This is a systemic viral infection that begins in the first week of life. This manifests with fever, subnormal temperature, cyanosis, hepatosplenomegaly, kidney and adrenal involvement besides the herpetic skin lesions .
Generally for both eyes, the initial exam and scheduled follow-up fitting appointments for Ortho-k ranges from $900 to over $2,000 depending upon the cost components previously mentioned. Many eye care practitioners offer optional payment plans such as CareCredit.
The TPLO procedure usually takes less than one hour. (Some vets have been known to do 6 or more a day.) Surgeons commonly charge well over $2500 and sometimes over $5000. It is not at all unusual for an ortho-surgeon vet to do over 1000 TPLOs / TTAs in a few years as part of his practice.