MJ's eye :(

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Re: MJ's eye :(

Post by FluffSlave on Tue Apr 21, 2015 5:49 pm

Oh, the poor guy Sad

I am sending lots of vibes for his consultation. I do hope you get some positive response Hugs
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Re: MJ's eye :(

Post by jolovesbunnies on Tue Apr 21, 2015 9:04 pm

Lots of love and get well vibes from me too love. Please keep us updated.

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Re: MJ's eye :(

Post by bunny boy on Thu Apr 23, 2015 3:43 pm

Fingers & paws crossed, lots of vibes coming your way.Sad

Hugs Judy
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Re: MJ's eye :(

Post by jolovesbunnies on Tue Apr 28, 2015 4:52 pm

How is the little love?

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Re: MJ's eye :(

Post by iiisecondcreep on Wed Apr 29, 2015 8:12 pm

He was having a bit of a binky last night which was nice but he still mainly just seems sad. Going to send the pre authorisation form off to the insurance company in the next day or two but 99% certain we won't be covered. We've had the quote.... if anyone isn't sure about getting insurance, I'd say GET IT! I think we pay about 11 a month, if we're not covered (if we're not covered it would be because the first cataract appeared within 2 weeks of taking out the policy) the surgery will be 1,450 - per eye. Plus the 350 we've already paid for the consultation, tests & meds at the vet school. I'm annoyed at myself for not taking out insurance sooner, especially after everything with T last year. Lesson learned :/

I've just been on the pet sitters facebook page and noticed he's uploaded a couple of pics of them from when we were away at the start of the month, you can see the cataracts very clearly in the pics:



Here is a closer pic I just took of his right eye, the left eye is very similar

Untitled by iiisecondcreep, on Flickr
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Re: MJ's eye :(

Post by Thumper2001 on Wed Apr 29, 2015 9:01 pm

Bless him Sad I really, really, REALLY hope the insurance company surprise you and agree to pay out.
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Re: MJ's eye :(

Post by woodwench on Wed Apr 29, 2015 10:29 pm

fingers crossed you get the payment. The Ins companies get enough to pay them for some compassion.
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Re: MJ's eye :(

Post by c.bolduan on Wed Apr 29, 2015 10:59 pm

Holding everything crossed that they will pay. Poor boy!

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Re: MJ's eye :(

Post by jolovesbunnies on Thu Apr 30, 2015 5:45 pm

Poor little chum, I really hope they pay fr it hun. Wow, the price for each eye? that is crazy but I know they all charge the same. Lots of loves and more vibes on their way sweetie.

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Re: MJ's eye :(

Post by jolovesbunnies on Thu Apr 30, 2015 5:46 pm

Sorry, meant to say that Holly is insured and we pay about the same.

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Re: MJ's eye :(

Post by FluffSlave on Thu Apr 30, 2015 6:52 pm

I really hope you get a happy surprise from the insurance company Hugs

Poor MJ Sad
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Re: MJ's eye :(

Post by iiisecondcreep on Mon May 04, 2015 2:13 pm

About to send the pre-auth form back only to realise there is quite a potential issue.

Two, actually. First - as MJ is a rescue I don't know his date of birth. I just made it up based on how old I was roughly told he was. When I completed his insurance application I made it 1/2/11. Which I thought was about right. Only now looking at all the vets forms I realise the date I made up for the vet was August 2010. I never even thought to check with my vet before putting in an approximate birth date on the insurance Sad Making him 5months older than he may or may not be. Either way, I hope this doesn't mean my insurance is void Sad

Secondly, assuming I haven't unwittingly voided my own insurance. The first cataract appeared only one day after I took the policy out (although I had got a few quotes in the weeks prior to taking the policy out).

