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Af Thomas Larsen

Hvad er kirsebærøje (cherry eye)?

Kirsebærøje er betegnelsen for fremfald af tårekirtlen, som ligger bag på blinkhinden. Blinkhinden kaldes også det 3. øjenlåg.

Hvilke symptomer findes ved denne lidelse?

Afhængig af graden af slaphed i bindevævet kommer tårekirtlen til syne, som en hævelse under kanten af det 3. øjenlåg. Kirtlen bliver ved fremfaldet rød og hævet.

I enkelte tilfælde kan kirtlen midlertidigt falde på plads igen, men oftest vender tilstanden tilbage efter kort tid.

Hvorfor får hunde kirsebærøje?

Årsagen til lidelsen kendes ikke med sikkerhed, men mekanismen bag lidelsen er, at bindevævet, som skal holde kirtlen på plads, bliver slapt. Kirtlen, som normalt ligger skjult i en lomme bag på blinkhinden, kommer derved til syne i øjenlågsvinklen mod næsen.

Hvordan kan man behandle sygdommen?

Behandling af kirsebærøje er kirurgisk. Operationen kaldes en pocket-operation, idet man ved operationen laver en lomme til tårekirtlen. Kirtlen placeres i lommen og denne sys sammen. Man lader et lille stykke af lommen stå åben. Herved kan den tårevæske, som kirtlen producerer, komme ud og udøve sin smørende virkning på hornhindens overflade.

En tidligere behandlingsmetode har været at fjerne kirtlen, når den faldt frem. Det havde dog den negative konsekvens, at øjet efterfølgende manglede tårevæske. Herved var hunden mere disponeret for sygdommen ”tørøje” eller KCS (keratokonjunktivitis sicca). Derfor kan denne metode ikke anbefales.

I sjældne tilfælde kan ses tilbagefald efter en ellers vellykket operation for kirsebærøje. Hvis dette sker udføres indgrebet igen.

Hvad betyder det for hundens fremtid?

Et øje, som er korrekt og vellykket behandlet for kirsebærøje, får ikke problemer med denne lidelse eller andre gener, som kan relateres til lidelsen senere.

Hvilke racer er mest udsatte?

Kirsebærøje ses især hos hvalpe og unge hunde op til 2 år.

Hos racer med kort snude og blandingsracer af disse (brachycephale racer som fx boxer, bulldog og pekingeser) ses kirsebærøje hyppigere.

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© 2016 Dansk Selskab for Veterinær Ophthalmologi

Cherry Eye In Dogs

'Cherry eye' or canine nictitans gland prolapse, leads to a rather unpleasant looking but rarely painful condition which affects a small number of dogs at some point of their lives. It is generally considered to be a congenital defect, which causes the dog's third eyelid, or nictitans gland, to prolapse from its correct place out of sight in the corner of the eye, and protrude over the visible portion of the eyeball. It is thought that the condition is caused due to inherited genetic traits that lead to weakness in the connective tissue which should hold the gland in place, and causes the gland to shift position and appear in the inside corner of the eye of affected dogs. The visible appearance of cherry eye involves a red mass showing in the inner corner of the eye near the nose, in the area of the tear duct. Often this protrusion signifies the full extent of the condition, but it can potentially lead to the gland becoming inflamed and irritated, leading to the risk of infection. Cherry eye problems can sometimes produce a mucky discharge as well.

Which dogs can get cherry eye?

Theoretically, any breed or type of dog can get cherry eye, although it is thought to have hereditary causes and so usually involves a genetic predisposition to the problem. Some breeds are considered to be more susceptible to its development than others, including the Bulldog, Boston Terrier, Bull Terrier, Lhasa Apso, Cocker Spaniel, St. Bernard, Shar-pei, Shih Tzu and Poodle. Generally, dogs that are prone to contracting cherry eye will do so while still young. Cherry eye can occur in one or both eyes simultaneously, and a dog which has contracted cherry eye in one eye will often go on to have the condition repeated in the other eye too. Cherry eye is not contagious to other dogs or people.

