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BattleKat
29-07-2019, 01:12 PM
Obi has been having some discomfort with his eyes causing him to scratch them. I thought he had a blocked tear duct which could be flushed during his neuter so I hadn't taken him to the vet for it until today (RHD2 vaccine and book neuter).
The vet had a look and showed me that he had some hair growing kind of on the reverse of the tear duct. They're going to have a better look when he goes under for the neuter on Thursday but I'd like to have a handle on what the deal is, what they might have to do etc before he goes.

I hadn't seen this particular vet before and I'm not sure how clued up on rabbits she is so it might be completely normal. The vet doing the neuter and having a better look is one I'm more confident with.

Assuming it is a problem, does anyone have an idea what should be done about it or what the long term prognosis is?

They look pretty normal most of the time, just a little irritated if he's been scratching - this pic was the day after the worst scratch he'd done.
http://i63.tinypic.com/149bgaa.jpg

Jack's-Jane
29-07-2019, 01:41 PM
http://wildpro.twycrosszoo.org/S/00dis/Miscellaneous/EntropionEctropionRabbit.htm

BattleKat
29-07-2019, 03:33 PM
Thankyou Jane.
Unfortunately a lot of it doesn't make much sense to me but I guess I'll just tell them if he needs some eyelid removed to go ahead and do it. Because of where it is I can't fathom how they would be able to remove any but I guess that's why I'm not a vet!

Jack's-Jane
29-07-2019, 03:56 PM
Thankyou Jane.
Unfortunately a lot of it doesn't make much sense to me but I guess I'll just tell them if he needs some eyelid removed to go ahead and do it. Because of where it is I can't fathom how they would be able to remove any but I guess that's why I'm not a vet!

The condition is not uncommon in breeds such as French Lops and Continental Giants. Usually corrective surgery at the onset of diagnosis is curative :)

BattleKat
29-07-2019, 04:24 PM
Thanks again Jane, always good to have you around!

Looking at the article more I'm not sure that's what he's got. It looked like normal fur rather than eyelashes, and all his eyelashes seem to point the right way. It's also behind the tear duct where the two lids meet (best I can describe it) rather than on the back of the lids.
I'm going to try and take a better look at him when I get in, maybe get OH to hold him so I can take a close up photo.

Jack's-Jane
29-07-2019, 04:36 PM
Thanks again Jane, always good to have you around!

Looking at the article more I'm not sure that's what he's got. It looked like normal fur rather than eyelashes, and all his eyelashes seem to point the right way. It's also behind the tear duct where the two lids meet (best I can describe it) rather than on the back of the lids.
I'm going to try and take a better look at him when I get in, maybe get OH to hold him so I can take a close up photo.

Sometimes a Rabbit in moult will get a gunky eye, it may be something as simple as that and not need any surgery at all. Just the use of some eye drops/eye wash such as this is all that is needed

https://www.sainsburys.co.uk/shop/gb/groceries/eye-drops---washes/optrex-multi-action-eyewash-100ml-6824014-p-44

I have had to do just this for John Joe as his companion Dara is in heavy moult and he grooms her a lot. Consequently he was getting lots of her fur in his eyes.

KarenM
29-07-2019, 04:41 PM
My daughter (vet nurse) once tried to explain it to me in very simple terms; I hope I remembered it right!

Entropion is where the upper eyelid rolls inwards (and so the eyelashes rub the eye) & ectropion is where the eyelid (usually bottom) droops away from the eye and outwards.

There's also something called distichiasis (had to google the spelling lol!) which is where eyelashes grow from an abnormal area of the eyelid so I'm wondering if this is the case here?

BattleKat
29-07-2019, 06:37 PM
Thankyou both for your time and effort, I really appreciate it.

I've had a better look with the assistance of my camera and it looks like it's possible his upper eyelid is rolling in, it's so hard to say. I guess all I can do is wait and see. It would just be nice to be able to have any necessary surgery done at the same time as his neuter on Thursday.

The rescue I got him from is run by a vet nurse so I might get in touch with her and see what she thinks.

KarenM
29-07-2019, 06:59 PM
Afaik all 3 are fairly common conditions in dogs so, even if the vet isn't very rabbit savvy, then they should still have a good knowledge of the conditions themselves.

I hope it's something easily rectified and fingers crossed it's something they can do while he's being neutered.

BattleKat
01-08-2019, 08:58 AM
I've taken him down this morning and put a note on the form that if they can do anything about it while he's under then go ahead.

Last time I had a rabbit under anesthetic he died. I know it was a different situation and he was seriously unwell when he went under but I'm still sick with worry.

KarenM
01-08-2019, 09:21 AM
I can understand your worry and I'm sure it's going to seem like a really long day for you. I hope all goes well. Xx

BattleKat
01-08-2019, 04:48 PM
Neutering went well but it sounds like the notes weren't taken / relayed correctly and she didn't take a proper look at his eyes.

