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Thread: Eye Ulcers

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    Default Please Help! Leo With Eye Ulcers


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    My leopard gecko, Courage, is suffering from eye ulcers in both of his eyes. He is at a healthy weight (~77 grams) and is 7 years old, he isn't lethargic, his tail is plump. I have owned him since he was a hatchling. A couple of days ago he had a vet visit and she flushed his eyes and prescribed him antibiotic eye drops that I administer up to 3x a day. The ulcers were most likely caused by cat hair getting into his eyes. I have sterilized his tank and am looking closely several times a day to be sure he doesn't have any hairs in his eyes and have taken measures to make sure my cats are not allowed around his terrarium.

    It is fair to note that about a month ago he suffered from an everted hemipenis. It is still inflamed, the vet looked at it and got rid of his sperm plugs and told me to just keep an eye on it. I have been giving him warm baths at least twice a day. The hemipenis isn't my imminent worry, as it is no longer prolapsed and at risk for infection. I just figured I would mention this because the eye issue began around the same time the hemipenis issue happened. I have had absolutely zero issues with him for 7 years, and now all of these things are happening at once. It concerns me.

    Another thing to mention is that his fecal sample came back positive for pinworms, which are a type of parasite that is common gut flora for geckos (rarely pathogenic). However, because of the recent hemipenis and eye issues, the vet recommended that I do treat him for the pinworms. The fecal sample probably showed higher numbers of pinworms than what there should be, I still need to call back and ask. He was dewormed while there and I will be giving him 2 more deworming treatments throughout the next month.

    My biggest worry are his eyes. So far they are not getting better, it seems to be getting worse. However, it has only been two days since using the antibiotic eye drops. You can tell his eyes are in pain because he is reluctant to open them and flinches if he bumps his closed eyelid into something. Both are cloudy. He isn't eating much, but he hasn't completely stopped eating, I just have to be incredibly patient in feeding him because he isn't seeing well. I am terrified of him going blind.

    I am wondering if anybody has had experience with eye ulcers with their leos? How long did it take to clear up after treatment? Do you have any advice or tips? I know he needs his rest, but I also want to keep him a little active and get him to open his eyes a couple times a day. I don't want to over handle him, but I also don't want to let him sit there and let his eyes get stuck closed.

    This has taken such a toll on me. Honestly, if you have any response to the many subjects I listed above, please say something. I feel alone and scared, I live in a small town where exoctics aren't necessarily common (I drove 3 hrs to see a proper exotics vet.) Nobody geographically near me can give me any advice or help ease my mind, hence why I came here. I am definitely a worried mama, I just want him to feel better.
    Last edited by HannaBanana; 05-27-2019 at 02:21 PM.

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    Quote Originally Posted by HannaBanana View Post
    My leopard gecko, Courage, is suffering from eye ulcers in both of his eyes. He is at a healthy weight (~77 grams) and is 7 years old, he isn't lethargic, his tail is plump. I have owned him since he was a hatchling. A couple of days ago he had a vet visit and she flushed his eyes and prescribed him antibiotic eye drops that I administer up to 3x a day. The ulcers were most likely caused by cat hair getting into his eyes. I have sterilized his tank and am looking closely several times a day to be sure he doesn't have any hairs in his eyes and have taken measures to make sure my cats are not allowed around his terrarium.

    . . . . . .

    My biggest worry are his eyes. So far they are not getting better, it seems to be getting worse. However, it has only been two days since using the antibiotic eye drops. You can tell his eyes are in pain because he is reluctant to open them and flinches if he bumps his closed eyelid into something. Both are cloudy. He isn't eating much, but he hasn't completely stopped eating, I just have to be incredibly patient in feeding him because he isn't seeing well. I am terrified of him going blind.

    . . . . . .
    A warm welcome to Geckos Unlimited to you and to Courage! I know how stressful ailing geckos are. I'm sure Courage appreciates all the care you're giving him including long drives to the vet. I am in a similar situation.

