I need brainstorming because I don't know what to do with this stubborn ophthalm

admin

I need brainstorming because I don't know what to do with this stubborn ophthalmological case anymore. And I don't want to put him on general atb which was my last idea. In the smear twice despite treatment with Pseudomonas aeruginosa. UVB off, no sand on the ground. I wrote for Owners the proper administration of calcium, vitamins, temperatures, etc. He was on tobramycin and ciloxan according to the swab. Owner rinse eyes with NaCl and give hyaluronic acid drops. Now throw in VitAPos. Of course the dramaqueen doesn't eat because it's Henryk. What other thoughts? HEEEELP!!!

admin

Ok. I might be waaaay off. But. Can you remove or debride the obviously dead or dying third eyelid? Can you take 1-2 ml of blood from him without killing him? For autologous serum therapy. It works in mammals and birds, so let’s try reptiles. Try to get the serum as aseptically as possible. Add 3 drops of vitamin c-injectable and 3 drops of sterile ringer acetate. Keep refrigerated for 2 weeks. Use 1-2 drops daily on the affected eye.
I’m thinking you cannot get rid of the Pseudomonas, it’s established in his skin and mucosal forever. So let see if his own body’s immune system can help.