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Hi. Welcome to Just Answer. My name is***** I'm sorry to hear about Butters' situation. I'm going to be honest here and say that glaucoma is a visually threatening situation for the eye that is involved. When an eye has a pupil that is enlarged, the sclera (the white) is reddened, and most likely the cornea (the front of the eye) is cloudy - then glaucoma is extremely suspect. Sometimes a red eye with a small pupil can be due to irritation in that eye or due to a scratch on it. With eyes, I don't like to take chances. If there is glaucoma in that eye, it needs to be seen now by your vet or an ER clinic as the longer the pressures are up in the eye, the more of a chance that the eye could become permanently blind. If there is a scratch on the eye (or an ulcer), it could get worse too.
Who was the 'young girl' on the phone? Tramadol is used for pain, but in a situation with glaucoma it wouldn't be addressing the actual problem. The problem is increased blood pressure in the eye with glaucoma and this isn't relieved by tramadol. If glaucoma is going on, then it is going to potentially cause blindness in the eye. Any chance of posting a picture of the eye?
Is it the left eye that is affected? From the picture, it looks like the left eye has the third eyelid up and it is squinting.
I'm sorry on my end as I had an emergency come up. That last photo shows the third eyelid being up. When I'm seeing glaucoma at my ER clinics, it typically doesn't have the third eyelid up in those cases. The third eyelid comes up a lot of times with irritation on the surface of the eye. The more serious causes are ocular foreign material or corneal ulcers. Could this be something less like some general ocular irritant or infection? That would be the best case scenario. Is he acting any better at this time?