    Understandably "My biggest worry are his eyes." I've had experience with geckos sometimes getting cloudy eyes. The common reason may be inadequate multivitamins. Unfortunately I've not seen cloudiness disappear once it's there.

    You're doing the right things!
    1. Are his powdered supplements current?
    2. Please list the supplements you use: brand, name, and frequency?
    3. What are you feeding Courage's bugs and worms?
    4. Once a day gently moisten Courage's eyes with a normal saline solution in a squeeze bottle. Normal saline is what tears are.
    5. At this time only handle Courage when treating him. Courage needs his energy to heal from everything you mention.
    6. When were his sperm plugs removed?
    7. Would warm baths 1x per day be sufficient for his hemipenis?
    8. Does the vet think his hemipenis redness could be from infection?

    Here's a link with posts Hilde has shared. Please read it.
    "If you can hear crickets, it's still summer." ;)

    "May the peace that
    You find at the beach
    Follow you home"

    Click: Leo Care Sheet's Table of Contents

    ===> No plain calcium, calcium with D3, or multivitamins inside an enclosure <===

    Oedura castelnaui ~ Lepidodactylus lugubris ~ Phelsuma barbouri ~ Ptychozoon kuhli ~ Cyrtodactylus peguensis zebraicus ~ Phyllurus platurus ~ Eublepharis macularius ~ Correlophus ciliatus ~ (L kimhowelli) ~ (P tigrinus) ~ (P klemmeri) ~ (H garnotii)

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    Thank you for your response.

    1. Current, as in, not expired? I didn't realize it could get expired to be honest. I bought the container when I got him, so the calcium powder is as old as he is (7 yrs).
    2. I use Zoo Med Repti-Calcium. That is the only supplement I have ever given him. Admittedly, I haven't been dusting his insects as often as I probably should. I always keep a small lid of the calcium in his tank though. I was told they will lick it when they need it. I have seen him lick the powder I leave in his tank, but I don't know if that information is entirely true.
    3. I have a mealworm colony that I feed with oats, mulch, and random fruits and veggies. Mostly apple pieces. I feed the crickets leafy greens and a dry gut load formula from Zoo Med called "Natural Cricket Care."
    4. I was treating him with saline and still do if I feel as if he needs it, but I figured the antibiotic eye drops the vet prescribed would replace the saline solution.
    5. Noted. I was fearful that I may be overhandling him. I just love him a lot and want him to be well, but I will definitely step back a bit and let him rest as much as possible.
    6. The most recent vet visit (May 25th) was when his sperm plugs were removed.
    7. I have been giving him at least two warm baths a day. I am not sure what is sufficient, I am just doing what the vet recommended. He enjoys them, so it's something I did even before he got ill.
    8. No, she did not seem to think it was at risk for infection, just irritated.

    I can't believe how much all of this is making me cry. I feel like a bad mother. I will order current calcium powder. I also ordered a UBV light, the vet informed that would help with metabolizing calcium. Any advice helps. Thank you again.

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    Thank you for your response.
    You're welcome.

    1. Current, as in, not expired? I didn't realize it could get expired to be honest. I bought the container when I got him, so the calcium powder is as old as he is (7 yrs).
    Plain calcium carbonate NEVER expires. Calcium with D3 and multivitamins DO expire.

    2. I use Zoo Med Repti-Calcium. That is the only supplement I have ever given him. Admittedly, I haven't been dusting his insects as often as I probably should. I always keep a small lid of the calcium in his tank though. I was told they will lick it when they need it. I have seen him lick the powder I leave in his tank, but I don't know if that information is entirely true.
    Zoo Med is an excellent brand of supplements. Does your Repti Calcium contain vitamin D3? A certain amount of D3 per week is necessary to prevent MBD (metabolic bone disease).

