Posted on 09-21-2014
Dr. Josh's Progress Report
Many of you have been asking how Dr. Josh has been doing since our emergency trip to Chicago. We are humbled by the outpouring of support you, our clients and friends, have shown us during this very difficult time.
We wanted to give everyone a brief update and synopsis of what has transpired. In Chicago, his third corneal specialist who performed Dr. Josh's emergency corneal transplant, cultured a bacteria from Josh's eye call Capnocytophaga canimorsus. This is a commensal bacteria found in normal gingival flora of canine and feline species. They believe this was introduced into Josh's eye during a routine physical examination in January when Josh lifted a dog's lip and a piece of tartar on a fractured tooth became dislodged and hit him in his eye. So, it turns out it was not an acanthomamoeba infection all along!!
They were successful in clearing the infection from his eye; however, unfortunately he developed acute emergent glaucoma a few weeks after coming home secondary to the perceeding months of infection and inflammation in his eye. The glaucoma required emergency medical treatment which failed. Dr. Josh had to go back into emergency surgery for lens removal and a partial iridotomy to control the glaucoma. It has been nearly 3 weeks since this second surgery and so far so good!
They expect Josh to continue to recover uneventfully and report his corneal graft is holding up marvelously. He is still unable to perform surgery himself; however, he will be fitted with a special contact lens soon in the hope of returning his vision back to 20 / 15.
Dr. Josh and I continue to be overwhelmed by your outpouring of support and concern. We truly have an amazing group of clients and friends at Pine Creek Veterinary Hospital.
-- Dr. Cristy
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