Nictitating gland prolapse – the cherry eye

If the nictitating gland, located under the inner corner of the eye, protrudes outward, this is referred to as nictitating gland prolapse. It appears like a cherry and is therefore also known as cherry eye. Short-headed breeds are particularly affected.

INHALT
Anatomy and function Cause and occurrence Symptoms Diagnosis Treatment Prognosis Prophylaxis
Anatomy and function

The nictitating membrane is a third eyelid found in some animals. It is located in the inner corner of the eye as a triangular, transparent fold of conjunctiva between the cornea and the lower eyelid. The nictitating membrane can slide over the cornea, protecting the eye from external influences. The nictitating gland is located below the inner corner of the eye. It is held in place by the nictitating membrane cartilage and connective tissue. The nictitating gland produces 30 to 40 percent of the tear fluid. This is needed to keep the eye moist.

Cause and occurrence

If the supporting tissue is too weak due to connective tissue weakness or incorrectly grown nictitating membrane cartilage, the nictitating gland protrudes in the inner corner of the eye.

Nictitating gland prolapse is particularly common in young dogs of brachycephalic (=short-headed) breeds. This is caused by the limited space in the head, which is inherited through breeding. Due to the short nose and shallow eye sockets, the eyeballs do not sit as deeply in the eye sockets. This makes it easier for the nictitating gland to protrude. Affected breeds include English and French Bulldogs, American Cocker Spaniels, King Charles Spaniels, Lhasa Apsos, Pekingese, Maltese, and Beagles.

Large dog breeds such as the Mastino Neapolitano, Cane Corso, Bordeaux Mastiff, Great Dane and St. Bernard are also frequently affected. In these breeds, the nictitating membrane cartilage is too long, allowing the nictitans gland to protrude more easily and fold outward.

Rare causes can include inflammation of the nictitating gland due to chronic irritation or nictitating gland tumors. These tend to occur in older animals.

In cats, nictitating gland prolapse is less common than in dogs. It also occurs mainly in brachycephalic breeds such as Persian cats, British and Exotic Shorthairs. It also occurs in connection with chronic sniffles.

Symptoms

A prolapsed nictitating gland can be recognized as a spherical, red bulge in the inner corner of the eye. Additional symptoms include reddened or watery eyes and frequent rubbing or squinting of the eye. As the condition progresses, a chronic dry eye may develop. Prolapsed nictitating glands often occur in both eyes.

Diagnosis

After a general examination, your veterinarian will perform an eye examination. The diagnosis is easy to make due to the typical appearance of cherry eye.

Treatment

In some cases, a prolapsed nictitating gland will disappear on its own. In some cases, your veterinarian can reposition the nictitating gland under local anesthesia.

However, if the nictitating gland protrudes repeatedly or permanently, you should have it surgically fixed. There are various surgical techniques for this. All are performed under general anesthesia.

In the past, the nictitating gland was simply removed. This method is no longer used. The resulting lack of tear production can lead to chronic dry eye and chronic eye inflammation.

After the surgery, your pet will be given antibiotic eye ointment for a while and painkillers if necessary. It must not scratch its eye under any circumstances. It must therefore wear a neck collar until it has healed completely. Your pet should rest and you should not expose it to heavy dirt or water for a while. The stitches are usually self-dissolving and therefore do not need to be removed.

Prognosis

The prognosis is good after surgical treatment. In some cases, the nictitating gland may prolapse again. This will then require another operation.

Prophylaxis

You cannot prevent a prolapsed nictitating gland. If you see a red bulge in the inner corner of your pet's eye, make an appointment with your veterinarian as soon as possible.