Fortunately we can afford the surgery if the insurance don't pay out, but I'll be annoyed if we're not covered due to my own stupidity Sad
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Re: MJ's eye :(

Post by KatieB on Mon May 04, 2015 5:03 pm

I don't think that the insurance co will find the DOB an issue hun, and if they have any queries you can explain to them. I have done the same thing with C&A and pet plan... Im sure they get a different DOB every time!

How long after the policy did you go to the vet with the eye hun? Who are you insured with?


Katie, Daisy B, Charlie & Annabelle x
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Re: MJ's eye :(

Post by iiisecondcreep on Mon May 04, 2015 5:07 pm

I've emailed them about the DoB and explained that I don't actually know his true DoB because he's a rescue and asked if it's a problem and if so what to do about it.

Took the policy out on 10/11/14 which was a sunday and went to the vet on the weds, but it asks when you first noticed the issue so I wrote 11/11/14 which is when I called to make the appointment. Insurance is with PetPlan.

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Re: MJ's eye :(

Post by iiisecondcreep on Tue May 05, 2015 8:07 pm

Not heard back from the Insurance yet.

Had the consultation with the eye surgery vet practice. Had a thorough looks at MJs eyes and confirmed they were ok fr surgery although as previously advised, they'd only do one eye at a time.

He explained the procedure to me, basically they remove the front of the lens and scoop out the cataract.

I left not feeling entirely comfortable... he has never carried out this procedure on a rabbit, only dogs and cats (although he is an eye specialist). He said with dogs the success rate is about 90%, he would expect it to be slightly lower for rabbits. The potential issue is that after surgery the iris swells excessively which becomes permanent which can more or less cover over the pupil meaning the animal would still be blind.

The procedure takes around 3hrs I think he said. He emphasised the "higher risk" of putting rabbits under anaesthetic compared with cats or dogs. Temperance has had surgery at my own vet and at the vet school, I am aware that there is always a risk putting an animal under general anaesthetic but neither led me to believe rabbits were at any higher risk than dogs and cats. I am not sure if this practice has carried out *any* surgery on rabbits. I didn't ask, the vet I saw (one of the practice partners) as I already mentioned was an eye specialist and was open about the fact that he had never performed this particular surgery on rabbits. I'm even more nervous because MJ has lost weight and is not eating particularly well. He needs to go back to the vet for a repeat EC test so I might be asking for some recovery formula to make him eat a bit more.

I desperately want MJ's eyes fixed, he has always been so bold, active and adventurous. These days he's so sad and withdrawn.

I've followed the story of this bunny Charlie who had surgery at the RCVS down south, they are the only place in the UK to do some special cataract surgery where they can do both eyes at the same time (and the cost for both eyes is the same as the vet we are currently talking to is for one... unfortunately travelling hundreds of miles down south isn't really an option as they don't travel well so I'd probably end up with 2 buns in stasis from the stress of travelling Rolling Eyes ). I am going to contact the person for details of the vet so I can contact them, there can't be that many specialist eye vets so maybe they can give me a bit of comfort about this vet.

This is Charlie: http://www.gofundme.com/njmvjg

:/
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Re: MJ's eye :(

Post by Thumper2001 on Tue May 05, 2015 8:29 pm

Aw I can totally understand you feeling anxious about it. It's perfectly normal.

I'm afraid my understanding of rabbits and GA's is that it is higher risk than cats and dogs. MJ's neutered though isn't he? So he's had it before. I know that doesn't necessarily mean anything, but he's had it once and was fine so that is a good thing!

You know your bun, only you know if the risk is worth it. But for what it's worth, I'm pretty sure I'd go for it too.

When is the op?
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Re: MJ's eye :(

Post by c.bolduan on Wed May 06, 2015 1:09 am

I agree with thumper. Only you know him. I reckon it is a good idea to contact the vet in the south. Maybe he is able and willing to give advice to the vet performing the op.
You must be so worried and I don't think there is much I could say to make it easier. But I will think of you and send a hug.

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Re: MJ's eye :(

Post by jolovesbunnies on Thu May 07, 2015 7:10 pm

Top up vibes on their way hun and I hope the insurance company come through for you.

