Monday, August 21, 2017

3125. INTERN VIDEO. Digital evidence of hamster's eye stye inspires confidence in the pet owner

HOOK

Eye problems - painful, blindness unless treated early.
Small creatures like hamsters, eyes too small to be seen by the owner unlilke canine eye problems.

E.g. Pimples in the eyelid known as stye.

 



BKTP


INTRODUCTION
Why, What, How
Why need vet treatment?  Painful, rubbing eye, lose appetite, infections, eyeball rupture
What is stye?  Define eye stye

How to convince the owner that her hamster has eye stye?
Digital photography  Day 1, Day 7




How is it treated?  Eye drops may work.  Surgery - incision and drainage under gas anaesthesia in the dwarf hamster.





Hook?

"Your hamster has an eye stye," Vet 2 who was referred to this case by Vet 1 in the branch clinic announced.

The owner of this half-closed, sometimes opened right eyed dwarf hamster applied Vet 2's eyedrops for the next 7 days. The cure was not there. So, the owner sought a 3rd opinion from me.

Nowadays, the young Singaporean pet owner is knowledgeable. Just stating "eye stye" or eyelid pimple in this case is insufficient. 

 



Digital evidence is needed but this takes a lot of time and some skill to develop the evidence to inspire confidence in the young ones. It takes over an hour of digital photoshopping to develop the evidence as shown below.

DAY 1. Gas anaesthesia is necessary to examine and produce sharp photographs the hamster's eye.




Anaesthesia to get proper closed eye examination. Fluorescein eye stain test showed no corneal ulcers. The corneal areas did not show green spots which would have been evidence of eye ulcerations.  









I showed the digital evidence of eye stye and advised surgery (incision and drainage) to resolve the problem as the eye pimple is large. The pimple is on the left upper eyelid as at Day 1.

 The owner wanted the hamster home on the same day and would apply eye drops and give medication. 





DAY 7. The owner returned for the surgery (incision and drainage) after self-treatment for the past 7 days.  








 The pimples are now on the left and right upper eyelid as at Day 7.



Conclusion

This case shows how digital evidence inspired the owner to return 7 days later for the surgery of incision and drainage to resolve the eye stye problem.  The hamster was operated and hospitalised for 3 days.





To acquire digital imaging skills, I practise during my travels and usually daily taking pictures of places and friends and use Photoshop to develop better images as shown below.


Lens for close up and zoom


--------------------------
Hamster hospitalised for 6 days. On Day 4 after operation, images are taken. They show the conjunctiva of the upper eyelid is inflamed due to the healing of the wound after incising the styes (see Day 7 - 2 styes).  Now Day 4 after surgery, no styes on close up image.  Show hamster video eye open more, even under operating light (video)






                                      


                                            Close up image.  Day 4 after incision of the stye.
The styes are not present. The conjunctiva is inflamed as it is early in the healing stage.



Digital photography provides evidence of the scar of the incision (arrows). The wound is healing well.

Conclusion.   Many younger Singaporean pet owners are knowledgeable as they research the internet for their pet's diseases.

Digital photography evidence inspire confidence in the owner in the vet. She knows that her pet is properly diagnosed (stye) and treated (post op.  Day 4 images).







Day 7 after consultation. The owner came to Toa Payoh Vets for surgery as advised.
This is Day 1 of surgery.


Day 4 of surgery, showing the incision scar (arrow) and the disappearance of the styes.


CREDITS

includes Dr Daniel Sing




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