused, I think I don't understand glaucoma at all lol :shock: I thought it was 'chronic' but then I don't understand those statements :?

Thank you!!!


I'm so glad things are looking up for you both!

I must say, an exotics vet and a good ophthalmologist are worth their weight in gold. The ophthalmologist is going to be the one to advise you on this particular case.

Wishing you loads of luck! xx
 
Thank you very much for your help :)

Unfortunately, things are going worse. I've talked to two ophthalmologists and while one said that the surgery could be essential to control the glaucoma (but it wouldn't resolve it), the other one said that it's very risky to do it if the eye has glaucoma. But that's not the worst part :( we had his pressure checked and while two weeks ago it was 22, now it's between 27 and 33. And, moreover, today his blue tinge has gotten worse and his eye is bulging more than ever, so I'm almost sure that the drops aren't working. And it's not even been a month since we started the treatment... we're going to try with Cosopt and see if it gets better, but I'm afraid this is going to end in enucleation (he still has his sight, though) if we can't control the glaucoma. Any experiences trying with different drops?

He doesn't seem in pain at all, though. But I know that pressure near 40 and above is painful. I'm going to have it checked again on Monday :(
 
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Thank you very much for your help :)

Unfortunately, things are going worse. I've talked to two ophthalmologists and while one said that the surgery could be essential to control the glaucoma (but it wouldn't resolve it), the other one said that it's very risky to do it if the eye has glaucoma. But that's not the worst part :( we had his pressure checked and while two weeks ago it was 22, now it's between 27 and 33. And, moreover, today his blue tinge has gotten worse and his eye is bulging more than ever, so I'm almost sure that the drops aren't working. And it's not even been a month since we started the treatment... we're going to try with Cosopt and see if it gets better, but I'm afraid this is going to end in enucleation (he still has his sight, though) if we can't control the glaucoma. Any experiences trying with different drops?

He doesn't seem in pain at all, though. But I know that pressure near 40 and above is painful. I'm going to have it checked again on Monday :(

I am sorry to hear this latest update :cry: I have no experience in using Cosopt, so I am unable to offer any input about them. But if your Rabbit does have to have an enucleation then it really may not be the 'worst case scenario' you may think it to be. As I said, Mr Bean sailed through his op' and he was much, MUCH happier without the diseased eye. He was literally a Jumping Bean again !! Initially the surgery may make the Bunny look awful, but the healing process is rapid and once all the swelling goes down and the fur regrows there is nothing 'nasty' to see at all. I have some photos of Mr Bean just after surgery and also once well on the road to recovery. I will only post them on here if you would like to see them though. I fully understand if you would prefer not to see them at this stage xx
 
Thank you very much for your help :)

Unfortunately, things are going worse. I've talked to two ophthalmologists and while one said that the surgery could be essential to control the glaucoma (but it wouldn't resolve it), the other one said that it's very risky to do it if the eye has glaucoma. But that's not the worst part :( we had his pressure checked and while two weeks ago it was 22, now it's between 27 and 33. And, moreover, today his blue tinge has gotten worse and his eye is bulging more than ever, so I'm almost sure that the drops aren't working. And it's not even been a month since we started the treatment... we're going to try with Cosopt and see if it gets better, but I'm afraid this is going to end in enucleation (he still has his sight, though) if we can't control the glaucoma. Any experiences trying with different drops?

He doesn't seem in pain at all, though. But I know that pressure near 40 and above is painful. I'm going to have it checked again on Monday :(

I am so sorry that things have got worse for him and his eye is bulging more.

I have had a rabbit who had to have an enucleation, and it proved to be no problem at all for her. She managed as if she had perfect sight and no more worries for the rest of her life.

Wishing you good luck xx
 
Thank you very much for your kind words, Jack's-Jane and MightyMax, really appreciated :)

I'm not worried about his appearance if we take the eye out, I know he'll still be beautiful :love: I think, Jack's-Jane, that I've already seen your bunny, was he/she white or brown? I remember seeing pictures right after the op and a few weeks/months later of white and brown bunnies. I think I'm prepared for that :D the main problem is that I still can't seem to find a vet who has performed it on a rabbit, so the fact that I'm scared about enucleation is that it would be too much loosing him during the surgery :(

The last pressure check, two days ago, was worse than ever, 40-50... this is not controllable anymore. He's now on Xalatan and corticoids drops. He has lost his sight again and I'm afraid that now, after the high pressure, it's gone for good. I really would like to enucleate because this has been awful, every time I go to the office and see that he's not responding to meds, it's a very anxious situation because you know he's at risk of losing his sight every minute, and you can't do anything about it. Though his sight is the last thing that worries me because he can do fine without that eye, but the situation is very upsetting and it's making me very anxious :( I just want this to end for both of us.

He's on 10 drops a day and, more than ever, I feel stupid because (aside from the fact that they make him pain free, of course) I know they're not healing anything. There's no way to heal this, I feel like it's been a month losing time when we could have solved the problem having the phaco surgery, but no one here would do it, or they would think that it wasn't necessary. This week I have at last found an ophthalmologist that has confirmed that the right thing to do to heal the uveitis (and, for anyone interested, he said that there's a chance that it also solves the glaucoma) is the surgery, but now it's late. However, I'm going to travel to his office, which is at 200km or so, he'll see the bunny and decide what to do. I think it's too late to save anything, but I'm going to ask about the gentamicin injection that would put an end to the glaucoma, but to the uveitis? If we could do that, I prefer it over enucleation because of the risks. If he says we should enucleate, I think my bunny would be in good hands then.

I'll keep you updated! Despite the high pressure, he's the same as always, playing in the garden (I mean, jumping) with 40-45 iop, kind of bizarre lol. He's a magical bunny :D
 
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Hi! For anyone interested in how this is going and in case it could help someone in the future :)

We went to another ophthalmologist that has done rabbits, initially we wanted to try a treatment and not enucleation because the rabbit is doing amazingly well (despite he has 50 of pressure in that eye!), I thought he didn't really need the surgery, he's exactly the same as before he got this problem. The vet said that as long as he's fine, the surgery is not necessary. He checked the other eye and there's a very small cataract, so now 100% confirmed e. cuniculi is to blame :( but as long as it does not develop, we can leave it alone. I have to keep an eye on it because if it evolves to uveitis then we'll do surgery to remove the lens and avoid the same fate for his good eye. As for the bad one, we're leaving corticosteroids because it's not the best thing for him specially if the other eye also has e. cuniculi, we'll stick with a new NSAID (Yellox). We were also prescribed drops to keep his eye well hidrated because eyes that have been enlarged tend to get dry and that's when he could get an ulcer that, if it doesn't heal, we would have to remove the eye. And there's a possibility that, over time, the high pressure damages the ciliary body, which would put an end to the glaucoma.

So that's all for now :) we're going back in a month to see how he's doing, but I'm happy because he's great, despite the severe uveitis and quick onset, it's amazing he doesn't need the surgery (for now!). Maybe the reason that he's in no pain is that the glaucoma has completely destroyed his optic nerve, but I'm not sure about that, I didn't get the whole thing. :)
 
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