Need help managing phacoclastic uveitis / glaucoma question

RachelH said:

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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RachelH said:

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.

Click to expand...

RachelH said:

Thank you very much!!

Yes they are :shock: I talked to them again and yes, it seems that his optic nerve is so badly damaged that his eye doesn't hurt anymore. So we just have to worry about ulcers oh, and the vet thinks that the cataract in the other eye has nothing to do with EC and it's just and age thing, which is great because even if it developes in the future it's unlikely that it would lead to a p. uveitis.

Today I was vacuuming near him and decided to try the vacuum on him (obviously with the minimum setting and away from his head). He didn't mind at all and continued eating while I was vacuuming him :lol: now his furr is so soft! He's such a good bunny, not caring about anything in life sometimes I don't realise because I'm used to him but it's great that nothing is a problem for him, specially because of all those drops that he needs. I may post pictures later in the other forum!

Click to expand...

RachelH said:

Thank you very much!!

Yes they are :shock: I talked to them again and yes, it seems that his optic nerve is so badly damaged that his eye doesn't hurt anymore. So we just have to worry about ulcers oh, and the vet thinks that the cataract in the other eye has nothing to do with EC and it's just and age thing, which is great because even if it developes in the future it's unlikely that it would lead to a p. uveitis.

Today I was vacuuming near him and decided to try the vacuum on him (obviously with the minimum setting and away from his head). He didn't mind at all and continued eating while I was vacuuming him :lol: now his furr is so soft! He's such a good bunny, not caring about anything in life sometimes I don't realise because I'm used to him but it's great that nothing is a problem for him, specially because of all those drops that he needs. I may post pictures later in the other forum!

Click to expand...