eye infection not eating...on several antibiotics

EricEllis

New Member
Chameleon Info:
Species: Panther Chameleon, Male, ~1 year. We have had him since Xmas last year
Handling: My daughter will handle him about 1 time a day maybe 2. No going outside now as winter
Feeding: Used to feed primarily crickets but about 3 months ago stopped eating them. Would eat green worms and superstorms but now has stopped eating them as well. Now eating nothing except when we force feed him.
Supplements: Repticalcium without D3 2 times a week and will give the Miner-all with D3 twice monthly. He was also on Herptivite Mutlivitamins 1 time a week but I have changed to Reptivite as the Herptivite did not have Vit A.
Watering: Mistking with distilled water every 2-3 hours for 30 seconds to try to keep catch humidity up higher. Added a dripper with distilled water to give him water to drink. Not seen much drinking if at all last week. Vet game him SQ fluids last week and I did same today
Fecal: Not pooping much lately but which I have seen before it has been gelatinous and white on outside with dark firmer stool in middle.

Cage Info:
Cage Type: Screen cage 24x24x48. 2 days ago I put a shower curtain around 3 sides to help increase humidity and decrease drafts. It also was raised off the ground several days ago onto a table.
Lighting: UVB light is from a reptisun 5.0 bulb. Basking light is a Zoomed Daylight Blue 150w but it keeps burning out so I now have a 100w and a 60w (will change to 100w tomorrow) to create wide warm basking area. Basking spot is 39 inches from bottom of cage. Several branches in area for different level basking spots. I also have 2 other lights that are phillips bulbs that put out almost no heat but do give 6500k colors so the plants get appropriate light. Nightime I use a Zoomed Nightime 60w bulb. Temp at basking spot is 90F. Center of cage is 71-76F depending on misting. Measured temp in center of cage is by digital therm. At top by simple zoomed temp gauge. He gets light about 12 hours a day but often by 5 pm he is already in middle of cage ready for sleep.
Humidity: This area has been difficult. Most of the time humidity has been to low in the high 30s to 40s unless pretty soon after misting. This is why I added the shower curtain and increased the misting schedule. Measured in back middle of cage digitally. Humidity varies greatly between misting's and something I am trying to monitor more closely.
Plants: I have 2 pathos plants, 2 ficus plants, an Areca Palm and one other plant that I can't remember the name of but I did check at the time that is was chameleon safe.
Placement: Cage is in a room off our main living room so it does get noise and traffic from our main living space. But not to much. Cage is about 30inches off the ground. We do have a ceiling fan we run frequently in main room which might create a small draft towards him?
Location: We are located in Chico, California. Very hot summers and fairly cold winters.


Situation. He used to be a great eater when young. Then seemed to decrease and become picky and for a while would not eat at all. Then started to eat only superworms and Horned Green Worms. Currently he has not eaten except when force fed for the last 2+ weeks. Also about same time he started having discharge from eyes especially his left eye. Took him to the vet and started on oflaxacin eye drops and Ceftazidime injections and given fluids and blood test which did not show much (but cost $660!) still not eating and eye not better so changed to Tobramycin eye drops and added Baytril injections. I also gave him SQ fluids today of 2 cc's D51/2NS and 1cc LR. Additionally at least once a day I will flush the eyes gently with lukewarm distilled water and often will get some mucus out of the eyes. Lately he has not even been making the trip up to bask and we have to move him there which is very troubling.

Still not seeming to make the turn to get better which is concerning. Myself and family are out of country starting Tuesday for 8 days and Vet will board him but looking for advice. Worry that we will just keep floundering as we are and not making headway.

One question is that could the phillips 6500k bulb be hurting his eyes? I use that to help plants stay healthy but am just wondering if could be causing issue?

Here are some pics of Leo's eyes. Of note he did start to shed today which i think is encouraging?
 

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I don't know what to say, but don't use the night bulb, if it gets too cold, use a ceramic heat emitter. You use a 160 watt bulb? What are the temps?
 
His eyes look like animals I have diagnosed as being deficient in Vitamin A. Sometimes the condition can improve, but if the pupils have become misshapen, then they are likely to recover very much.

The other issues you are having are likely related. He can’t see well enough and is so stressed from all of the handling to give meds, fluids, and feeding, that he isn’t eating.

6,500k is fine, though 5000k is a bit gentler, in my experience. The blue daylight bulb should not be blue, but daylight spectrum and that wattage seems high for a basking bulb. Most of are using 75 watt or lower baskers. As mentioned, heating at night or any lighting at night is not advised.

