TL;DR: A prospective clinical trial utilizing a nonabsorbable suture to anchor the prolapsed gland to the cartilage of the third eyelid results in acceptable cosmetic effects with the return of the gland to its normal position posterior to the nictitating membrane.
Abstract: Objective To evaluate a new procedure for fixation of prolapsed nictitans glands to the cartilage of the nictitans that will not interfere with the mobility of the nictitating membrane.
Methods A prospective clinical trial utilizing a nonabsorbable suture to anchor the prolapsed gland to the cartilage of the third eyelid was undertaken. Fifteen eyes of 10 dogs were included in the study. A 4-0 nylon suture was passed from the anterior surface of the third eyelid through the base of the cartilage to the posterior aspect and then tunneled circumferentially beneath the conjunctiva over and around the prolapsed gland. The suture was then passed through the cartilage again to the anterior face of the third eyelid. The gland was replaced into its normal position as the suture was slowly tightened and then tied on the anterior aspect of the nictitans.
Results Over a period of several weeks, the glands reduced in size and took on a normal appearance. All glands but one remained in place for the length of follow-up, which ranged from 2 weeks to 33 months.
Conclusions This procedure results in acceptable cosmetic effects with the return of the gland to its normal position posterior to the nictitating membrane. The advantage of this technique over traditional tacking to the orbital rim is that the third eyelid retains its normal mobility and, thus, its protective functions. The procedure once mastered is very quick and can be performed in less time than many of the traditional replacement techniques.
TL;DR: One of the dogs treated by excision developed keratoconjunctivitis sicca, whereas the third eye lid got fixed with restricted movement in a dog treated by anchoring technique.
Abstract: The study was conducted on sixteen (16) eyes of ten (10) dogs suffering from protrusion of gland of third eyelid (Cherry eye). The condition was managed either by excision of gland or by its replacement by conjunctival pocket technique or by anchoring to the orbital periosteum. One of the dogs treated by excision developed keratoconjunctivitis sicca, whereas the third eye lid got fixed with restricted movement in a dog treated by anchoring technique.
TL;DR: Twenty two pups refered at Nandini Veterinary Hospital, Surat with complaint of red follicular mass protruding from inner canthus of eye were diagnosed for prolapse of gland of third eyelid (cherry eye) and were surgically operated for repositioning of the gland by modified Morgan's pocket/imbrication technique.
Abstract: Twenty two pups (Neopolitan Mastiff, 18; Lhasa Apso, 2 and Cocker Spaniel 2) aged from 2 to 4 months were refered at Nandini Veterinary Hospital, Surat with complaint of red follicular mass protruding from inner canthus of eye were diagnosed for prolapse of gland of third eyelid (cherry eye) and were surgically operated for repositioning of the gland by modified Morgan's pocket/imbrication technique. In 90.90% (20/22) pups showed normal recovery within 8 to 10 days. In 2 cases (9.1%) prolapse of the gland recurred on 6th/7th day repositioning and therefore gland was removed. No other complication was observed and recovery was uneventful.
TL;DR: Prolapse of the third eyelid gland was more incident in females, and Lhasa Apso and mongrel dogs were the most affected breeds, and Morgan pocket technique was effective in the resolution of the complaint and demands more intensive care in post-surgery of large and giant breeds.
Abstract: In this study, 67 cases of dogs with prolapse of the third eyelid gland (cherry eye) between 2005 and 2010 were evaluated. The incidence of the disease by gender, age and breed was checked, and also if involvement was uni or bilateral and the effectiveness of the Morgan pocket technique of repositioning the gland. Prolapse of the third eyelid was more incident in females (62.6%), and Lhasa Apso and mongrel dogs were the most affected breeds. The age of the animals ranged between two months and 13 years (average of three years), and cases were more frequent in animals younger than 24 months. The disease manifested itself in the right eye of 30 (44.8%) dogs, in the left eye of 18 (26.8%) dogs, and in 19 animals (28.4%) the condition was bilateral. Morgan pocket technique was effective in the resolution of the complaint and demands more intensive care in post-surgery of large and giant breeds.