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  1. #1
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    Unhappy eye problem

    Our beautiful Lexie is going to be nine years old. Over the past few months she's been been plagued by recurrent corneal ulcers. She's responded to antibiotics and tacrolimus drops. The ulcers are most likely the result of trauma (rubbing or pawing) and dry eye syndrome. We wonder if there are any home remedies- or if someone can offer any on how to prevent this from recurring. Lexie has been wearing a protective cone on and off since Thanksgiving- ugh!

  2. #2
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    If Lexie has dry eye I presume she will now be prescribed lubricating drops indefinitely?

    I have a friend who has a dry eye/curly coat cavalier and she recommends a non-prescription ointment called Lacri-Lube. This is very thick and appears to coat the eye for longer than most eye drops.

    Grumpy Old William has had ulcers develop in both eyes in the past and, as my vet has said that many dogs develop a degree of dry eye as they get old, I use Lacri-Lube once a day as a preventative measure.
    Margaret C

    Cavaliers......Faith, The Ginger Tank and Woody.
    Japanese Chins.... Dandy, Benny, Bridgette and Hana.
    Remembered with love......... Tommy Tuppence and Fonzi

  3. #3
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    I am all for home remedies in many cases, but this is not one of them.

    Holly is the third Cavalier I have had with dry eye which has required treatment and regular monitoring by a vet. This is definitely not a case for home remedies and Lacri-lube, although the best of the eye lubricants, is not usually enough to prevent corneal ulcers.

    You must take Lexie to your vet, who will initially examine the eyes with an opthalmoscope, then probably do a tear count for each eye. A count of 20 is excellent, but anything of 15 upwards is very good.

    Once the rate of tear production has been assessed, your vet is likely to prescribe an ointment called Optimune. This costs about 40 a tube from the vet, with each tube lasting about a month, after which it should be replaced with a new one. It is important to use Optimune to encourage the eye to produce tears, but if Trixie is prescribed this it will be for life, as once they stop producing tears on their own they do not recover this ability with treatment.

    Optimune can be purchased with a vet's prescription, which he will charge for providing, for about 25 from internet chemists, but be very careful to make sure that you are buying from a reputable UK company, as there are many fakes out there.

    If the eye(s) continue to develop corneal ulcers, despite this treatment then your vet should refer Lexie to an opthalmic consultant, who will make a detailed investigation of the condition and prescribe certain stronger human type medicines and ointments to prevent further ulcerations.

    My Holly has curly coat/dry eye syndrome with the added refinement of an over active immune system, so she has had specialist treatment and diagnosis, which has saved her right eye.

    I cannot stress strongly enough that you must work with your vet and/or opthalmologist to assess this condition and use prescribed medications to control it.

    If there is anything I can do to help and advise you or anyone else on this list about this horrible defect and the procedures to relieve it, then please feel free to get in touch with me.
    Warmest wishes
    Flo & the ByFloSin Cavaliers
    Rebel, Winston Alexander,Little Joe & Holly Poppet
    Birmingham, UK

  4. #4
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    The poster is actually US based so some of the brand names being discussed may not be the same. Thanks for the name of the ointment Margaret, I was trying to remember that recently.
    Karlin
    Cavaliers: Jaspar Lily Tansy Libby Mindy
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  5. #5
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    Quote Originally Posted by Karlin View Post
    The poster is actually US based so some of the brand names being discussed may not be the same. .
    Thanks for telling us where this lady is based Karlin. It does help if members state their country of residence either on their profile page or at the top of their posts.

    Having been through so much with Holly I am particularly anxious that no dog will suffer as a result of misdiagnosis or inappropriate treatment. Believe me, if you had spent so many sleepless nights trying to relieve the pain of deep corneal ulcers in a very young puppy or stood by while your vet has tried to examine that same pup who is screeching in agony every time her eye area is touched, or had that very same sweet little thing bite deep into your fingers while you are trying to apply the very treatment which might help her, you may begin to understand why I am reacting so strongly.

    I have now looked up the Tacrolimus Ointment which is being used on this lady's dog. It is in fact known as Protopic here and is the same ointment designed for use in human exzema that has worked so well in combination with other ointments for my Holly.

    This has led me to wonder why this advanced prescription only preparation is being used? Optimune, which may be known as Cyclosporin in the USA, should surely be tried first? Is there some history here which has not been mentioned?
    Warmest wishes
    Flo & the ByFloSin Cavaliers
    Rebel, Winston Alexander,Little Joe & Holly Poppet
    Birmingham, UK

  6. #6
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    Default Eye Problem cont...

    Thank you for your thoughtful replies. Our vet recommended an eye specialist when Lexie's ulcer didn't heal completely. Initially antibiotic ointment was prescribed- Lexie tested positively for dry eye. Soon after she started on the
    tacrolimus and Olfoxacin drops. A contact lens is protecting the eye. The drops cross the contact lens easier than ointments. And, yes she will need to be on the Tacrolimus forever. We don't wish to replace medical treatment with home remedies. We wonder what else we can do to help prevent this.
    Lexie is still trying to paw at the eye with her hinds- that's with two meds and an Elizabethan collar! Her eye looks much improved but we're nervous about removing the collar. Tomorrow the opthamologist is getting a phone update.

    And, yes, of course we are from across the pond...NYC.

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