AVP Vol 52 Issue 1 March 2022 - Flipbook - Page 8
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Case Report
Figure 5: Urine cytology. Note large numbers of
leukocytes, erythrocytes and bacteria Diff Quik stain,
400 x magnification.
Figure 6: Ultrasonography left kidney. Marked
hydronephrosis with some sediment evident.
Figure 7: Ultrasonography left ureter. Note dilation
(< 5 mm in diameter) with a small focus of mineralised
material in the lumen.
Figure 8: Ultrasonography right renal pelvis. Note
dilation to 5.3 mm in diameter.
On Day 4, the patient was discharged
on the following treatment plan: weekly
renal decompression; topical dorzolamide
hydrochloride 2%/timolol maleate 0.5% three
times a day OD, chloramphenicol/ polymycin
B sulphate four times a day OU, and ofloxacin
(Ocuflox eye drops, Allergan Australia Pty Ltd,
Gordon, NSW) 1 drop four times a day OU; and
oral amoxicillin-clavulanic acid (Amoxyclav,
Dechra Veterinary Products (Australia) Pty Ltd,
Somersby, 50 mg twice a day.
The cat was re-presented 17 days later. The
owner reported that the cat had regained
vision and was bright, alert and responsive.
Ophthalmic examination revealed marked
improvement in both eyes. There was
reduction of aqueous flare, hyphaema and
hypopyon in both eyes. The intraocular
pressure OD had reduced from 36 mmHg to
9 mmHg. The left eye had regained a menace
response. The axial superficial corneal ulcer
OD was still present. The right eye still lacked
a menace response and dazzle reflex. There
were significant posterior synechia OD.
There were multifocal to coalescing areas
of hyporeflectivity in the tapetum OD. The
intraocular pressure was 7 mmHg OS.
Aerobic and anaerobic bacteriologic cultures
of the blood were negative. Scant leukocytes
were seen on Gram stain of the renal fluid, but
aerobic and anaerobic bacteriologic cultures
of renal fluid were negative.
