What is cherry eye?
The prolapse of the gland of the third eyelid, also known as Cherry eye in dogs, is a common condition in young dogs and puppies, particularly in specific breeds (i.e., Bulldogs, Lhasa Apso, Shih-tzu). Prolapse of the gland can happen in one or both eyes and in very young patients when just one gland has prolapsed, close inspection of the other eye is advisable. Causes of cherry eye in dogs have not been fully established, but a hereditary predisposition is the most likely cause we suspect.
At the early stages of cherry eye, the gland of the third eyelid might “pop out” intermittently and be easily massaged back in position. With chronicity, the problem becomes permanent, and the gland is exposed at all times.
The gland of the third eyelid is responsible for part of your pet’s tear production (approximately 30%) and ensures that the eye will remain well lubricated. Therefore, removal or amputation of the gland is not indicated as this can predispose your pet to future problems, like dry eye and corneal ulcers. Cherry eye is not a contagious problem and cannot be transmitted from one dog in the household to another.
Signs of cherry eye
The appearance of a prolapsed gland is very characteristic and looks like small cherry, hence the name “cherry eye” located at the middle corner of the eye. This small, round gland can occasionally become inflamed due to exposure to the environment and green or yellow discharge can be seen around the eye or eyelids. In most cases it is not painful, but dogs and cats can be irritated and try to scratch or rub the eye.
Diagnosis of cherry eye
Diagnosis of the problem is usually made based on the characteristic appearance of the prolapsed gland, as seen in the picture above. However, your dog or cat should be screened initially by your local vets to ensure a correct diagnosis as other more complex conditions can mimic the appearance of a third eyelid gland prolapse. Once a diagnosis is made, we can process a referral from your vets to discuss the treatment options.
Treatment of cherry eye
Treatment of the cherry eye involves surgical replacement of the gland to the normal position, which is performed under general anaesthesia. The surgery has a very high success rate (>99%). Unfortunately, there is no way to prevent cherry eye from developing or treating cherry eye at home. Surgical repair of the problem is required and indicated for all dogs suffering from cherry eye.
Complications of cherry eye
Despite the very high success rate of the procedure, complications such as re-prolapse of the gland or formation of cysts can occur. Complications also occur when the prolapsed third eyelid gland stays untreated, which lead to chronic inflammation, persistent discharge, ulceration of the gland and possibly dry eye in the future.
After care
Recovery from cherry eye surgery usually takes 7-10 days. The sutures used are dissolvable and won’t require removal, but your pet will have to wear a buster collar during the recovery period to protect the eye from rubbing.
Our mission at Vet Eye Care is providing the best care for your pets. Our ophthalmologists are able to diagnose and treat all ophthalmic conditions promptly, following a referral request from your vets. If you feel your pet will benefit from a consultation with one of our specialists, ask your general vet for a referral. Contact us today and benefit from our competitive prices.