Surgery For Chronic Prolapsed Third Eyelid Glands (Cherry Eye): Eyelids Can Now Be Fully Closed*

Midge is a 5 year old spayed female Yorkshire Terrier mix that has had prolapsed glands of the third eyelid for 3 years. The prolapsed gland appears as red masses (also know as Cherry Eye) that protrude from behind the third eyelid( Midge in pre:surgery photo).This gland is vital for aqueous tears. Surgical replacement of the prolapsed glands of the third eyelid was reviewed with the owners in detail before proceeding with surgery.  The advantage of the Modified Morgan Pocket technique is that it allows the third eyelid to move normally after surgery. There are a number of key fundamental steps to ensure optimum success with this procedure including attention to detail suturing and innovative thinking. It is important to note that Surgical Treatment For Dogs with Nictitans Gland Prolapse of several months’ duration has a less favourable prognosis for success.  We fully discussed  the benefits of surgery with the owners and the possibility of unsuccessful results.  We always approach these cases with favourable outlook and with goal of excellent results. Surgery was performed  in our surgical suite at our  Mississauga Hospital  (Southdown Animal  Clinic) on  October 07, 2016.This technique uses the scar tissue of the subconjunctival to hold the gland in place. Things that must be considered for a successful outcome: 1) Schirmer tear test-that measures that for adequate tear production is still good ( greater than 16 mm/minute ). 2) Use of topical steroids for y1 to 3 months to reduce inflammation and swelling of the nictitans gland before surgery. 3) Ther sooner surgery is done after obvious prolapse of the glands the higher the success rate. We are always reluctant to unequivocally state that something is beyond hope no matter how chronic. There are a tremendous number of variables that enter into the picture. 4) Attention to detail in surgery. 5) The bodies ability to heal. 6) With the Pocket Technique once the gland stays down for 30 days then it most likely will stay down permanently 7) The breed of dog maybe a factor; for example,  the British Bulldog may have a higher failure rate. The owners comments on the last follow up at 6 weeks post surgery: “It is the first  time in many months that Midge has been able to sleep with her eyes closed!” Midge has done amazing well with perfect vision up to the time of this update September 2017.