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team bella
29th October 2010, 07:36 PM
:(Been to the vets today and Bella has dry eye.:( Its not too bad but obviously needs to be attended to daily. The vet has given me Viscotears liquid gel. She also mention another product which I can't remember what it's called as I went a bit blank when she showed me the tiny tube which costs 40. It would last about a month apparently and it re activates the tear ducts. If the viscotears doesn't do the job then I will buy the tube and see if my pet insurance will pay. It will of course be for life for her so not sure if the pet insurance will support that. What I'd like to know is what other owners have found works well for this condition. Also is there any website that I could order the gel from which might be cheaper. Keen to keep the impact on Bella to a minimum as she's such a loving little girl. Look forward to hearing from my cavi friends out there.

MurphysMummy
29th October 2010, 08:34 PM
:(Been to the vets today and Bella has dry eye.:( Its not too bad but obviously needs to be attended to daily. The vet has given me Viscotears liquid gel. She also mention another product which I can't remember what it's called as I went a bit blank when she showed me the tiny tube which costs 40. It would last about a month apparently and it re activates the tear ducts. If the viscotears doesn't do the job then I will buy the tube and see if my pet insurance will pay. It will of course be for life for her so not sure if the pet insurance will support that. What I'd like to know is what other owners have found works well for this condition. Also is there any website that I could order the gel from which might be cheaper. Keen to keep the impact on Bella to a minimum as she's such a loving little girl. Look forward to hearing from my cavi friends out there.

Hello, so so sorry about the news, dry eye is horrible :( My murphy has dry eye, the worst there is, he has 0mm of tears in his eye. His was not treated for a very long while as he was rescued. The other product will be Optimmune, which is meant to reactivate the tear ducts but it does not work for my Murphy, as his eye is so bad, But I still use it 2-3 times a day. We also have "Sno Tears" (i think its sno tears or sno drops) Which is a watery solution which adds lubrication to the eye, I use that almost every 1-2 hours to keep his eye moist. I purchase a prescription from the vets for Optimmune and I buy it at "Manor Pharmacy" for just 23.75 which is better than the 50 our vets charge! Im not sure if you have a Manor Pharmacy near you but its definately best to check as its much cheaper. Dry eye is a horrible syndrome, but it doesn't seem to bother them if you keep there eyes well moist and lubricated(well my murphy anyways because hes had it for soo long). Feel free to PM me. :flwr:

Wagtails
29th October 2010, 08:44 PM
The main thing is that you are now treating the problem! Dry eye can be very painful in itself, but can also cause other horrors if left untreated, so you have done the right thing.

I have kept several dogs comfortable just by using Hypromellose solution (from any chemist) regularly, with the occasional boost from Optimmune if necessary. It is regular application of the Hypromellose or Viscotears that is the important thing.

Good luck little Bella - do let us know how she gets on.

Kate H
30th October 2010, 12:29 AM
If you don't have a pharmacy nearby that could supply Optimmune, the VetUK website does it for 27 (post free, I think), if you send them the prescription. Some of the other online sites might have an even better price.

Kate, Oliver and Aled

Jane P
30th October 2010, 08:00 AM
I'm sorry Bella has been diagnosed with dry eye. Dylan was recently diagnosed with this after months of going back and forwards to the vet who insisted it wasn't dry eye but allergies. He ended up with severe corneal ulcers, one of which was so bad he nearly lost the eye. He had to have a corneal graft in this eye (3500) and we are still under the opthalmologist. He has no vision at the moment in this eye but the hope is that he will regain some sight. He has to have Optimmune twice a day and artificial tears twice a day. I also wash his eyes daily with saline. I get the Optimmune from Vet UK, as Kate said, for 26 post free and my insurance pays. It is really important you look after their eyes with the medication the vet advises otherwise you can end with the sort of problems Dylan had which was absolutely horrific.