    I'm not convinced that leos know just how much supplement is good for them -- especially D3 calcium or multivitamins.


    3. I have a mealworm colony that I feed with oats, mulch, and random fruits and veggies. Mostly apple pieces. I feed the crickets leafy greens and a dry gut load formula from Zoo Med called "Natural Cricket Care."
    See below.

    4. I was treating him with saline and still do if I feel as if he needs it, but I figured the antibiotic eye drops the vet prescribed would replace the saline solution.
    Of course. You don't want normal saline washing away the antibiotics. You mentioned "stuck" eyelids.

    5. Noted. I was fearful that I may be overhandling him. I just love him a lot and want him to be well, but I will definitely step back a bit and let him rest as much as possible.


    6. The most recent vet visit (May 25th) was when his sperm plugs were removed.
    So that was just like "yesterday". Give the redness a chance to tone down.

    7. I have been giving him at least two warm baths a day. I am not sure what is sufficient, I am just doing what the vet recommended. He enjoys them, so it's something I did even before he got ill.
    I would not recommend MORE THAN 2 warm baths per day.

    8. No, she did not seem to think it was at risk for infection, just irritated.
    Thank you

    I can't believe how much all of this is making me cry. I feel like a bad mother. I will order current calcium powder. I also ordered a UBV light, the vet informed that would help with metabolizing calcium. Any advice helps. Thank you again.
    If Courage is NOT belly-dragging and does NOT have MBD-like bends at his elbows, follow Schedule 126. If Courage is basking some under appropriate UVB rays "enough", then use Schedule 156. When using Schedule 156, supplemental D3 calcium IS necessary at 1 feeding per month.


    3. For 98 click: Common Mealworm & Superworm Dry Diets & Beddings -- Use something else!

    9. Is your leo walking upright -- NOT dragging his belly? (I'm looking for signs of MBD.)
    10. Please share a photo of Courage.
    11. Dimensions of his enclosure?
    12. Please wait for UVB recs. What did you order?


    Don't be hard on yourself. We are all here to learn.

    Weekly Schedule 126 for Leopard Geckos 18 months old +
    (without UVB)

    • Crickets or dubia >> Monday - lightly dusted with Zoo Med's Repti Calcium with D3
    • Crickets or dubia >> Thursday - lightly dusted with Zoo Med's ReptiVite multivitamins without D3
    • Mealworms >> Saturday - no dusting
    UVB Weekly Schedule 156 for Leopard Geckos 18 months old +
    (with UVB)

    When your leopard gecko is taking advantage of appropriate UVB rays, Dr. Fran Baines (vet & lighting guru) strongly recommends a backup dose of powdered D3 @ 1 feeding per month! Just substitute D3 calcium for plain calcium dusting that week only.

    • Crickets or dubia >> Monday - lightly dusted with Zoo Med's ReptiVite multivitamins without D3
    • Crickets or dubia >> Thursday - lightly dusted with pure precipitated calcium carbonate without D3 (Zoo Med's Repti Calcium or NOW human brand calcium)
    • Mealworms >> Saturday - no dusting
    Last edited by Elizabeth Freer; 05-28-2019 at 09:57 PM.
    "If you can hear crickets, it's still summer." ;)

    "May the peace that
    You find at the beach
    Follow you home"

    Click: Leo Care Sheet's Table of Contents

    ===> No plain calcium, calcium with D3, or multivitamins inside an enclosure <===

    Oedura castelnaui ~ Lepidodactylus lugubris ~ Phelsuma barbouri ~ Ptychozoon kuhli ~ Cyrtodactylus peguensis zebraicus ~ Phyllurus platurus ~ Eublepharis macularius ~ Correlophus ciliatus ~ (L kimhowelli) ~ (P tigrinus) ~ (P klemmeri) ~ (H garnotii)
    Likes HannaBanana liked this post

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    Quote Originally Posted by Elizabeth Freer View Post
    Thank you for your response.
    You're welcome.

