Jul 08, 2015
Dr. Felipe Wouk
Dr. João Alfredo Kleiner
AUTOTRANSPLANTATION OF THE
RECURRENTLY PROLAPSED THIRD EYELID
GLAND IN DOGS
• “Cherry-eye”
• Most common primary disorder of
the nictitating membrane
• Generally before 2 years of age
• Weakness in the connective tissue
PROLAPSE OF THE GLAND
• Predisposition in:
• American Cocker Spaniel
• Lhasa Apso
• Pekingese
• Beagle
• English Bulldogs
• Cane Corso
PROLAPSE OF THE GLAND
• Surgical replacement of the gland is indicated (Helper et al, 1974; Chang & Lin, 1980)
• Several procedures
• Anchor
• Lower incidence of KCS than dogs not treated and those where the gland is excised.
(Morgan et al, 1993)
PROLAPSE OF THE GLAND
• Recurrence of third eyelid gland
prolapse after surgery occurs in
5 - 10 % of cases.
• Re-operation is not always
possible and have a lower
success rate.
OBJECTIVES
• Evaluation of the clinical effects of autotransplantation of
part of the third eyelid gland into the conjunctival fornix
• Alternative means of maintaining the harmony of the
preocular tear film
• Gland produces 30 to 50% of the aqueous part of the
precorneal tear film.
METHODS
• 8 dogs (different breeds)
• Presenting with recurrent prolapsed gland of the third
eyelid
• Complete ophthalmic exam prior and 3 months after the
autotransplant
SURGICAL TECHNIQUE
• Excision of the third eyelid gland
• Graft preparation using the middle 1/3 portion of the
excised gland
• Construction of a pocket within the superior temporal
conjunctival fornix
• Suturing using 6-0 vicryl
RESULTS
• Conjunctival hyperemia resolved in 98 % of the cases.
• Corneal Neovascularization and Blepharospasm
resolved in 100 % of the cases.
• Corneal Luster restored in 99 %.
CONCLUSIONS
• The prolapsed third eyelid gland have a very low function
because of the inflammation
• When you replace it, the gland starts to work well again
• The same happen with the autotransplantation.
CONCLUSIONS
• All patients showed clinical improvement following surgery.
• Technique is quite easy to perform.
• Appears to be an alternative option in cases of recurrence
after surgical replacement of the third eyelid lacrimal gland.