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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat Veterinary
Satisfied Customers: 24352
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
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She was just diagnosed with herpes in her eyes. She is a cat

Customer Question

She was just diagnosed with herpes in her eyes. She is a white cat odd eye color and deaf.They gave me steroid drops dexamethasone sodium phosphate ophthalmic usp'0.1percent. She has had idoxuridine ophth solution 0.5 ml which irritated her eyes and stopped giving them after three days Now she has steriods. What can can happen using these in her eyes. Can she have a flarup of the herpes virus which she is 13 years old and never had this. Please answer my questions, I am so worried because she is squinting her eyes after the first dose of new medicine.
Submitted: 8 months ago.
Category: Cat Veterinary
Expert:  Dr. Michael Salkin replied 8 months ago.

Unless the steroid drops were prescribed by a specialist veterinary opthalmologist I would be very hesitant to administer them to a cat with confirmed herpes. Steroids - and particularly such a potent one as dexamethasone - is well-known to bring herpes out of its carrier state and cause clinically apparent herpes infections. I would consider one of the newer and better tolerated antiviral ophthalmics such as cidofovir. This antiviral allows for less frequent administration for a shorter duration of time making it a superior therapeutic choice for many veterinary ophthalmologists and cat owners. It needs to be compounded into an ophthalmic preparation by a compounding pharmacy.

Please respond with further questions or concerns if you wish.

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