Alexandria, a 1 ½-year-old blue female.
She was placed on several different antibiotics at a high dosage over a 4 week period, in an attempt to resolve the possible infection. The first antibiotic used was enrofloxacin (Baytril), and the second was amoxicillin trihydrate (Clavamox.) The eye steadily worsened, and by the 5th week it dramatically began to protrude. The decision was then made to remove the eye (enucleation).
Unfortunately the night before her surgery, Alexandria, began showing signs of respiratory involvement. It is possible that either her immune system had become run down due to the long term infection, or that the infection had entered her bloodstream.
Surgery was preformed as scheduled the next day. During surgery it was ascertained that the problem was a retrobulbar abscess rather than the expected tumor. The exudate found behind the eye was thick and cheesy. After removing the eyeball the abscessed orbit was thoroughly debrided and the eyelid was stitched closed to allow for healing. She continued on high dosage antibiotics.
Photo 1: Developing abscess from acute infection. Treatment was initiated with antibiotics.
Photo 2: Diagnosed with retrobulbar abscess. Antibiotics were continued aggressively.
Photo 3: Post-op enucleation of eye.
In short, retrobulbar abscesses can be difficult to treat at best. They not only require antibiotic therapy for an extended period, but enucleation of the eye with excision and debridement, as seen in these photos, will likely be required. The prognosis for survival is considered very guarded.
Photos courtesy of Bellaratta’s Nest Rattery
Posted on June 28, 2003, 11:47,
Last updated on May 24, 2012, 16:28