Signs and symptoms

Cherry eye is usually fairly straightforward to identify and diagnose, and is confirmed by means of a simple physical examination of the dog by your vet. Cherry eye can often develop very quickly, sometimes literally overnight, and can look very alarming to the owner when discovered. While the bright red protrusion of the gland is often mistaken for a tumour, it is simply an inflamed gland and is not cancerous or malignant. While cherry eye in and of itself is not dangerous, it can lead to secondary problems and complications if left untreated, and so the issue should be addressed as quickly as possible. When the glandular tissue is on the outside of the eye and not protected, it is more susceptible to irritation, infection and damage.

Treatment options

Depending on the extent of the protrusion, the dog's previous history with cherry eye and their age and general health, your vet may attempt to correct the problem with anti inflammatory medications, topical antibiotics and manual massage to encourage the gland to return to its correct location. This non invasive form of treatment is not always effective for all dogs, however, and there is a relatively high level of recurrence in dogs that are treated in this way. Some owners of dogs prone to cherry eye report success with treating the problem at home, by means of carefully massaging the closed eye gently while lightly pushing the 'cherry' inwards towards the dog's nose, in an attempt to cause the gland to pop back into its rightful place. It is thought that regular gentle massage of the affected eye can lead to a strengthening of the connective muscle tissue that holds the gland into place and reduce the likelihood of future recurrences, hence its popularity with some owners. Several massage sessions may be needed in order to reposition the tear gland correctly, and the recurrence rate of cherry eye treated in this manner is relatively high. Remember that dogs' eyes are delicate, and you could easily cause damage to the eye ball or exacerbate the existing problem by interfering with a cherry eye protrusion, so home treatment is not a solution that is suitable or recommended for everyone.

Surgical correction

The other option for correction and generally the most widely recommended long term treatment method is surgery. Total removal of the affected tear gland can solve the problem, but can lead to the development of a condition called 'dry eye' in the dog, as the nictitans gland is responsible for about a third of the dog's total tear duct production. Dogs which have their tear gland removed will generally need to be treated with eye drops or lubricating gels on a daily basis for the rest of their lives. Removal of the tear gland can also lead to a condition known as keratoconjunctivitis sicca, an eye disease associated with dry eyes and insufficient lubrication, which can be painful for your pet. Surgical repositioning of the tear gland is currently the preferred method of fixing cherry eye and preventing recurrence. Several different surgical techniques and positioning options are available, depending on the age and breed of the dog, their facial structure, cosmetic concerns and the perceived likelihood of recurrence. This method of surgical intervention aims to leave the tear gland intact and secure it in such a way that a secondary prolapse will not occur, as well as maintaining full usage of the tear production function of the gland and negating the need for ongoing external lubrication of the eye and any associated secondary problems.

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Cherry Eye in Dogs: Causes, Symptoms & Home Remedies

It is quite obvious in many ways how different our pooches are to us. They have four legs, we have two. They have a happily wagging tail, we don’t. But there are other ways in which they differ from us that are less obvious.

One of these is hidden away out of view when healthy. It is a tear gland connected to a third eyelid. It is this tear gland that is responsible for the condition known as cherry eye in dogs. It is unsightly, looks painful and if left untreated can cause complications. However if you know what to do and can do it, it doesn’t need to be a problem.

What is cherry eye?

This is a condition which causes a dog’s tear gland to protrude from the eye socket. It is easily spotted and will appear as a red mass protruding from the corner of the eye nearest your dog’s nose. It can affect one or both eyes and can be recurrent.

Located underneath the nictitating membrane, commonly known as the third eyelid which protects a dog’s eyes from the wind, dust and other foreign objects this tear gland serves a very important function and that is to provide adequate lubrication of the cornea.

Thought to be responsible for between 30 – 50% of the total moisture in a dog’s eye this tear gland plays a vital part in the health of your dog’s eyes. The protrusion of this gland results in none or partial lubrication and can end with your dog developing a condition called keratocon junctivitis sicca, dry eye in simple terms.

What are the symptoms?

Symptoms that show your dog has this condition include:

• An oval mass protruding from the dog’s eyelid nearest his / her nose
• Swelling
• Possible irritation
• Red, thickened tissue
• Dry eyes

It is believed that the condition is not painful for your dog and that in all likelihood he / she will carry on as normal. Your dog will likely show no signs of distress or the condition other than the visible protrusion.

Be aware that these symptoms appear similar to conjunctivitis. To learn the difference, you should check out this article on conjunctivitis in dogs.

What causes cherry eye?

The main cause remains unknown but it is thought that it may be a congenital weakness of the glands attachment in the dog’s eye. It is also entirely possible that it is an inherited condition.