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Re: MJ's eye :(

Post by iiisecondcreep on Thu May 07, 2015 8:54 pm

Went to our own vet this evening to get a repeat EC test. The vet couldn't get much blood out so fingers crossed it was enough because it was very stressful for MJ. Had him weighed as well and they reckon hes put on 100g (he'd lost 200g). He just wanted to snuggle up to me, I had to move him away for to get the blood taken, I feel so bad for him. It must be awful being so scared and not even being able to see whats going in Crying or Very sad

I've not booked the surgery yet, I think I'll contact the vet down south first. Once its booked it'll be done within a month.

UD, been home for over 3hrs and as far as I can tell he hasn't eaten anymore than a few strands of hay. He's been offered fresh herbs, dried herbs, dandelions, fresh grass, barley rings, pellets, fibafirst sticks and a bit of porridge. All things that he loves.
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Re: MJ's eye :(

Post by FluffSlave on Fri May 08, 2015 1:04 pm

I am so sorry you and MJ are going through this - I can't imagine how hard it must be for him and you Sad Hugs

I hope he starts to munch a bit more soon... if you've offered him all of his favourites then I don't really know what to suggest...

Sending loads and loads of vibes xxxxx
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Re: MJ's eye :(

Post by jolovesbunnies on Sat May 09, 2015 6:46 pm

I am so sorry for you my darling and I am sending lots of top up hugs and loves.

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Jo xx

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Re: MJ's eye :(

Post by iiisecondcreep on Fri May 15, 2015 2:31 pm

Got the name of the vet down south from Charlies owner, sent him this big long email today:



Dear Mr Sanchez,

I was given your name by the owner of a rabbit you recently performed cataract surgery on ('Charlie') as I currently have a rabbit (MJ) who has developed cataracts in both eyes.

MJ has been referred to the D1ck Vet in Edinburgh and following an ophthalmology examination, blood tests and EC tests subsequently referred to Batchelor, Davidson & Watson in Edinburgh.

Having now had the consultation with Batchelor, Davidson & Watson I am not feeling entirely comfortable going ahead with the surgery without at least discussing it with someone else. Having read Charlies story and spoken with his owner I understand that you are the leading vet in the country in this area and the only vet in the UK carrying out the surgery that Charlie underwent. I hope you are able to offer some advice, or at least put my concerns to rest.

As previously mentioned, MJ has cataracts in both eyes. The first appeared in November 2014 and was 'mature' within around a week, the second appeared early April this year and again matured within a week. As such MJ has lost his vision very quickly and sadly is not coping very well. I had hoped to have surgery performed on both eyes, however Batchelor, Davidson & Watson have confirmed that they will only carry out surgery on one eye at a time. From my discussions with the vet (Malcolm Davidson) I am not sure that they would be keen to carry out the surgery on the second eye, also I am not sure if I would want to put MJ through the stress of surgery a second time especially as the surgery takes several hours.

Mr Davidson advised that they have never carried out this surgery on rabbits, only cats and dogs. He also advised that the surgery has a 90% success rate with dogs, he would expect that this would maybe be about 85% for rabbits.

If I recall correctly, the surgery involves removing the front of the lens as such MJ will be more long sighted after the operation, I do not know the extent to which this will be different to normal rabbit vision. MJ was particularly keen on running very fast and jumping onto things, I am not sure how much he required near vision for this.

I understand from talking with Charlies owner that the surgery he had was performed on both eyes at the same time and that the lens is replaced.

Not proceeding with surgery is not an option, MJ is very withdrawn, inactive and his appetite is very poor since losing his eyesight. Obviously the poor appetite is quite a serious concern with rabbits. However, I am currently not confident with what appears to be my only option. I do not know if getting a referral to yourselves would be possible, or if so if it would even be possible to travel with rabbits that distance (I am based in central Scotland) as they do not travel well. I would be extremely appreciative if you would be able to offer some advise.

