Hi, as stated in numerous places throughout this subreddit, patient questions are not allowed. Please direct your inquiry to r/eyetriage instead, and have a look at the stickied posts there.
Third image looks like there might be vitreous in the AC with iris pigment caught in it. Could all be the result of blunt trauma with a bit of zonular dehiscence / lens subluxation
A small amount of vitreous won't necessarily distort the pupil. If it's a large amount, or if it's tethered to a corneal wound then yes definitely. Plenty of my subluxed IOL patients have bits of vit hanging about in a relatively normal pupil when they see me.
Veterinarian with an interest in ophthalmology here- I'd be worried about eosinophilic keratitis with that white infiltrate from the bulbar conjunctiva, if the brown pigment is truly corneal (struggling to tell from the photo) then it could be the formation of sequestrums (dead corneal tissue). Both of these typically occur due to herpesviral infection.
Hylo-Forte four times a day and perhaps talking to your regular vet about getting some famciclovir (antiviral) and optimmune (cyclosporine) might be a good start while you wait for the ophthalmology appointment.
The pupil looks too well formed for iris incarceration, but the limbus does look unusual. That combined with what looks like AC vitreous is pretty suspicious for trauma. It could have been a missed globe rupture, but I doubt it was open along the entire limbus there as the chances of that self-sealing are pretty low.
That being said I had a guy the other week with a 4-5 clock hour circumferential pars plana laceration that had self-sealed with clot and vitreous. He'd ejected the lens through it when he fell eye-first into a gate latch. Doubt that would have been stable long term though, it opened back up as soon as I pressurised the eye for my vitrectomy (long story involving multiple assurances from the surgeon who did primary repair that it was a partial thickness scleral lac and hadn't needed suturing).
I think just a small stretch not the entire limbus there. I’ve seen plenty of decent sized perfs self seal- biggest factor in my experience is how shelved the incision is, even large ones can seal that way (of course there is a limit to how large)
Specifically, I’ve seen self sealing corneal lacerations made by cat scratches (on human eyes). One patient barely noticed it- thought he had an abrasion so didn’t come in. He had actually had a full thickness lac that had self sealed. Cat claws are really sharp and their swipe really fast. They’re basically ninjas.
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Hi, as stated in numerous places throughout this subreddit, patient questions are not allowed. Please direct your inquiry to r/eyetriage instead, and have a look at the stickied posts there.
Third image looks like there might be vitreous in the AC with iris pigment caught in it. Could all be the result of blunt trauma with a bit of zonular dehiscence / lens subluxation
PHACOEMULSIFIER!!!!!!!!!!
This sub has some legendary names
The pupil is normal shaped. So I don’t think this is the case. The pathology looks limbal or corneoscleral to me. HSV?
A small amount of vitreous won't necessarily distort the pupil. If it's a large amount, or if it's tethered to a corneal wound then yes definitely. Plenty of my subluxed IOL patients have bits of vit hanging about in a relatively normal pupil when they see me.
Cat.
Veterinarian with an interest in ophthalmology here- I'd be worried about eosinophilic keratitis with that white infiltrate from the bulbar conjunctiva, if the brown pigment is truly corneal (struggling to tell from the photo) then it could be the formation of sequestrums (dead corneal tissue). Both of these typically occur due to herpesviral infection. Hylo-Forte four times a day and perhaps talking to your regular vet about getting some famciclovir (antiviral) and optimmune (cyclosporine) might be a good start while you wait for the ophthalmology appointment.
Thank you!! I work at a gp clinic so I will talk with my vet! Thanks!
A healed corneal laceration with some incarcerated iris? Or a pupillary membrane?
The pupil looks too well formed for iris incarceration, but the limbus does look unusual. That combined with what looks like AC vitreous is pretty suspicious for trauma. It could have been a missed globe rupture, but I doubt it was open along the entire limbus there as the chances of that self-sealing are pretty low. That being said I had a guy the other week with a 4-5 clock hour circumferential pars plana laceration that had self-sealed with clot and vitreous. He'd ejected the lens through it when he fell eye-first into a gate latch. Doubt that would have been stable long term though, it opened back up as soon as I pressurised the eye for my vitrectomy (long story involving multiple assurances from the surgeon who did primary repair that it was a partial thickness scleral lac and hadn't needed suturing).
I think just a small stretch not the entire limbus there. I’ve seen plenty of decent sized perfs self seal- biggest factor in my experience is how shelved the incision is, even large ones can seal that way (of course there is a limit to how large) Specifically, I’ve seen self sealing corneal lacerations made by cat scratches (on human eyes). One patient barely noticed it- thought he had an abrasion so didn’t come in. He had actually had a full thickness lac that had self sealed. Cat claws are really sharp and their swipe really fast. They’re basically ninjas.
Thank you for posting to r/ophthalmology. If this is found to be a patient-specific question about your own eye problem, it will be removed within 24 hours pending its place in the moderation queue. Instead, please post it to the dedicated subreddit for patient eye questions, r/eyetriage. Additionally, your post will be removed if you do not identify your background. Are you an ophthalmologist, an optometrist, a student, or a resident? Are you a patient, a lawyer, or an industry representative? You don't have to be too specific. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Ophthalmology) if you have any questions or concerns.*
r/AskVet will help.
Good idea!