Help with weepy eye please!!!!

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Gabriela

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Hello, my bunny Toby is a Lyon Head and is 3 years old. She has a chronic weepy eye since about a year ago. I took her already to two vets and both prescribed antibiotic eye drops, plus oral antibiotics and a nebulizer. As soon as I finished the treatments, the weepy eye came back, is not steady, just comes and goes. They checked her teeth and they didn't find any issue. I am tired to spend money and time with vets and not having a clear diagnostic. Can somebody help me out with suggestions please? I am worried :( Many thanks in advance
 

JBun

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What antibiotics were used and how long were the eye drops and oral antibiotic prescribed for? Did the vet say anything or check for a clogged tear duct, a scratched cornea, or an eyelash rubbing the eye? Did your rabbit show any signs of having sticky white eye discharge, inflamed eyelids, or white clouding of the cornea?
 

Gabriela

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Thank you for your prompt reply . The first vet prescribed Ciproflaxin in December and Tobramycin and Diclofenac in June , all ophthalmic solutions for 10 days
The second vet gave her Orbifloxacin, Metacam by mouth and Bayt-Cyst/Terbutaline Nebilization. For 14 days.
This was in June .
I don’t know if the vets checked for what you mentioned as , due to COVID restrictions I was not permitted to be with my bunny when the vet checked her .
And yes , her eyelid is red and the discharge is sticky . I don’t know if is white because her fur is white and i cannot see the color of the discharge , but for sure is sticky. See pictures.
In December an eye culture was done and result was : Bordetella bronchiseptica light growth observed. Ciproflaxin was prescribed .

Should I give her again Ciproflaxin ?

I don’t know what else to do, I was veré punctual when administered the medicines. I am worried about my Toby :(
Thank you for any info you can give me and suggestions of what do .

Looking forward to your comments and help !!!!
 

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JBun

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When it comes to rabbits and infections, they can be extremely difficult to clear up sometimes. So very long courses of antibiotics are often needed. I would suspect that it wasn't long enough a course that the vet prescribed for your rabbit, since you saw improvement on the antibiotic, then a worsening once it stopped. This time I wouldn't want to do any less than a 2 month course of antibiotic eye drops.

An inflamed eyelid and sticky discharge could mean conjunctivitis. Since cipro is prescription, I can't say if you should use it again, but I would in your position. If there isn't any improvement by the first week back on it, I would phone the vet and ask to come pick up a different antibiotic eye drop. If the cipro does work and there isn't enough for a 2 month course, I would request a refill from the vet.

The other thing to consider is if a much longer course doesn't clear it up, is that there can be a tear duct infection blocking the tear duct, or possibly an infected tooth where the infection has spread. So at that point you would need to have your rabbit sedated for a tear duct flush and possibly head xrays to check for an infected tooth. If your current vet isn't a very experienced rabbit vet, it might be worth seeing if there is a more experienced one near you.


 

Gabriela

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Thank you very much, super helpful the info you provided. I live in Miami and unfortunately there are only 2 vets here that see rabbits, they are considered "exotic pets". I already took her to both.... I made an appointment to go tomorrow to do a culture and see if is the same bacteria than before or another so they can prescribe the correct antibiotic. I will ask to check her tear duct for a possible infection there. For the time being I am giving her some Diclofenac drops to help with the lid inflammation.
Thanks again !!!!!!
 

JBun

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You just want to make sure the vet does a much longer course of antibiotics this time. I have a rabbit that kept getting a reoccurring eye infection. After several unsuccessful attempts at treatment, it finally cleared up with antibiotic eye ointment and oral azithromycin for a month. And azithroymcin is a pretty heavy duty antibiotic, usually only given for a week or two.
 

2Bunns

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Nugget had an identical issue, it took weeks and weeks of high strength eye drops, il have a look and see if i can find the name of them for you. But they are far better than others i tried before but it did take a long time and even after the visual signs are gone… please do not stop the drops for a few days coz it will come straight back.
 

Gabriela

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Thank you JBun and 2Bunns for your replies. The vet did a culture, and while waiting the results, prescribe an ointment (Neomycin, Polymycin B sulfates and Bacitricin zinc) , her eye is basically no weeping but her eyelid is still red.
The results came back with a a growth of a bacteria that is a contaminant and she recommended to take her to an eye specialist. I have no idea what this results means so I am waiting the vet to call me back with a more clear explanation.
 
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