Hi Matt. Welcome to PlanetCatfish! Please do not get us wrong. Everyone is trying to help you.
If it does not behave sick - for instance, it is active and has a good appetite, does not flash, etc., then perhaps euthanasia suggestion may be premature. The fish does look real rough, Matt. If you blame the cave for some of this, remove it.
This is an African big-eyed catfish but the eyes should not be so popped. There is a pressure behind the eyes that makes them pop - either inflamed/enlarged tissue or gases. I am no fish vet though. Maybe, age and certain prolonged health problems may cause it too irreparably. Dont know. Cloudiness of eyes may be caused by water parameters - likely the easiest to correct, unless, again age/health-related.
The fish does not look starved/emaciated but it certainly does not look well-fed. If it feeds a lot but never gains weight, it may point to internal parasites, e.g., tape worms. This may also be manifested in sudden jerky movements of the mouth/gills or the whole body; regurgitations, etc. The head appears (unless the camera distorted it) too big for the body proportions - it needs a fuller body and a tail. I doubt it is genetic mutation. This fish looks like it struggled to put on weight.
I think after a certain point, when finrot has eaten away too much for too long, the fins do not grow back anymore. So, at this point you may or may not worry so much about the fins, except the adipose that looks white at the top - active wound?
When too much of a fin has been bitten off, it will not grow back or grow back fully either.
How long ago was the power outage that it survived? Did it look better before that?
mattCD wrote:I had heard that large fish kept in small tanks after many years remain small but some body parts continue to grow causing for problems later.
I have little knowledge about this. Somehow some people in the trade stunt some fish that do grow big and this is how, e.g., short-body paroon sharks are produced (one of the Pangasidae catfish). An abomination IMHO.
mattCD wrote:Earthworms, feeder fish, sinking pellets for food.
I do not like the feeder fish in this list. That's one excellent source of introducing a constant supply of bacterial infection and parasites into one's tank, especially if we are talking goldfish. You may choose to treat with a combo of metronidazole and praziquantel to purge/kill internal parasites. Soaking the food in these is the best. If he does not take it, you will have to put the meds in the water. Or add freshly squeezed mash of garlic - a strong appetizer.
Bristlenose 94 wrote:but you cant really say the "fins dont match" because the fish is so deformed/unhealthy.
I think Matt simply didn't realize that the finnage was not normal. Matt, Bristlenose94 has had several aluminum cats. I did and still do too but mine are in the pond - cannot take pics atm. One of mine was a rescue looking only slightly better than yours. His name, immediately, became an Ugly Duckling. I see glimpses of him sometimes in my pond - he's been there for 1/2 a year. So, he is alive. But I do not know if he is better or healthy, really.