Thank you in advance for your time,

Kind regards,
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Re: MJ's eye :(

Post by iiisecondcreep on Fri May 15, 2015 7:50 pm

He replied really quickly:

Dear Gayle,



Thank you for writing with your query on cataract surgery for rabbits.



I remember Charlie very well. I also have the pleasure of knowing Malcom in Scotland.



I have been performing cataract surgery for over a decade and have performed hundreds of cataract surgeries in dogs and cats. It is uncommon to have rabbits with cataracts that present for surgery, this is mainly due to cost. However, as more and more pet-rabbit owners seek better and more specialized care and as more pets are insured or have access to a wallet partially committed to their healthcare, we have seen an increase in referrals for this species.



Cats, dogs and even horses, like humans, have a commercially available intraocular lens implant (we call it an IOL). This is implanted inside of the eye (if surgery in that particular eye permits it) so that the eye can not only see after cataract surgery, but so that it can see in focus (without an IOL an eye that has undergone cataract surgery can see but it is really far sighted).



Cataract surgery in rabbits has been described before in the veterinary literature, but very few surgeries (single digit numbers) have been written about. There were other limitations. One of them is that no IOLs existed for rabbits and, at least historically, the surgery cost has priced out most rabbits, which meant few people would ever approach a veterinary cataract surgeon with a rabbit with cataracts. Lastly, their anesthesia is delicate and not everyone has access to a specialist in anesthesia who can be in charge of the anesthetic event during the surgery. I think this is why Malcom has communicated to you that few cataract surgeries are ever done in rabbits.



There are a small handful of animal IOL manufacturers in the world, and a prominent one is found in Germany (Acrivet). I have a good working relationship with them and I captured their interest to successfully recruit their help in manufacturing an IOL for rabbits. This IOL is not yet commercially available and I have had access to the prototype lens, which I have implanted in several rabbits with good success. I have used all the prototype lenses and I am waiting for a few more to arrive (I am not sure when I will get them but if we did surgery in your rabbit we should be able to plan our timings right). At the RVC we have specialists in anesthesia and they have experience with rabbits, who they like to see and welcome into the service. In addition, the financial director at the hospital here has agreed to have a special rate for cataract surgery in rabbits of 1,200 for one or both eyes (this does not include the initial visit (approximately 90) or subsequent ones (approximately 60) I normally see rabbits once one week to ten days after surgery, then three months later, six months later and then once yearly). The price includes the ultrasound of the eyes done prior to surgery, the implants, anesthetic, hospitalization and specific eye-related medication to go home with for the first few days (all of this is normally 3,500 for both eyes of a dog or a cat).



We can arrange to see a rabbit one day and do the surgery on that very day, then send him/her home on that evening (normally a dog or a cat would come to the hospital one day, have the surgery the day after and leave the day after that two night stay). So we minimize the hospital stay of rabbits but the owners have to agree to do the recovery at home (keeping them under observation, warm and using recovery formula if necessary for the first 24-48 hours, etc).



I hope this initial information helps a little.



Please remember if you wanted to book an appointment for an examination, we would need to hear from your veterinary surgeon, who would need to contact our reception team.



Best wishes,

Going down south really seems to be the best option, the problem is its 400miles / 6hrs away and they don't travel well. OH's parents live just less than an hour away, so that would probably be the beset option for someplace to stay.
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Re: MJ's eye :(

Post by jolovesbunnies on Fri May 15, 2015 8:02 pm

I am sorry it is so far away love, but at least you know what you are going to do now.

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Re: MJ's eye :(

Post by c.bolduan on Fri May 15, 2015 10:06 pm

Well done at least you got clarification and an idea of what is happening. Hoe long would it take you to travel the whole distance?
Would your car be able to take a crate, or a hired vehicle of a bigger size? You seem to have time to sort out the logistics and I'm sure somehow it will happen.

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