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sorry about maddie, cooper also has kcs, restasis is cyclosporine, but dogs need a higher dosage than humans, but most dogs that have a lacrimal gland problem do better with tacrolimus than cyclosporine. I am glad that cooper responded well with the tacrolimus, when cooper was first diagnosed with kcs and sjogrens i asked about pilocarpine, my eye dr said its not the best idea, and that he doesnt use it because of the fine line between helpling and death. He said we would go that way as a total last resort, but he also said that if he did the surgery it may not work well at all because most dogs with kcs bilaterally have sjogrens syndrome, and to take the saliva from his mouth to his eyes would make it hard for him to swallow and that he would really have horrible teeth. Im sorry sorry maddie isnt better with the tacrolimus, there is a new t cell inhibitor on teh market did you try that yet? I dont know the name of it but i can call my eye vet and ask him if you like. |
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I spoke extensively to my ophthalmologist about partoid duct surgery even though Lady isn't a candidate for it due to her age. While there are potential complications, it really is the only alternative for a young dog like Maddie who doesn't produce tears because she has no lacrimal glands IMO. She will eventually lose her eyesight from scar tissue. Dogs adapt very well to vision loss, but KCS is so uncomfortable. Can you get a second opinion? You might feel more comfortable about it if you did. |
just seeing this thread. prayers to you and the family and maddie .hope you figure this one all out and things get better for her. |
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Watching the procedure being done literally made me feel sick. I have an extremely hard time immagining putting her through that. The surgeon at UT told us that there was a chance that he would perform the surgery and it would not work or have to be reversed becuuse sending saliva to the eye can cause a new set of problems. I feel like a horrible mom becuase I don't know what is right for her. |
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It's definitely not a simple procedure. I spoke to Dr. English about it four years ago, though. I'm sure it has improved since then. Can you get a second opinion from an ophthalmologist in private practice? That way you can weigh the pros and cons. Not getting the surgery done doesn't mean Maddie will never need eye surgery. Ulcers are so common with KCS and they can require surgery. Lady came very close to needing surgery to remove an infection that had actually penetrated the surface of her eye a few years ago. Thank heavens we caught it early enough and $1,000 later it did clear up with topical antibiotics. Lady has also had uveitis twice which is terribly painful. |
Wow. I had no idea you were dealing with all this. The surgery sounds tough. Sounds like this are going well, at this moment, with the drops. Hopefully, they will continue to. Won't Maddie need the saliva for her mouth? Or perhaps the surgery just diverts some of it to the eye. |
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I may seek a second opinion, however, I really trust her vet and felt like th UT specialist knew what he was talking about, not looking at her as a potential costly surgery. You know? |
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