最後更新：2026年10月1日
角膜疾病,可能影響視力與眼部舒適度。需及時治療以避免視力喪失或眼球穿孔等併發症。
Feline herpesvirus keratitis is the most common cause of corneal ulceration in cats, presenting as dendritic or geographic ulcers. Famciclovir (90 mg/kg PO BID-TID) is the preferred systemic antiviral. Uveitis in cats should prompt testing for FIV, FeLV, FIP, toxoplasmosis, and systemic fungal infection.
Keratoconjunctivitis sicca (KCS/dry eye) is common in dogs, especially Cocker Spaniels, Bulldogs, and West Highland White Terriers. Schirmer tear test < 15 mm/min is diagnostic. Progressive retinal atrophy (PRA) is inherited in many breeds. Cataracts may be inherited or secondary to diabetes mellitus.
建議：依全身狀況決定，多數眼科疾病不需輸液
監測頻率：青光眼 q4-6h（急性）；每次回診
[1]Aloe Vera Gel-derived Eye Drops for Alkaline Corneal Injury in a Rabbit Model.
[2]Evaluation of risk factors for treatment failure in canine patients undergoing photoactivated chromophore for keratitis - corneal cross-linking (PACK-CXL): a retrospective study using additive bayesian network analysis.
[3]Predatory bacteria can reduce Pseudomonas aeruginosa induced corneal perforation and proliferation in a rabbit keratitis model.
[4]Comparison of Corneal Collagen Cross-Linking and Voriconazole Treatments in Experimental Fungal Keratitis for Aspergillus fumigatus.
急性發作需及時介入以防止不可逆損傷 (acute onset requiring timely intervention to prevent irreversible damage)
| 參數 | 閾值 | 處置 |
|---|---|---|
| 眼壓 (IOP) | >30 mmHg | Mannitol 1-2 g/kg IV + topical prostaglandin + timolol |
飼主衛教
用藥指引
⚠ 警訊症狀（立即回診）
環境調整
長期計畫：青光眼每 3 月追蹤 IOP
限制活動
避免劇烈活動防止眼壓升高
期間：術後 2-4 週
預後取決於疾病類型、嚴重度與治療時機。早期治療可改善預後並保存視力。
Corneal Perforation 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源：自動產生