    1. Current, as in, not expired? I didn't realize it could get expired to be honest. I bought the container when I got him, so the calcium powder is as old as he is (7 yrs).
    Plain calcium carbonate NEVER expires. Calcium with D3 and multivitamins DO expire.

    Noted

    2. I use Zoo Med Repti-Calcium. That is the only supplement I have ever given him. Admittedly, I haven't been dusting his insects as often as I probably should. I always keep a small lid of the calcium in his tank though. I was told they will lick it when they need it. I have seen him lick the powder I leave in his tank, but I don't know if that information is entirely true.
    Zoo Med is an excellent brand of supplements. Does your Repti Calcium contain vitamin D3? A certain amount of D3 per week is necessary to prevent MBD (metabolic bone disease).

    I'm not convinced that leos know just how much supplement is good for them -- especially D3 calcium or multivitamins.


    Yes, the expired supplement contained D3. I threw it away, a fresh supply will be here by Thursday.

    3. I have a mealworm colony that I feed with oats, mulch, and random fruits and veggies. Mostly apple pieces. I feed the crickets leafy greens and a dry gut load formula from Zoo Med called "Natural Cricket Care."
    See below.

    4. I was treating him with saline and still do if I feel as if he needs it, but I figured the antibiotic eye drops the vet prescribed would replace the saline solution.
    Of course. You don't want normal saline washing away the antibiotics. You mentioned "stuck" eyelids.

    Yes. I thought the antibiotics would alleviate the "stuck" issue, which it probably does, but this morning I used saline to get his eyes open and it seemed to be more effective than the antibiotics. I will not do it regularly, because as you said, I don't want to rid the antibiotic from his eyes. I will do it when I feel his eyes are badly "stuck" just to give them a refresher. One of the eyes seemed to be in better shape this morning and I got his eyes to open sooner than the previous night. I am not trying to get too excited though, we will see how he does as treatment goes on.


    5. Noted. I was fearful that I may be overhandling him. I just love him a lot and want him to be well, but I will definitely step back a bit and let him rest as much as possible.


    6. The most recent vet visit (May 25th) was when his sperm plugs were removed.
    So that was just like "yesterday". Give the redness a chance to tone down.

    7. I have been giving him at least two warm baths a day. I am not sure what is sufficient, I am just doing what the vet recommended. He enjoys them, so it's something I did even before he got ill.
    I would not recommend MORE THAN 2 warm baths per day.

    8. No, she did not seem to think it was at risk for infection, just irritated.
    Thank you

    I can't believe how much all of this is making me cry. I feel like a bad mother. I will order current calcium powder. I also ordered a UBV light, the vet informed that would help with metabolizing calcium. Any advice helps. Thank you again.
    If Courage is NOT belly-dragging and does NOT have MBD-like bends at his elbows, follow Schedule 126. If Courage is basking some under appropriate UVB rays "enough", then use Schedule 156. When using Schedule 156, supplemental D3 calcium IS necessary at 1 feeding per month.


    3. For 98 click: Common Mealworm & Superworm Dry Diets & Beddings -- Use something else!

    9. Is your leo walking upright -- NOT dragging his belly? (I'm looking for signs of MBD.)

    Yes, he is upright. He is a bit weak from not feeling well and not eating normally but he is still alert and keeps his arms high. I will include a few photos, I am pretty sure he is not suffering from MBD, but I am aware that I need to get him more nutrients now to prevent that from happening in the future.

    10. Please share a photo of Courage.

    11. Dimensions of his enclosure?

    25 gallon standard glass terrarium. If you are in need of exact LxWxH dimensions I will get back to you on that.

    12. Please wait for UVB recs. What did you order?

    I ordered the Exo Terra Desert UVB 150 Reptile Lamp, 13-w bulb. I ended up cancelling the order because I figured I jumped the gun a bit.