Wishing you and Bella good luck.
xx

team bella
31st October 2010, 07:31 PM
Sorry not been on line sooner but my broadband crashed this weekend and I'm just back on line. Thanks for all the info its been very helpful. Getting on ok with the visiostear but she soesn't like me doing it. I've been using treats when doing it in the hope that she doesn't get too stressed. Can I ask about the prescriptions? Are vets ok about doing a prescription or do they prefer you buy from them? How much do they charge normally for prescription?
Thanks again for all the kind words and help

Jane P
1st November 2010, 09:02 AM
I used treats with Dylan after his surgery as he was having eye drops every two hours and was in a lot of pain. You need to get them to accept the drops as it is for the rest of their life. He is really good now and I have stopped the treats as I was worried about his waistline:).

Vets have to provide you with a prescription although they like you to buy from them because of the profit they make. The charges vary and some are quite high (mine is 15.86) but you can ask for a repeat prescription which can last up to 6 months (again this is up to your vet). You send the prescription off to the pharmacy company who keep it on file and when you need more of the medication you contact them and they will then send more out until the date on the prescription has expired. Hope this helps feel free to pm me if you have any questions.

Nicki
1st November 2010, 09:35 AM
We used to use Viscotears during the day and Lacrilube at night, as that is greasier and seems to keep the eye moister for longer.

Both of these products are available over the counter at pharmacies at a considerably cheaper price than the vets charge! and you should be able to claim for them by submitting the receipts to your insurance company.

I never had much success with Opt immune either.


We hope that Bella's eyes keep as well as possible - it is really essential to look after them with dry eye, you need to bathe the eyes twice daily. Their eyelids often do no close properly, so this removes the grit and dirt that gathers on the surface.

The eyes are not sterile therefore you do not need to use sterile water, but do use warm water! Fill a jug and then hold the eye open gently with one hand, and use a baby sponge or similar to flood the eye with water. Wipe around the outside of the eye with the sponge, and then dry with a towel [they like that bit best!]. Reward them for being good with a treat :thmbsup: They quickly accept this is part of the routine and I would recommend this for all Cavaliers, not just those with dry eye [at least once per day, and especially after you have been on the beach]

This routine was recommended by the ophthalmologist :thmbsup:

MurphysMummy
1st November 2010, 06:52 PM
I got the prescription and it was about 13-15. The vets totally understood why we would rather have a prescription as its alot cheaper to go out and buy it yourself rather than get it from the vets. Some vets may not be ok though, there all different..

Nicki I also have no success with Optimmune and think its rubbish and a waste of money if I'm totally honest, it lubricates Murphy's eye for about 5 minutes and it then gunks and drys up again.

Murphy also has the sticky green gunk, I have used conjunctivitous cream which clears it up for a few days but it just will NOT go...such a pain in the bum really.

Hope that Bella starts to accept the treatment, Murphy did after a few weeks and now he is totally used to it.

team bella
1st November 2010, 07:36 PM
Thanks for all the advice and support, I really really appreciate it. I think I won't bother with the Opt immune for the minute and see how we go for now with the viscotears. I was mainly interested in Opt immune because the vets said that I would only have to use it once a day and I thought it might make it easier for Bella. I'll keep up the treats until she gets used to it, my poor wee girl. I suppose the positive is that this has been caught early and hopefully kept under control.
Thanks again everyone. I'm sending Bella's thanks too as she's happily snoring her head off at my feet.:d*g:

ByFloSin
1st November 2010, 08:15 PM
I have been watching this thread very closely, just in case, and now I'm glad I did, as I have much more experience of Dry Eye in Cavaliers than most, including my present sufferer, who is very badly affected.

I can't stress too much, that if your vet has prescribed Optimune then you MUST use it as directed, even though it is expensive. Optimune stimulates the tear gland to make tears and the viable alternatives to it are twice as expensive and much more difficult to use.

