Sorry about the bad pics... micro bubbles and constantly moving pectoral fins made things difficult.
Tank is cycled
30-50% water changes every 3-4 days
1 healthy balloon blue ram
1 male pearl gourami with white spot under lip and white spot on pectoral fin
1 female pearl gourami with hazy eyes and greyish spots on pectoral fin
Here's the story... sorry for the length of post.
A month ago I got a pair of 4 plus inch pearl gouramis from the same source. They were extremely shy and it took me a couple days to notice that the female had cloudy eyes. Both eyes are equally hazy and haven't gotten noticeably worse or better. Upon closer inspection she also had a couple of small spots on her pectoral fins which I initially thought were ich... no spots on body. The male also had a strange spot under his lower lip that I thought may have been an injury from freaking out in the new tank it was definitely larger than ich and looked kind of indented which is why I suspected he had hurt himself. It took them about a week and a half to start eating and they spawned and ate their eggs once before they started taking any food from me. They now accept flakes and brine shrimp.
I decided to treat the tank for ich as that is what I thought was going on with the females pectoral fin and I had witnessed the male flash once or twice on a thermometer and a plant. I slowly increased temperature to 85-86 which was the maximum for my heater. I also added pure pickling salt with water changes to treated tap water to slowly increase salinity to just over 1 tsp per gallon. I also did water changes every 3-4 days with gravel vacs. I kept the heat up for 14 days and saw no improvement. The spots on the females fins didnt move, if it had been ich they should have fallen off. Her eyes stayed the same. The male got a spot or two on his pectoral fins as well, the spot on his lip became rather white and is now a distinctly raised bump but does not appear to be fuzzy. I was becoming increasingly suspicious that this was in fact not ich. I lost power for several hours and the temp dropped so I resolved to cease ich treatment and make them as comfortable as possible to reduce stress and hope for improvement. I've now done 2 50% water changes to remove a good deal of the salt.
Their issues don't appear to be improving but also don't appear to be getting drastically worse or progressing quickly. I'm really not sure what to do about it. Perhaps the heat treatment made it worse if it was a mild fungal or bacterial infection? I don't want to medicate unless I can get a solid diagnosis, I also don't want to ignore it if it is a risk. Is it fungal, bacterial, secondary symptoms of internal parasites or flukes? I really had expected the cloudy eyes to clear up by now at least as they've been in my nice clean tank for a month. I'd really appreciate any advice on this one. I'm stumped!