    Don't be hard on yourself. We are all here to learn.
    Thank you! All of this info has been incredibly helpful.image3 (1).jpgimage1.jpgimage2.jpg

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    Thank you for your response.
    You're welcome.

    1. Current, as in, not expired? I didn't realize it could get expired to be honest. I bought the container when I got him, so the calcium powder is as old as he is (7 yrs).
    Plain calcium carbonate NEVER expires. Calcium with D3 and multivitamins DO expire.

    2. I use Zoo Med Repti-Calcium. That is the only supplement I have ever given him. Admittedly, I haven't been dusting his insects as often as I probably should. I always keep a small lid of the calcium in his tank though. I was told they will lick it when they need it. I have seen him lick the powder I leave in his tank, but I don't know if that information is entirely true.
    Zoo Med is an excellent brand of supplements. Does your Repti Calcium contain vitamin D3? A certain amount of D3 per week is necessary to prevent MBD (metabolic bone disease).

    I'm not convinced that leos know just how much supplement is good for them -- especially D3 calcium or multivitamins.

    It did contain D3, I threw it out and bought a fresh batch.

    3. I have a mealworm colony that I feed with oats, mulch, and random fruits and veggies. Mostly apple pieces. I feed the crickets leafy greens and a dry gut load formula from Zoo Med called "Natural Cricket Care."
    See below.

    4. I was treating him with saline and still do if I feel as if he needs it, but I figured the antibiotic eye drops the vet prescribed would replace the saline solution.
    Of course. You don't want normal saline washing away the antibiotics. You mentioned "stuck" eyelids.

    5. Noted. I was fearful that I may be overhandling him. I just love him a lot and want him to be well, but I will definitely step back a bit and let him rest as much as possible.


    6. The most recent vet visit (May 25th) was when his sperm plugs were removed.
    So that was just like "yesterday". Give the redness a chance to tone down.

    7. I have been giving him at least two warm baths a day. I am not sure what is sufficient, I am just doing what the vet recommended. He enjoys them, so it's something I did even before he got ill.
    I would not recommend MORE THAN 2 warm baths per day.

    8. No, she did not seem to think it was at risk for infection, just irritated.
    Thank you

    I can't believe how much all of this is making me cry. I feel like a bad mother. I will order current calcium powder. I also ordered a UBV light, the vet informed that would help with metabolizing calcium. Any advice helps. Thank you again.
    If Courage is NOT belly-dragging and does NOT have MBD-like bends at his elbows, follow Schedule 126. If Courage is basking some under appropriate UVB rays "enough", then use Schedule 156. When using Schedule 156, supplemental D3 calcium IS necessary at 1 feeding per month.


    3. For 98 click: Common Mealworm & Superworm Dry Diets & Beddings -- Use something else!

    9. Is your leo walking upright -- NOT dragging his belly? (I'm looking for signs of MBD.)

    Yes, he is walking upright. I am not concerned about MBD, but I am aware that I need to give him more nutrients to prevent this issue in the future.

    10. Please share a photo of Courage.

    11. Dimensions of his enclosure?

    25 gallon standard glass terrarium. If you need exact LxHxW, I will get back to you on that.

    12. Please wait for UVB recs. What did you order?

    I ended up cancelling the order because I felt I had jumped the gun a bit. I ordered the Exo Terra Desert UVB 150 Reptile Lamp, 13-w bulb.

    **sidenote** I spent a bunch of time responding with way more details and for whatever reason the reply wasn't appearing. Let me know if I skipped over anything important, I wasn't as detailed in this response.

    All of this has been so helpful. Thank you!
    Last edited by HannaBanana; 05-28-2019 at 08:21 PM.

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    Here are some photos that I tried attaching to the other thread that didn't post.
    Attached Images Attached Images
    Thanks Elizabeth Freer thanked for this post

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    Quote Originally Posted by HannaBanana View Post
    Here are some photos that I tried attaching to the other thread that didn't post.
    Does he have healthy looking nails? hard to see in this pic. His eyes appear more sunken than the normal. These problems may have started due to nutritional deficiencies.