At this point, I’d ask the vet how comfortable they are researching therapeutic Vitamin A injections/oral supplants and I’d taper off the antibiotics, although and oral antibiotic that also contains and anti inflammatory or adding some anti inflammatory meds might help the eyes and prevent infection as they are compromised by the accumulation of mucus.

I’d increase your misting to fewer times a day and make the duration longer. 30 secs is not enough time for him to clean his eyes and he needs long, through showers to do that. Maybe try some showers in the actual shower 3x a week for 15-45 mins. I’d give him 2x per day 15 min mistings for the future and, if he recovers, you can reduce that to one or give him 1x 30min session at least 3 times a week to promote good hydration and eye cleaning.

Admittedly, prognosis is often poor, once the eyes reach this stage and I only base my theory of it being related to insufficient preformed Vitamin A, because the animals that experienced it were being supplemented, as was often advised, without preformed A and the vets had no answers. I did not have the opportunity to try vet administered Vitamin A therapy, then, but the problem ceased, some animals improved, and I never saw the problem again, once preformed A was instituted as part of the supplementation schedule.

Good luck and I’m sorry you are going through this. It is tough to not know what to do, what is wrong, and why, when you are doing what everyone has told you is correct. Sometimes, the “experts” are wrong and in the case of Vitamin A supplementation, the fear over overdosing was exaggerated and people are even told not to use it at all and I challenge that there isn’t a keeper with healthy animals that isn’t getting preformed Vitamin A into their animals. They might not realize they are, if it’s not part of their powdered supplements, but if chameleons don’t get it, this is what happens.
 
Tobramycin Is an excellent eye drop. If he were mine I would stop the antibiotics and continue to wash out the eye and use the eye drops.

How experienced is your vet with chameleons?

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Thanks for help everyone. I read quite a bit of the info on eye's and chameleons before I made some changes to the regimen. One of the things I did was add Reptivite that contains Vit A. It says it has 99,910IU per LB. I am hoping that helps some but he is only getting it when I dust food that I then force him to eat. At least it is something.

As for mistings(i use monsoon400 I posted wrongly above that it was mistking)...it is hard as I am trying to do it more often to keep up the humidity. Right now I have two nozzles spraying and often he just leaves the spray as he does not like it...so increasing the time might not do much as he will just avoid it. I have considered adding more nozzles to cover a larger part of the cage. When you say take him into the shower do you mean just to get steam or actually into the water?

I will stop nighttime bulb...but only recently started to use it again as was worried it was to cold at night so doubt it is the issue. Daytime basking temps are around 85F but I will have to recheck that as I moved the bulbs some.

Vet was person recommended in my area. Only person in area recommended actually. And source of recommendation was very reputable as his career is in raising reptiles. It is not a big populous area so not many people have chameleons. I think he knows more then average but not in details as I would like about vitamins etc.

Last thing...in pictures pupil is still round. What makes it look not round is the mucus that he has in his eyes. If you zoom in you can see what I am talking about.
 
His pupil might be round, but if it is enlarged and doesn’t shrink, when exposed to light, that can indicate a problem. He needs warm, long durations of being under a gentle stream of water. Perhaps, using an aquarium heater to warm the misting water or taking him into a human shower would be helpful.
 
My cham is going through this right now. Antibiotics had no affect. Got Vitamin A injection and switched to a multi-vit that has Vit A in it. Haven't seen any improvement yet (idk if I should get him another injection), so have sought out help for more suggestions. @Venutus1 from Light Your Reptiles said to get rid of my mercury bulb because it could be leaking UVC. I ordered http://www.lightyourreptiles.com/100-watt-repti-daylight-neodymium-basking-bulb/
http://www.lightyourreptiles.com/dome-light-heat-control-dimmer/
as he instructed and am waiting for them to get here. I'm hoping this helps! idk what else to do either.
 
Sorry for lack of replies but my family and I are in Costa Rica. The vet I took him to offered to board him which was great as otherwise I don't know what I would have done. I just got an email from them saying he looks better and eyes are doing better but still not eating on his own. I wonder if he just needs less stress and some time away from all the handling. Maybe that plus some time from being force fed so he is really hungry?

Btw I live in Chico California Jannb...sorry I did not mention that sooner. The Vet clinic is Whispering Pines in Magalia that he is at.
 
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