I could cry. Barely held it together while I was there but no point kicking up a fuss with the nurse or receptionist. He has a follow up appointment on Monday with the vet who did the surgery today. I'll mention it then.

We've just got some drops for the irritated areas under his eyes for now. Nothing at all was said about the cause of the irritation. I'm frustrated and sad and a bit furious because I mentioned it at every possible stage. Feels like it should have been such a simple addition to the neutering and now he'll likely have to have anaesthetic again.

Zoobec
01-08-2019, 05:39 PM
I’m glad that the neutering went well, but I would be so frustrated and annoyed about his eyes not being dealt with at the same time :cry: if he does need another op then I would hope you aren’t charged for the 2nd anaesthetic etc.....

Liz47
01-08-2019, 07:22 PM
Oh no, glad the op went well but sorry you have to worry about another possible GA. If it was on his consent form it really should've been done.

BattleKat
01-08-2019, 08:29 PM
I thought he was just drowsy earlier but one of his eyes is basically closed up permanently now. I think I'll leave the ointment for tonight in case it's a reaction to it and give them a ring in the morning.

What an awful day.

Graciee
01-08-2019, 08:54 PM
Iím glad that the neutering went well, but I would be so frustrated and annoyed about his eyes not being dealt with at the same time :cry: if he does need another op then I would hope you arenít charged for the 2nd anaesthetic etc.....

Yea exactly! I'd be so mad tbh.. [emoji51]



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Graciee
01-08-2019, 08:54 PM
I thought he was just drowsy earlier but one of his eyes is basically closed up permanently now. I think I'll leave the ointment for tonight in case it's a reaction to it and give them a ring in the morning.

What an awful day.

Poor thing :( sending lots of vibes for him xx

Sent from my LYA-L09 using Tapatalk

Jack's-Jane
02-08-2019, 04:52 AM
I am sorry I missed this yesterday. I am glad the neutering went well, but the poor communication regarding his eye problem is really not good. I hope the Vet contacts you ASAP today to discuss a way forward and to apologise.

Sending lots more vibes xx

BattleKat
02-08-2019, 08:55 AM
His eyes look absolutely fine this morning. I'm going to apply the ointment on my lunch break and see how his eyes look after work, see if it was something to do with the anesthetic or if the ointment irritates him.

Thanks everyone for your replies.

Jack's-Jane
02-08-2019, 10:17 AM
His eyes look absolutely fine this morning. I'm going to apply the ointment on my lunch break and see how his eyes look after work, see if it was something to do with the anesthetic or if the ointment irritates him.

Thanks everyone for your replies.

Sometimes the preservative in the eye lubricant used during a GA can cause a problem, especially if there was a pre-existing eye condition.

BattleKat
02-08-2019, 03:03 PM
Thanks for that Jane, you'd think they'd have mentioned that to me :roll:

BattleKat
02-08-2019, 03:45 PM
took a couple of breaks from work to do his ointment and later check on him. He's very capable of opening his eyes but after the ointment the right one went back to being almost completely closed when lounging so I'm not applying any more until I've spoken to the vet about it.

Jack's-Jane
02-08-2019, 03:55 PM
took a couple of breaks from work to do his ointment and later check on him. He's very capable of opening his eyes but after the ointment the right one went back to being almost completely closed when lounging so I'm not applying any more until I've spoken to the vet about it.

A very wise decision. What is the name of the ointment ?

BattleKat
02-08-2019, 04:46 PM
It's alcon maxitrol.
0.1% dexamethasone

Jack's-Jane
02-08-2019, 06:22 PM
It's alcon maxitrol.
0.1% dexamethasone

I really hope it helps, it contains both a corticosteroid (dexamethasone) and and abx ( neomycin)

https://www.medicines.org.uk/emc/product/841/smpc

BattleKat
09-08-2019, 12:57 PM
Just an update for my own records really:
The vet seemed rather annoyed about the notes not being thorough/specific enough (she read them aloud to me) but assured me she'd had a good look at his eyelids and they're fine.
She then looked as best she could with him awake at the back side of his tear duct area. Neither of us could really see anything but she didn't pull the skin back as much as the first vet. We did one more lot of ointment to see if there was still a reaction and there wasn't so I've been treating him twice a day with that and I'll just keep an eye on the situation. If they still look irritated in a couple of weeks I'll take him back in.

Jack's-Jane
09-08-2019, 01:17 PM
Just an update for my own records really:
The vet seemed rather annoyed about the notes not being thorough/specific enough (she read them aloud to me) but assured me she'd had a good look at his eyelids and they're fine.
She then looked as best she could with him awake at the back side of his tear duct area. Neither of us could really see anything but she didn't pull the skin back as much as the first vet. We did one more lot of ointment to see if there was still a reaction and there wasn't so I've been treating him twice a day with that and I'll just keep an eye on the situation. If they still look irritated in a couple of weeks I'll take him back in.

I really hope his eye settles down and that he wont require any invasive treatment xx