Eyes are too precious to take chances with and in not using as directed there is a big risk that your girl will develop Corneal Ulcers, which are excruciatingly painful. My Holly had them so badly at first that even though she was a young puppy the nurse and I had to hold her down while the vet examined and medicated the eye. :(

Incidentally, you might find it better to use Lacrilube than Viscotears, as the ointment is much thicker and lubricates for much longer. They cost 5.40 for the large tube from Boots Chemists and are available over the counter.

team bella
1st November 2010, 10:27 PM
Hi Flo, thanks for the information. The vet is happy for Bella to have the Viscotears as this seems to have been caught early enough. When she did the tear test Bella was about an 11 and 12 on the test. The Vet said she should be around 15. The vet suggested Viscotears first and then the Optimune because of ease of use, once a day. If I find that this is not helping or I find that Bella is struggling with the 3 times a day drops, then I will get the Optimune. I will definitely get the Lacrilube and try that too. Anything that will help her I'll do. I knew I'd get the best advise and support on this forum and I've not been let down. Thanks again

Jane P
2nd November 2010, 09:04 AM
Hi Flo, thanks for the information. The vet is happy for Bella to have the Viscotears as this seems to have been caught early enough. When she did the tear test Bella was about an 11 and 12 on the test. The Vet said she should be around 15. The vet suggested Viscotears first and then the Optimune because of ease of use, once a day. If I find that this is not helping or I find that Bella is struggling with the 3 times a day drops, then I will get the Optimune. I will definitely get the Lacrilube and try that too. Anything that will help her I'll do. I knew I'd get the best advise and support on this forum and I've not been let down. Thanks again


From my experience ordinary vets seem to have very little knowledge about this condition. When I first took Dylan to the vet and said I thought he had dry eye they did a schirmer test which came out at 15 in one eye and just over in the other. The vet insisted he did not therefore have dry eye despite having the symptoms which would not clear up. As I have already said in an earlier post he then developed corneal ulcers and ended up having surgery. He is now under an opthalmologist who said dry eye needs to be treated with Ciclosporin (the active ingredient in Optimmune) as well as artificial tears. Interestingly he also said anything under 20 on the schirmer test is cause for concern.

Keep a close eye on Bella and if she doesn't improve or gets worse take her straight to the vet and ask to be referred to an opthalmologist. Their eyes can deteriorate literally overnight. This is a nasty disease and requires very careful treatment.

I hope I haven't alarmed you but Dylan suffered horrific pain because of this and I would hate to think of another dog going through the same.

Flo has the most knowledge about dry eye and I'm sure she would be more than happy give any advice you need.

Take care, and best wishes to you and Bella.
xx

team bella
2nd November 2010, 09:18 AM
From my experience ordinary vets seem to have very little knowledge about this condition. When I first took Dylan to the vet and said I thought he had dry eye they did a schirmer test which came out at 15 in one eye and just over in the other. The vet insisted he did not therefore have dry eye despite having the symptoms which would not clear up. As I have already said in an earlier post he then developed corneal ulcers and ended up having surgery. He is now under an opthalmologist who said dry eye needs to be treated with Ciclosporin (the active ingredient in Optimmune) as well as artificial tears. Interestingly he also said anything under 20 on the schirmer test is cause for concern.

Keep a close eye on Bella and if she doesn't improve or gets worse take her straight to the vet and ask to be referred to an opthalmologist. Their eyes can deteriorate literally overnight. This is a nasty disease and requires very careful treatment.

I hope I haven't alarmed you but Dylan suffered horrific pain because of this and I would hate to think of another dog going through the same.

Flo has the most knowledge about dry eye and I'm sure she would be more than happy give any advice you need.

Take care, and best wishes to you and Bella.
xx


Don't worry I will watch this very closely and if I think for a minute this is not improving or getting worse I will make sure she is seen by an opthalmologist. Anyone know of any good opthalmologist in Scotland??? Wonder if it will be the vet school.

ByFloSin
2nd November 2010, 10:12 AM
Don't worry I will watch this very closely and if I think for a minute this is not improving or getting worse I will make sure she is seen by an opthalmologist. Anyone know of any good opthalmologist in Scotland??? Wonder if it will be the vet school.

