by: Laura Barnes DVM, DACVO

ophthalmologyLucy presented to CTVSEH ophthalmology department for the first time on 3/12/20 for an evaluation of a recurring prolapsed gland of the third eyelid affecting her right eye. Lucy has a history of past surgical procedures to correct cherry eyes, but her right eye has prolapsed for a second time. She was not on any topical or oral medications at the time of her initial visit and was not known to be rubbing, pawing or squinting.  She was comfortable despite the prolapse of the gland on her initial visit with us.

Lucy presented on 4/13/2020 for the surgical repair of her right-side cherry eye. The prolapsed gland of the third eyelid is common amongst the bulldog breed and may be associated with cartilaginous laxity within the orbital cavity, exacerbated by antigen stimulation and swelling of the gland. This will cause dry eye over time if not surgically replaced into a normal position.   In Lucy’s case, the prolapsed gland was causing frictional irritation to her cornea, but there was no obvious corneal ulcer present. 

The Morgan pocket procedure was used to replace Lucy’s gland back into a normal position within the orbital cavity.  Retraction and stabilization of the eyelids was maintained using the Barraquer eyelid speculum. The third eyelid was exteriorized using two curved mosquito forceps. Two curvilinear conjunctival incisions were made with a number 6400 beaver blade on the bulbar surface of the third eyelid. One proximal and one distal to the prolapsed gland. Both incisions were approximately 3-4 mm from the 3rd eyelid gland and extended a short distance medial and lateral to the gland. The suture was anchored in the subconjunctival tissue on the anterior surface of the third eyelid, and then passed through the third eyelid to the bulbar surface at the level of the incision. The two incisions were closed with a simple continuous pattern to form a pocket over the 3rd eyelid gland. The suture was then passed back to the anterior surface of the 3rd eyelid and again anchored in the subconjunctiva of the palpebral aspect of the third eyelid.  An extra suture was placed through the gland as well as through the third eyelid cartilage to keep the gland in pace. 

Upon verbal communicatoin, Lucy is doing great! She is experiencing no issues since her surgical procedure.

 

Presentation     Post Surgery      4 Week Post Surgery  
Cherry Eye     Cherry Eye     ophthalmology