Many dog owners report that in the moments before their pooch had a prolapse of the tear gland that there were certain events. These include:

This eye condition also seems to be more common in certain breeds of dog such as the Boston Terrier, Bloodhound, Beagle, Bulldog, Bull Terrier, Lhaso Apso, Cocker Spaniel, Saint Bernard and Shar – Pei.

Breeds with shorter muzzles along with teacup and toy varieties are also at greater risk as are dogs under two years old. It may be worth noting here that all pedigree dogs may be more prone to this condition than Heinz 57 varieties due to selective breeding.

Treatment: home or away?

It is of highest importance to treat this condition as soon as possible. Leaving the condition untreated WILL lead to keratocon conjunctivitis sicca (dry eye) which WILL if un-treated inevitably lead to blindness. To learn how to properly treat and prevent dry eye, check out this article on eye infections in dogs.

Some vets and owners will recommend that you take your dog straight to the clinic if they develop this illness. There they may receive topical anti-inflammatory drugs which reduce swelling, or it may be suggested that your dog have corrective surgery. There are two main types of surgery:

1. The tear gland is stitched back into place. This surgery is NOT 100% effective and a prolapse may occur again.
2. The third eyelid is completely removed. Whilst this surgery will cure your dog’s cherry eye, it will also remove your dog’s natural protection from wind, dirt et cetera and cause dry eye and its probable consequences. Your dog would need to have eye drops used on his / her eyes every day for the rest of their lives.

As with humans there are always possible complications that can come from surgery and it is an invasive process where there may actually be no need. Many owners have reported huge success from using a home treatment to correct this eye problem in their dogs.

What are the home treatments?

There are a couple of successful ways to treat your dog’s eye condition yourself. They are simple, efficient and can be applied in a highly timely manner. Remember the quicker you treat this problem, the less chance of permanent damage to your dog’s eye.

The first of the proven home methods to cure the eye condition involves nothing more than resting your dog on its back! What could be easier?

Instructions – the rollover

On discovery of your dog’s third lid infection:

1. Do not panic, act in a calm manner. It may look unsightly, painful and more serious than it is, but you CAN deal with this problem as long as you remain calm.
2. Calm your dog into a relaxed state. Whatever methods you need to use to calm your dog employ them now. Back rub, soothing talk, ear massage, kisses etcetera: whatever works for you and your dog.
3. Instruct your dog to lie down ensuring they remain in their calm state.
4. Gently roll your dog onto their back and let them stay there for a few minutes. Your dog really needs to close his / her eyes for this to work so if you know a way to get them to do so use it now.
5. Roll your dog back over so he / she open their eyes.

Hopefully when your dog opens their eyes the problem will have rectified and popped back in. This may not be a permanent solution and your dog may have another prolapse. You can however use this method if your dog relapses every so often. If this method hasn’t been successful you could try again over the next few days or move on to the more effective second method.

The second and probably most successful DIY treatment for cherry eye has a few variations on the tools to be used but is essentially the same process every time.

Instructions – the massage

On discovery of your dog’s eye condition:

1. Do not panic, act in a calm manner. The problem may look unsightly, painful and more serious than it is, but you CAN deal with this problem as long as you remain calm.
2. Calm your dog into a relaxed state. This method will not work if your dog is agitated at all so do whatever it takes to relax them fully. Whatever methods you need to use to calm your dog employ them now. Back rub, soothing talk, ear massage, kisses etcetera: whatever works for you and your dog.
3. Instruct your dog into a laid down position. Ensure you have good access to the eye that shows signs of this dreadful condition.
4. Place a warm cloth over the eye for a few minutes. Another method is to use ice at this point. If this is the route you choose please ensure the ice is well wrapped in a cloth. Do not allow the ice itself to make contact with your dog’s eye.
5. Keep your dog calm whilst the cloth is in place. The warm cloth at this point stimulates tear production which will lubricate the eye. This is extremely important for this method so rub their belly, ears, talk soothingly: whatever it takes to keep them calm and still.
6. Slowly massage the area where the gland has protruded. Use as little pressure as possible. Keep your dog as calm as possible.
7. Remove the warm cloth checking to see if the eye looks lubricated. If there are no tears in your dog’s eye or it does not look sufficiently lubricated place some eye drops carefully into your dog’s eye. This will create the slippery surface you need for the next step.
8. Very gently move your thumb over your dog’s eyelid using the most feather light of touches. Move from the centre of the eye towards the corner nearest the nose.Your dog’s eye needs to be closed for this step. If there is resistance to closing the eye, you may need to enlist someone’s help to calm your dog whilst you hold the eye shut and complete the thumb movements.
9. Repeat step seven several times until you feel the protrusion suck back into place.
10. Massage the eye a little more.

