After the consultation, several tests are recommended. Conjunctival cytology is performed using a cytobrush and local anaesthesia. An ultrasound is also recommended, which does not show any intraocular abnormalities, and the retrobulbar area is difficult to evaluate. The cytology is sent to the laboratory and returns inconclusive. As exophthalmos is progressing rapidly, a decision to perform a cranial scan to explore the cause has been made with the owners.
At the end of the consultation, a conservative treatment with antibiotic ointment (Tobrex, tobramycin) and ocular lubricant (Remend cornea, hyaluronic acid) is initiated.