Tuesday, December 4, 2012

i heard a cherry eye on a dog cant get fixed?

Q. well it can get surgery but itll eventually come back.The vet told us.Is it really true because we want to get our dog fixed but i dont want to do it if thats true.

A. PROLAPSED GLAND OF THE THIRD EYELID (Cherry Eye):

When the tear gland of the third eyelid pops out of position, it protrudes from behind the eyelid as a reddish mass. This prolapsed tear gland condition is commonly referred to as "cherry eye". The problem is seen primarily in young dogs, including the Cocker Spaniel, Lhasa Apso, Shih-Tzu, Poodle, Beagle, and Bulldog. It's also seen sometimes in certain cat breeds including the Burmese.

Despite its appearance, cherry eye itself is not a painful condition. However, the longer the tear gland is exposed, the more likely it will come irritated and inflamed. If the patient rubs at the eye, it could cause the gland to bleed or become infected. Furthermore, the function of the tear gland could become compromised if the gland is exposed for long periods of time.

To correct cherry eye, surgical REPLACEMENT of the gland is necessary. This treatment is superior to a somewhat older technique of surgically REMOVING the gland. The gland of the third eyelid plays an important role in maintaining normal tear production. We now know that dogs who have had the tear gland removed are predisposed to developing Dry Eye Syndrome later in life. Dry Eye Syndrome is uncomfortable for the patient, and requires the owner to administer topical medications several times a day for the remainder of the patient's life. To avoid this condition, it is preferable to tuck the tear gland back inside the third eyelid, where it can continue to function normally.

The procedures used to correct cherry eye by ophthalmologists vary depending on surgeon preference but a common procedure is called a "pocket technique". Although the gland cannot be put back into its original position in the third eyelid, a new pocket is made near the original position. The tear gland is tucked inside the pocket and the pocket is sutured closed.

So, to answer your question, find a vet who will do the procedure outlined in this answer. The percentage of return is around 5% using this method. Good luck to your dog.


Can my cat still pee after being neutered?
Q. He hasnt been neutered just yet, maybe 2 days from now. He is abour 4 months old. So, can he still pee/poo after the surgery?
Any other information I should know about caring for neutered cat? He is my very first cat.


Thank you.

A. Yes, of course a male cat can urinate and defecate after being neutered.

When a male cat is neutered, his testicles, in his scrotum, are removed. Nothing is done to any part of his urinary system or his gastrointestinal system so there no problem with him urinating or defecating after being neutered.

If he was unable to urinate or defecate, he would die from the build up of urine and feces in his system but, as I said, neuter surgery does not do anything except remove his testicles - where sperm and testosterone is produced.

Removing them makes him unable to get a female cat pregnant and removes his urge to mate. It also will prevent him from spraying urine around the house to mark territory and to leave "I was here!" messages for other male cats, as a sexually mature, unneutered male cat will do.

Here is a page which describes and has photos of the neuter surgery http://lbah.com/feline/felneuter.htm

Here is a page that tells you, with photos, about the spay surgery for a female cat http://www.lbah.com/feline/cat_spay.html

When you get your male cat back from the vet, after he has been neutered (the cat, not the vet :-) he may be a bit groggy. It all depends upon how long it has been since his surgery.

The new anesthetics used now produce much less "hang-over" than did the anesthetics used only a few years ago and it is likely your cat will not be very groggy or may not be groggy at all.

The vet may tell you to limit his activity after the surgery. We have never limited the activity of any of our male cats after they were neutered and have not had any problems.

You may find that the surgery didn't even put any sutures on the incision. As our vet says, the incision is in an area which receives very little strain and when the scrotum begins to shrink, as the fluids are absorbed, the incision will "snap" together.

If the vet wants to send the cat home in an Elizabethan collar - a collar reminiscent of the huge collars in fashion during the Elizabethan period http://en.wikipedia.org/wiki/Elizabethan_collar - don't take it.

Those collars are designed to prevent a cat (or a dog) from licking or otherwise getting at a surgical site so that they can't tear open the incision by accident.

We have never used an Elizabethan collar on any cat, male or female, after any surgery and we have not had any problems with them tearing open the incision. They may lick at it a bit, that is their way of cleaning it, but they didn't tear at it.

Besides having cats neutered or spayed, we have had a cat who had to have an eye removed, one which had to have ear surgery, and one who had several sutures placed on his rear leg after being mauled by a dog. In all of these cases, we didn't need to put an Elizabethan collar on any of them. They either only licked the area or didn't do anything at all to it - the cat who had the eye removed might have scratched at the surgical area but he left it alone and didn't need a collar.

Males are less likely to lick the incision area than females, because the incision is smaller and in an area which is not as sensitive as the female's incision in the abdomen.

Some vets think that all cats, male or female, will tear at the incision or the sutures - that's just not true.

A cat in an Elizabethan collar is miserable - everything is harder. Eating, drinking, sleeping, using the litter box, and even walking is difficult while wearing such a collar and 99.99% of the time the collar is not needed. So if the vet wants to send your cat home in one, say "Thank you but we don't think we will need it. Should we need one, we can come back and get from you."

Picture yourself in such a collar and you'll understand why a cat wearing one is miserable.

When you cat gets home from being neutered, just watch him for an hour or two and check the incision to make sure it is closed - you may find it difficult to find the incision, it will be very small.

Relax, your cat should have no problems after he is neutered.


Strabismus Surgery - How long post op does it take for the eye to settle in it's new position?
Q. Im nearly 3 weeks post op, and although I've noticed a small improvement since my surgery, Im still not happy with my eye position (over corrected)

How long is it before the eye settles down and the muscles stay in their new position? My eye is still sore.

Will it edge a bit more out? I had esotropia,.

A. It is still too early to tell your final eye position. When eye muscle surgery is performed the muscles enter a state of shock, and are not pulling with their full force. Also at the time of surgery the muscles are held onto the eye with sutures, with time they will scar into place.

The earliest time one would consider repeat surgery would be able 2-3 months. So be patient and give it some more time.

Also if you had glasses before surgery, make sure you are continuing to wear them.


Is it worth it too spend money on a surgery for a 10 year old dog?
Q. The dog has a benign meibomian cyst in her eyelid. It is pretty big it covers the inside of her inner eyelid from the tip to the middle. The surgery is expensive and we don't just have the money for it laying in our back pocket. Does anybody of a cheap dog surgeon in Jacksonville, FL. Also should we spend money on the surgery?

A. If it is causing discomfort or reddenning of the eye, it should be taken care of. Its possible that instead of removing the cyst (since it is so very big, that would be very hard to do, which is why it is expensive) it might be possible (not sure, since I haven't seen it) that the vet could open the cyst from the outside of the eyelid and remove the contents. The cyst will enlarge again, but that will buy you some time at least, and would be cheaper and give the dog some comfort. Most dogs depending on size can live 15 years or so. This dog could be the equivalent of a 65 year old person. Is that too old to spend money on the surgery? Depends on if you care about the dog or not.
Also, please consider that cheap is NOT what you want when surgery is done. You want GOOD. Good and cheap do not occur together. A cheap surgeon is going to cut costs somewhere... like using less expensive but more dangerous anesthesia, less pain control, less expensive and older suture, cold sterilization instead of sterile instrument packs, and might not even use gloves or monitoring equipment. You get what you pay for.





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