Cherry Eye in 2 Dogs in
2002 and 2010
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
Case 1 written: 20 Sep 2002
Case 2 written:
01 Sep 2010
Updated: 13 Jun 2013 |
 toapayohvets.com
Be Kind To Pets
Veterinary Education
Project 2010-0129 |
 Case
1:
Cherry Eye in a Cocker Spaniel puppy in 2002 |
Case 2: Cherry Eye
in a English Bulldog in 2010
 8 years
had passed since I documented the cherry eye in the Cocker
Spaniel case above. In 2010, there are over 200 pet shops and
more than 10 approved puppy breeders in Singapore.
I got a referral of a cherry eye recently. The man said: "The seller
told me to wait till the other eye develops a cherry eye
before going to the vet for the surgery." I operated on this
puppy and excised the gland. There was no complaint from him
since 3 months ago. He did not want any recurrence or popping
out of the cherry eye if I did the "tucked in surgery"
which costs much more and which is not guaranteed.
Many Singapore pet owners are cost-conscious and therefore
do not follow up or wish to pay for repeat surgery which
may occur in the "tucked in surgery".
Some get very upset at having to repeat the surgery.
Therefore, the vet has to be understanding and practical.
Any surgery over $200 seem to meet a resistance level from
pet owners in Singapore. In such cases, the vet has to
snip off the cherry eye although it is said that the dog
may develop dry eye if the cherry eye has been cut off.
Using the cheaper method of excision, the veterinary treatment of the
excision of the cherry eye in the dog is
discussed below:
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CHERRY EYE
EXCISION SURGERY IN THIS BRITISH BULLDOG PUPPY
1. Gas mask isoflurane - no problem
2. Local anaesthestic subconjuctiva below the cherry
eye
3. Clamp for a few seconds
4. Remove clamp unless there is space below the
clamp to perform step 5.
5. Ligate central vertical area where blood supply
to the cherry eye is located
6. Excise gland with scalpel
7. No bleeding post-operation using this procedure
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ALTERNATIVE
TO ABOVE-MENTIONED SURGICAL EXCISION APPROACH
As above, but no ligation. Profuse bleeding
post-operation is temporary. I find that this
approach is satisfactory. Excise as little of
the cherry eye as possible as it is said to produce
30-40% of the tears.
NO EXCISION APPROACH - CHERRY EYE TUCKED IN
METHOD
The re-positioning of the cherry eye and suturing it
is usually advised but this approach is costly and
does not guarantee that the cherry eye will not
prolapse. Extra veterinary costs for additional
surgery is not be acceptable by many Singapore pet owner.
The vet cannot guarantee a successful
treatment outcome in this approach and so the owner
is reluctant to pay more for this surgery. The
culture for most Singaporean pet owners and
travellers is to go for the cheapest although there
are more sophisticated ones in 2013 wanting to know
more about the quality than quantity of service.
Jun 13, 2013. Cherry eye tucked
in surgery videos from You tube
1. Cherry eye tucked in surgery video
seen on You Tube
Electro-excision, continuous sutures,
local anaesthestic, two sutures knots away
from the cornea. 7 days later to remove knots.
http://www.youtube.com/watch?v=Xsaq8ks2Jg4
Well filmed video. The suture used is likely
to be 2/0.
2.
http://www.youtube.com/watch?v=SvXybSHaZ9w
A video by Neartown Animal Clinic - a vet used
absorbable 5/0 and use scissors instead of
electro-excision to cut and undermine the
conjunctival surface away from the cherry eye.
She cuts out the conjunctiva covering the
cherry eye. Then she used a continuous suture
to close the wound after tucking in the cherry
eye. This piece of conjunctiva cut off is
shown in the video. Her procedure is described
in 4th edition of the Small Animal textbook
edited by T W Fossum. She used a corneal
shield availabe from Ellman, Item H781.
Sutures are placed away from the cornea on the
outside skin of the eye area.
3.
http://www.youtube.com/watch?v=EAu2QpxpdBA
Cherry eye surgery at Shinki Vet Hospital
4.
http://www.youtube.com/watch?v=uBmCpekwpcc
Suture anchoring tack method.
Sharing of knowledge from the video producers
benefit many pet owners and vet surgeons as
each party provides new ideas and tools about
veterinary surgery. |
Updates will be on this webpage. URL is:
http://www.sinpets.com/dogs/cherryeye.htm
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