I don't know the answer to this myself, but I know a retired vet who does. I will get back to you soon.

Mindysmom
2nd November 2010, 12:27 PM
The Optimune worked well for Mindy and she never did need anything else. The biggest issue I had with the optimune was when Max came along he wanted to lick it out of her eye - it didn't seem to have any ill effects to either ( I did prevent it as much as possible). Mindy was a very good girl though and never ever complained regardless of what I or the vet did to her. If there were treats involved she was all over it!

ByFloSin
2nd November 2010, 03:56 PM
I don't know the answer to this myself, but I know a retired vet who does. I will get back to you soon.

I am told that the BEST vet school in Scotland is the Royal (Dick) School of Veterinary Studies, Easter Bush, Edinburgh. There will be specialist opthalmologists there as well as at the Glasgow Veterinary School, Bearsden, Glasgow. You do of course have to be referred to a vet school or indeed to any specialist opthalmologist by your own vet.

It's good to have the information to hand in case it's needed, but let's hope that the present treatment will prove effective.

team bella
2nd November 2010, 05:08 PM
Brilliant, thank you very much for that. I thought it might be the Dick, there's been a very good series on telly recently and they are good. I'll let you know how we progress

ByFloSin
2nd November 2010, 06:21 PM
Brilliant, thank you very much for that. I thought it might be the Dick, there's been a very good series on telly recently and they are good. I'll let you know how we progress

And I will be thinking of you and Bella and wishing you well. By the way, your Bella shares her name with my youngest daughter :lol: and I must say she is a very pretty dog.

MurphysMummy
3rd November 2010, 08:11 PM
Luckily Bella's eye was caught early then and is not too bad, hope it goes well with the opthamologist. Murphy's schrimer test for his dry eye is 0 :( :(

tupup
4th November 2010, 11:46 PM
Ruby has dry eye & none of the treatments from the vets helped her at all(ie optimune) We have a marvelous eye consultant based in the Lakes & Ripon on different days.To begin with we saw him every couple of weeks & now he's got Ruby so he only needs to see her 6 monthly. Her tests are at 5 & 7 mark where they were at 0. Ruby has Pred Forte drops twice a day, Protopic ointment twice a day(both on prescription & covered by her insurance) & viscotears often thro' the day.Im also going to purchase Lacrilube having read this:)
Prior to us seeing Gary Ruby was in a bad way & often didnt open her eyes for days at a time & would bump into lamp posts when out so i cant praise him highly enough.Ruby trusts him too & lets him do all his tests without a grumble,she's also very good at letting me put all her drops in & sometimes comes & puts her head on me as if to ask when theyre bothering her.

I really hope Bella goes on ok with it being caught early.Rubes came to me as a rescue so her eyes were already bad. Good luck Bella x

team bella
5th November 2010, 09:23 AM
Its now been a week since we started the viscotears. There's a very slight improvement, and not as much snotty ( sorry for the description) discharge from her eyes. Infact there hasn't been any for a couple of days. Bella is getting used to the eye work being done, as I think she's getting into a routine and loving the treats. That said I think I will call the vet and ask for the prescription. I want to make sure that if there's something better for her, then I want her to have it. It may or may not work for her but I suppose its a case of if I don't try I won't know. Also I will discuss her being referred to the Vet school.

You know if I had never found this site, I would never have found out so much information about cavaliers. Once again I am truely grateful for all your advice and experiences. Thank you

Charlifarley
5th November 2010, 12:52 PM
You know if I had never found this site, I would never have found out so much information about cavaliers. Once again I am truely grateful for all your advice and experiences. Thank you
I have to totally agree with you there! My dogs are so much better off healthwise (and otherwise) since I came across CavalierTalk too. Thanks everyone cl*pcl*p

ByFloSin
5th November 2010, 03:19 PM
I also wash his eyes daily with saline. It is really important you look after their eyes with the medication the vet advises otherwise you can end with the sort of problems Dylan had which was absolutely horrific.xx

I was very worried when I read that you are washing Dylan's eyes out with saline, or indeed anything at all, Jane, so when I took Holly in to my vet for an eye check this morning I asked for his opinion. He told me, as I feared, that you should never, ever wash a dog's eyes out unless specifically advised to do so by your vet. He said that even then it would be a very temporary measure, as the saline would be harmful to the surface of the eye.

