Background
The condition known as "cherry eye" is evidenced by the protrusion
of the lachrymal gland. This gland is associated with the third eyelid membrane
in the corner of the eye. The gland, which normally resides under the lower
eyelid at the inside corner of the eye will sometimes "pop" out.
This looks worse than it is and does not require emergency treatment.
Cherry eye looks much more horrifying
and painful than it really is.
Aside from its somewhat ghastly appearance, the prolapsed tear gland can actually rub against the surface of the eye (cornea), and cause irritation, and sometimes ulceration of the cornea. Excessive drainage from the affected eye is sometimes seen. Affected eyes in which the gland is not rubbing the cornea do not require medical or surgical attention. The owner in such cases may request correction of the condition solely based upon appearance.
Treatment Options
There are several methods of dealing with cherry eye problems. Treatment is considered when irritation of the cornea is experienced.
Eye Drops
Topically applied ointments and eye drops may sufficiently control
the irritation. If irritation occurs, and topical medication is required
on a continual basis, surgery may be considered.
Tacking the Gland
The current recommended treatment involves surgically returning
the gland to its proper position. The gland is sutured, stitched or "tacked"
back into place. The stitch then acts as the ligament to reattach the gland
into position. This surgery is usually considered the only acceptable treatment
of cherry eye, because the gland remains intact where it can resume
tear production.
Typically dogs do well after this surgery, but in 5 to 20 percent of these
cases the gland may become prolapsed again. In addition, is is not uncommon
for cherry eye to occur in the opposite eye as well.
Removal of the Gland
In the past cherry eye was treated with surgical excision of the lachrymal
gland. Since this gland is responsible for the tear production in the eyeball,
removal often results in diminished tear production. This can lead to dry
eye. Most feel this procedure should no longer be considered an
option.
Allowing the gland to remain popped out, with or without the need for medication for most would be preferred over complete removal of this tear gland. If the gland is removed and the Bulldog develops dry eye, long term medication is then required to keep the eyeball moist.
Note: This document is provided for information purposes only. Lord Goliath's Bulldog Domain does not guarantee the veracity of this information. Under no circumstances should this information replace the advice of your verterinarian.
