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Surgical Management of Cherry Eye in a Dog
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Intas Polivet (2016) Vol. 17 (II): 420-421 Short Communication
Surgical Management of Cherry Eye in a Dog
A.Thamizharasan1, M.S. Murugan2 and S. Parthiban2
Veterinary Dispensary
Department of Animal Husbandry
Government of Tamil Nadu
Srivilliputhur Division, Chokkanathanputhur
Dist. Virudhunagar – 626121 (Tamil Nadu)
Abstract
An American bull dog had protrusion of pink colored mass from medial canthus of both eyes with inflammatory signs
involving pain and epiphora since last two months. After through clinical examination, the condition was diagnosed as
cherry eye (prolapse of gland of third eyelid) and corrected surgically. The dog recovered successfully within 25 days
without any complications.
Keywords: Cherry eye; dog
Introduction The surgical treatment was adopted as per standard
Protrusion of gland over the free edge of nictitating procedure outlined by Fossum (2002).
membrane is called hypertrophy, hyperplasia or
adenoma and commonly termed as ‘Cherry Eye’
(Gelatt, 1981). Protruded third eyelid is a common
condition encountered in canines. The protrusion or
prolapse of the gland (Cherry eye or Haws) is seen
in puppies or young dogs usually less than one year
of age (Hendrix, 2007). The third eye lid is a modified
conjunctival fold that is present in medial canthus of
most animal species. Movement of third eyelid across
eye occurs in response to globe retraction caused
by action retractor bulbi, innervated by abducens
nerve (Mitchell, 2012). The eye shows persistent
Fig.1 : Bilateral third eye lid prolapse
inflammatory reaction due to lacrymation in most
cases and lead to dryness. Surgical treatment is
only course of action, but tear production is
remarkably affected (Slatter, 2002). The present case
records successful surgical correction of cherry eye
in a dog.
History and Diagnosis
A six month old American Bull dog was presented
with history of protrusion of pink colored mass from
both eyes for last couple of days (Fig.1). On clinical
examination, prolapsed mass was congested with Fig. 2 : Surgical correction in progress (stage -1)
ocular discharge and epiphora. The dog was
showing severe irritation and trying to mutilate. Treatment and Discussion
Based on history and clinical examination, this case The dog was premedicated with Atropine sulphate
was tentatively diagnosed as prolapse of nictitans at 0.04mg/kg b.wt. and followed by Xylazine
gland (Cherry eye) and was planned radical surgery. hydrochloride at 0.5 mg/kg b.wt. intramuscularly and
later anaesthetized using Ketamine hydrochloride
1. Corresponding author. at 5 mg/kg b.wt intravenously. The mass was
E-mail:
[email protected] completely exteriorized by applying traction to third
2. Assistant Professor, VCRI, TANUVAS, Tirunelveli eye lid while maintain traction, a small incision was
420
Thamizharasan et al.
Fig. 3 : Surgical correction in progress (stage- 2) Fig. 4 : Surgical removal of third eye lid
made on palpebral surface surface of conjunctiva, to fix the gland (Moore, 1990). The surgical removal
which encircled gland. Through the incision, the gland of mass was effective in managing the condition.
was exteriorized and row of haemostatic sutures were
placed at its base using catgut no. 2/0. The gland was Refernces
excised just above suture line (Fig. 2-4). The Gelatt, K.N. (1981). The canine nictitating membrane and
conjunctiva. Veterniary Opthalmology. 1st Ed. Philadelphia:
conjunctival incision was sutured over nictitating
Lippincott Williams & Wikins. p. 330-31.
membrane using silk no. 2. Post-operatively, the owner
was advised to instill combination of Gentamicin eye Moore, C.P. (1990). Current Techniques in Small Animal
drops thrice daily for a week. Surgery. (Ed. Bojrab, M.J.) 3rd Edn. Lea and Febinger,
Philadelphia. p. 126-28.
The animal made uneventful recovery within 20 days
Fossum, T.W. (2002). Manual of Small Animal Surgery, 2nd
and cosmetic appearance was restored. Treatment
Edn. Mosby. St. Louis and Missouri, p. 223 - 24.
depends on cause of third eyelid protrusion. Extra
growth of third eyelid poses continuous irritations to Slatter, D. (2002). Textbook of Small Animal Surgery, 3rd
cornea. Inflammation and swellings were generally ed. Elsevier Health Service p. 1362-64.
believed to be the cause of protrusion of third eye lid Hendrix, DVH. (2007). Canine Conjunctiva and nictitating
gland, but may be secondary. The primary cause Membrane. Veterniary Opthalmology. 4th Ed. Philadelphia:
was probably a congenital lack of connective tissue Lippincott Williams & Wikins. p. 662-89.
42nd World Small Animal Veterinary Association Congress (WSAVA’ 2017)
25-28th September’ 2017
Copenhahen, Denmark
For details, log on to: www2.kenes.com/wsava_2017_lp/
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