Eye washing is something that should never be undertaken to clear gunge out and certainly not unless instructed by a vet. Eyes are so delicate and must receive expert care.

I have to clear gunge from Holly's eyes regularly, but I do it by working around the outside of the eye with a damp swab or piece of kitchen paper and gently easing the stuff out from the eye. It comes out like string or cotton and should be done very gently and carefully.:)

Jane P
5th November 2010, 05:14 PM
I have only been washing Dylan's eyes with the saline under the instruction of the opthalmologist and he showed me exactly what to do. When he went for his first check up I asked if I should continue to do this and he said yes most definately. Now his eyes are much cleaner I assume I don't have to do wash them daily although the opthalmologist still did so on our visit this week.

Thanks for checking up on this Flo, but don't worry I will never do anything to his eyes unless told to by a vet. I probably shouldn't have mentioned it on here though in case others might think it OK to do.

Thought I'd add the saline is in individual sachets and is the one used by the opthalmologist.

ByFloSin
5th November 2010, 07:26 PM
I have only been washing Dylan's eyes with the saline under the instruction of the opthalmologist and he showed me exactly what to do. When he went for his first check up I asked if I should continue to do this and he said yes most definately. Now his eyes are much cleaner I assume I don't have to do wash them daily although the opthalmologist still did so on our visit this week.

Thanks for checking up on this Flo, but don't worry I will never do anything to his eyes unless told to by a vet. I probably shouldn't have mentioned it on here though in case others might think it OK to do.

Thought I'd add the saline is in individual sachets and is the one used by the opthalmologist.


Thank you for setting my mind at rest Jane, as I was so worried. Most people think a saline solution is home-made using 1 tsp household salt to 1/2 litre of warm water, but you are using something different, sterile and for a specific reason.

Yes, I did think that somebody might get the idea that it was okay to use the home-made solution for routine eye cleaning.

If you saw what happens to Holly Poppet when she has problems with her eyes you would understand my anxiety. I do hope that I haven't offended you in any way :)

Jane P
5th November 2010, 08:22 PM
Thank you for setting my mind at rest Jane, as I was so worried. Most people think a saline solution is home-made using 1 tsp household salt to 1/2 litre of warm water, but you are using something different, sterile and for a specific reason.

Yes, I did think that somebody might get the idea that it was okay to use the home-made solution for routine eye cleaning.

If you saw what happens to Holly Poppet when she has problems with her eyes you would understand my anxiety. I do hope that I haven't offended you in any way :)

Please don't worry Flo you certainly haven't offended me in any way at all:). I realised your post was only out of concern and I fully understand your anxiety after having watched Dylan in agony, something I don't wish to see again.

ByFloSin
21st March 2011, 11:14 PM
Its now been a week since we started the viscotears. There's a very slight improvement, and not as much snotty ( sorry for the description) discharge from her eyes. Infact there hasn't been any for a couple of days. Bella is getting used to the eye work being done, as I think she's getting into a routine and loving the treats. That said I think I will call the vet and ask for the prescription. I want to make sure that if there's something better for her, then I want her to have it. It may or may not work for her but I suppose its a case of if I don't try I won't know. Also I will discuss her being referred to the Vet school.

You know if I had never found this site, I would never have found out so much information about cavaliers. Once again I am truely grateful for all your advice and experiences. Thank you

Hi there, I was just wondering how Bella is getting on with the dry eye these days. It's about six months since you last posted.:)