Anyone have a cat/dog with tear duct problems?

My 18 month old cat has a congenital tear duct absence on his left eye. We originally thought his duct had scarred over secondary to a herpes infection, but it turns out it just isn’t there at all. He had surgery last May in an attempt to open the duct, but it was unsuccessful. The only other surgical option is to essentially open his whole face up to create a new duct - I said “No, thank you!” to that one, as it was prohibitively expensive and a very risky microsurgery close to a lot of important facial and opthalmic nerves and vessels.

Anyway, since he has no duct he has constant tear overflow down his face, which creates a gross, wet environment that gets crusty and stained. I clean it up every day with a cotton ball and some soap, and apply some Neosporin to keep the crusties from forming and prevent infection.

The problem is the skin under his eye is just inflamed and painful from the crusting and constant tearing. I have tried just leaving it alone, but he gets a ton of crusty buildup quite quickly and then when I clean THAT up, the skin is even worse underneath.

Does anyone else have a cat/dog with this? What do you put under their eye to prevent the skin issues?

A barrier cream?
sorry no cat experience with it but nice for people :slight_smile:

Yes … but it was an eye drop prescribed by the vet. I don’t remember what it was and my cat HATES it.

Did you go to a GP vet or ophtho specialist? Stents arent terribly expensive and generally work quite well in cats like yours, but its a procedure best done by an ophthalmologist.

Another vote to take your cat to an animal ophthalmologist. We have a cat with serious chronic eye issues (in fact, at the moment his 3rd eyelid is stitched up over his eye to protect it after an injury of undetermined source - probably wrastling with the other cats), & we’ve had an excellent experience with this place in Fairfax, VA (if it’s within your travel range - I see you’re in MD).

http://www.vetvisionofva.com/aboutus.html

Yes, the surgery was done by an opthalmologist at the vet school. It was the stenting procedure that we tried, and he just has NO tear duct at all - couldn’t even get the stent through the nasolacrimal duct openings near the medial canthus of the eye (I’m a vet student, so I got to watch - they tried for TWO HOURS to stent, and couldn’t even get the very teeniest one in, which looked about the diameter of dental floss).

So, anyway, we’re just stuck with epiphora, and nasty crusting. :frowning:

I know this won’t completely solve the problem, but I would be inclined to use an eye ointment on the inflamed irritated skin. Maybe something like neo-poly-bac or neo-poly-dex if the skin is really inflamed? It may help protect the skin and will be safe to use that close to the eye. I have a cat with the same leaky eye issue but it’s not quite as severe as you describe. I just clean it frequently and apply ointment as needed.

My cat has this Problem

[QUOTE=Lauren12;6704968]

Does anyone else have a cat/dog with this? What do you put under their eye to prevent the skin issues?[/QUOTE]

The in-laws had a feral female give birth to a litter of kittens at their cottage and we agreed to take two of them. The vet said the female had that respiratory problem common for feral kittens. He prescribed antibiotics and an eye-cream, which we gave to her. The eye, however, never got any better. He said the scarring was permanent and she’d have a squint. That was 2 years ago.

She has a squint for sure, as well as having a watery eye all the time. If I don’t clean it for a day it crusts up and she walks around looking like a little kitty pirate (darrr). After a few days the eye “sleep” turns black and scabs on to her eyelid. Left untouched the “sleep” gets so bad it will prevent her from opening her right eye.

Being an indoor/outdoor cat, I’ve found that it isn’t practical for me to go around cleaning the eye multiple times a day. I generally wait until the sleep starts to accumulate. Then I spray a bit of hydrogen peroxide on a washcloth and gently stroke her eyelid with it while I pet her. Sometimes it clogs up so bad that I have to scrap the scab off with my fingernail. She hates this but still tolerates the discomfort of having it removed.

Over time she has come to accept the cleaning process without much resistance. I always treat her to a can of wet food after I finish, and she dutifully heads over to the bowl when we’re done. One thing I’ve learned from having a number of large, claw-bearing cats is to not push them too much into doing something they don’t want to do. Therefore I try to make sure she is purring before and even during the process. If she growls or tries to claw her way out, I’ll leave her alone and try again later.

Once the eye is clean, her eye opens about half way and immediately the process begins all over again. But at least she still has use of the eye and that’s what is important.

QUOTE=cwebbie;6706102]

Then I spray a bit of hydrogen peroxide on a washcloth and gently stroke her eyelid with it while I pet her. Sometimes it clogs up so bad that I have to scrap the scab off with my fingernail. She hates this but still tolerates the discomfort of having it removed.

If she growls or tries to claw her way out, I’ll leave her alone and try again later.

[/QUOTE]

Wow. I’m not surprised she “growls or tries to claw her way out”. Who the hell told you it was safe/okay to use hydrogen peroxide as an eye cleaner???!!!??? Definitely not a vet. Or even a doctor. Keep that up & she’ll be blind soon. The ignorance & idiocy of it is mindboggling to me.

And if you think that’s just “my opinion”, spend a few minutes on the internet & look it up. POOR POOR KITTY to be owned by you. Talk about a razor in a monkey’s paw.:mad:

[QUOTE=horsenut_8700;6706049]
I know this won’t completely solve the problem, but I would be inclined to use an eye ointment on the inflamed irritated skin. Maybe something like neo-poly-bac or neo-poly-dex if the skin is really inflamed? It may help protect the skin and will be safe to use that close to the eye. I have a cat with the same leaky eye issue but it’s not quite as severe as you describe. I just clean it frequently and apply ointment as needed.[/QUOTE]

Thanks, Horsenut! That’s what I am using currently - it’s a triple antibiotic eye ointment (with the same ingredients at neosporin - most people know that, so is why I referenced it). It’s working just okay…my kitty just still has inflammation and hyperemia under his eye from the crusting/tearing.