Bulging rabbit eye - pictures included

Re: Bulging rabbit eye - pictures included

Anthony Dennison — Tue, 05 Aug 2014 18:22:13 GMT

[quote user="Marie Kubiak"]We have one tonopen between 4 branches and end up fighting over it![/quote]

Pah, Luxury! We have one between 14 branches... we also work 25 hours a day and go to work 4 hours before we get up.

(Monty Python live still has me)

Re: Bulging rabbit eye - pictures included

Martin Atkinson — Tue, 05 Aug 2014 09:22:02 GMT

Having just been diagnosed with angle closed glaucoma (or rather at risk of) myself, I've had a laser iridotomy. Is there mileage for this in pets albeit a bit pricy for a bunny!

Re: Bulging rabbit eye - pictures included

Robert Lowe — Mon, 04 Aug 2014 10:55:05 GMT

[quote user="Marie Kubiak"]I have had slightly better results with carbonic anhydrase inhibitors so would opt for Trusopt over pilocarpine but perhaps an ophthalmologist will chime in with more scientific advice than my anecdote![/quote]

Nothing to add - its what we do

Re: Bulging rabbit eye - pictures included

Emily Nightingale — Mon, 04 Aug 2014 09:09:28 GMT

Ha! That's brilliant! A type of Hide and Seek for EC. Hilarious. I always enjoy reading your posts Marie!

Re: Bulging rabbit eye - pictures included

Marie Kubiak — Mon, 04 Aug 2014 08:20:45 GMT

[quote user="Emily Herskind Nightingale"]

Would it be prudent to add in some panacur paste just incase E. cuniculi is playing a role too?? Just a thought. (I'd rely much more on Marie's expert advice here than my suggestion but would be interested to hear if it could be a differential?)

Good luck with the case!

[/quote]

The only way I can see that EC would contribute to glaucoma would be if parasitic migration through the lens set up protein leakage and a phacoclastic uveitis with secondary glaucoma if the inflammatory debris blocked the drainage angle. However, this would be chronic and clearly evident prior to the distension.

We have a game at work - find a rabbit symptom and see how you can relate it to an underlying encephalitozoonosis (yes we are that geeky!). Surprisingly most things can be but rarely do we find that it is actually the cause.

Marie

Re: Bulging rabbit eye - pictures included

Emily Nightingale — Sun, 03 Aug 2014 18:19:59 GMT

Good luck with the case!

Re: Bulging rabbit eye - pictures included

Bob Russell — Fri, 01 Aug 2014 17:27:35 GMT

Slight diversion of topic!

HMRC have raided my bank account and cleaned it out so a £2k tonometer is out of the question. There are second hand Perkins type tonometers available of varying vintages for £600-800. Are they any good?

The Schiotz tonometers would be the alternative but I suspect would remain in its box!

Re: Bulging rabbit eye - pictures included

fluffygirl — Fri, 01 Aug 2014 12:10:02 GMT

We use latanoprost and azopt (qid initially) for our canine glaucoma cases.

Re: Bulging rabbit eye - pictures included

Charlie Lyon — Fri, 01 Aug 2014 11:53:32 GMT

Great thank you very much for your help!

Re: Bulging rabbit eye - pictures included

Marie Kubiak — Thu, 31 Jul 2014 18:31:38 GMT

I have had slightly better results with carbonic anhydrase inhibitors so would opt for Trusopt over pilocarpine but perhaps an ophthalmologist will chime in with more scientific advice than my anecdote!

We have one tonopen between 4 branches and end up fighting over it!

Marie

Re: Bulging rabbit eye - pictures included

Charlie Lyon — Thu, 31 Jul 2014 18:05:25 GMT

I think I'll have to add a tonopen to the practice wishlist, seen quite a few cases where it would be useful lately and glaucoma was on our differential list. Any preference to what product used? Have trusopt and pilocarpine in stock.

Re: Bulging rabbit eye - pictures included

Marie Kubiak — Thu, 31 Jul 2014 17:55:37 GMT

Given the unilateral nature and anterior chamber distension I would consider glaucoma most likely. If a New Zealand White then there is an inherited predisposition for congenital malformation of the drainage angle. However this looks too small for a 16-20wk old NZW so possibly a cross or just a coincidental coloration and morphology that looks like a NZW. You really need to get IOP on this, can anyone else locally do this? If absolutely impossible then assess crudely with digital pressure and trial canine topical treatments plus analgesia.

In my experience medical treatment of glaucoma in rabbits fails to acheive long-term control and results in enucleation eventually.

Marie