The vet has had a look at evil cat. On the kidney problem side, she is doing amazingly well on special food alone, near miraculous apparently, almost back to fully functional. This is a huge relief.
As to the eyes, well, despite her mammoth begging sessions she is not a big cat, the vet described her as slender and she is only a little, slim thing. It is hard to remember when she has the personality of Attila the Hun. Well, the pads of fat behind her eyes are depleted and she is getting dehydrated, so we have to change the way we feed her a little, giving her plenty of options to eat away from little bear. We have to make water available to her in more rooms in the house. We have to give her an occasional meal of white fish (which I thought was virtually fatless!) because it has more fat than the medicated food and that should help replenish the fat (also the infrequent theft of eg pieces of chicken from little bear's plate).
Because of the lack of fat behind the eyes and because of the dehydration her eyes have sunken and the bottom lid is turning inward, due to this, and is irritating her eyes, hence the gunk.
If diet does not work then one option is a face lift, to pull the skin and thus the lower lids away from the eyes and reduce the irritation. So there you are. Cats can have face lifts.
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