    That is the only supplement I have ever given him. Get him on a multivitamin supplement right away. Do you have access to silkworms? They may help with vitamin A. Unfortunately, one problem after another such as plugs and eyes can have an underlying cause such as systemic infection.

    Infections in the space between the spectacle and cornea and conjunctiva are very common in geckos and snakes. These are often associated with systemic septicemia

    You have been blocked

    I would call the vet to ask if this is a possibility (if the eye problem continues and his appetite decreases).

    Soaking can be very stressful. The water temp drops quickly especially if room temp is not warm enough(monitored). There is no need to soak if a humidity hide is provided and the enclosure is maintained within 40% to 60%(respiratory moisture). Have you noticed how the water drops roll right off the his skin It may be a good idea to post a picture of the enclosure.
    Last edited by Sg612; 05-29-2019 at 12:08 PM.

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    I see your 3 recent posts: a super detailed post, an abbreviated post, and then 3 images by themselves. Perhaps your lengthy message posted later???


    5. Noted. I was fearful that I may be overhandling him. I just love him a lot and want him to be well, but I will definitely step back a bit and let him rest as much as possible.
    Yes, step back for now.

    7. I have been giving him at least two warm baths a day. I am not sure what is sufficient, I am just doing what the vet recommended. He enjoys them, so it's something I did even before he got ill.
    I would not recommend MORE THAN 2 warm baths per day.
    Did you notice Sg612's post #8? What do you think about the things she mentions?

    3. For link 98 click: Common Mealworm & Superworm Dry Diets & Beddings -- Use something else!

    /\ That link shows that even OATS contain too much phosphorus for use as a mealworm bedding. Phosphorus prevents the absorption of calcium! Either gutload those mealworms with a different dry diet + veggies for 24-48 hours prior to feeding them off or switch out oats for some bedding like the link recommends.

    10. Please share a photo of Courage.
    Thanks

    11. Dimensions of his enclosure?
    25 gallon standard glass terrarium. If you are in need of exact LxWxH dimensions I will get back to you on that.
    Yes, I'd prefer dimensions. If your 25 gallon is only about 24 inches long, that's really not enough length for UVB. Leos, being shade dwellers, need ample space to dodge those UVB rays when they have had enough. If you really wish to use UVB I'd upgrade to an enclosure 3 feet long.

    12. Please wait for UVB recs. What did you order?
    I ordered the Exo Terra Desert UVB 150 Reptile Lamp, 13-w bulb. I ended up cancelling the order because I figured I jumped the gun a bit.
    Good! Exo Terra bulbs put out unreliable UVB.

    13. What do you think? I strongly recommend starting Courage on a multivitamin. I recommend and use Zoo Med's ReptiVite multivitamin without D3. Just a wee pinch dusted on Courage's insects @ 1 feeding per week should improve his health.

    14. Were you able to read this link by GU's admin Hilde? It mentions how important various vitamins are. Perhaps Courage has a vitamin A deficiency? That would lead to eye problems.
    Last edited by Elizabeth Freer; 05-30-2019 at 03:24 AM.
    "If you can hear crickets, it's still summer." ;)

    "May the peace that
    You find at the beach
    Follow you home"

    Click: Leo Care Sheet's Table of Contents

    ===> No plain calcium, calcium with D3, or multivitamins inside an enclosure <===

    Oedura castelnaui ~ Lepidodactylus lugubris ~ Phelsuma barbouri ~ Ptychozoon kuhli ~ Cyrtodactylus peguensis zebraicus ~ Phyllurus platurus ~ Eublepharis macularius ~ Correlophus ciliatus ~ (L kimhowelli) ~ (P tigrinus) ~ (P klemmeri) ~ (H garnotii)

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