If you’re looking for other ways to keep your dog from being excitable, it would be a good idea to check out how to calm down a dog.

This step is optional but will just give the tear gland a little time to settle back in place before your dog is up and around again. This may prevent the gland popping straight back out in the next few minutes or hours.

As with the first method the success of this does not guarantee your dog will not suffer from further occurrences of the problem. It does however mean that you will not have to put your do through invasive surgery or wait the time that it takes for anti-inflammatory drugs to work.

If your attempt to correct cherry eye fails first time it would be worth retrying again over the next few days. Please note though that if you are unsuccessful for more than a week you should consult your vet. The longer left uncorrected, the more chance there is of permanent damage.

How do you prevent / lessen the chance of recurrence of cherry eye?

As with anything prevention is always better than cure. In order to prevent something though we need to know what causes it. Since there is no known cause of cherry eye though, only supposition, we cannot act to prevent it with any guarantee of success.

It is however entirely possible that the prolapse of the tear gland could indicate weakness in a dogs connective tissue. Therefore it may help to feed your dog a food, supplement or treats that enhances tissue connective strength.

Keeping your dog’s eyes well lubricated could also aid in the prevention of cherry eye reoccurrence. If you feel your dog’s eyes are dry or not quite lubricated enough visit your local pet store and invest in some good quality eye drops.

There are also various remedies that a vet will recommend after cherry eye surgery to stitch the gland back in, that could act as a preventative after a home treatment:

• Bilberries – these contain anthocyanoside flavoids which may (research has been limited) provide structural support for the retina, cornea and other constituents of the eye.
• Chrysanthemum – widely used in China to treat inflammation of the eyes, dry eye, weeping eyes and blurred vision.
• Rehmannia – rich in amino acids and vitamins A, B and C, this has anti-inflammatory properties.
• Lycium fruit – Long used in China to support eye health, this is a herb containing b-carotene, amino acids, as well as vitamins B and C.

And finally but not at all easy, try not to allow your dog to get surprised, shocked, startled or too excited. Many owners report these kinds of events as the moment their dogs develop a case of this eye condition for the first time or a reoccurrence of the problem.

Undoubtedly more research is obviously needed into the causes, prevention and treatment of third eye lid infection in dogs, and hopefully one day there will be more successful preventions than cures. But in the meantime it is always good to know that we ourselves, caring, responsible and loving dog owners can always act quickly and successfully in treating and curing our beloved pooch’s eye problem.

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Wyatt Robinson had a great 25-years career as a veterinarian in United Kingdom. He used to be a member of British Veterinary Association and worked in 3 pet hospitals in London and Manchester. He is shining when he sees his pets healthy and full of energy and it is his duty to help other dog owners to keep their best friends full of life.

Our vet told us that not all situations lead to dry eye. It was clarified that they sometimes go away, the dog can grow out of it on its own if it’s really small, etc. But we were told that cherry eye can be due to irritation and misuse of collars (they can tug on the flabby skin, etc). In any case if it’s mild/small enough it can be massaged as a remedy is the general idea our vet gave.

There are numerous factors and situation that lead to dry eye or cherry eye. It is true that there are some cases when they go away, or stopped growing before it becomes problematic. Massages can improve vascularity, but it is very important to consult this with your veterinarian first to make sure you are providing the right intervention and supportive management.

My other dog, a 2 year old Mini Pincher has cherry eye. However, the vet told me she wouldn’t operate because it’s just too small. But I can see that my dog is irritated and constantly rubbing. Any advice on how to soothe the irritation? Or should I be looking for a second opinion? Thanks all!

There are numerous eye drops available, which can be recommended by your veterinarian to help address the itching and irritation. This will not be a permanent solution, but it will greatly decrease the anxiety of your dog. Some cherry eyes grow fast, while some take years to «ripen».

This is a very common disease. Most importantly — constant control and after the first deteriorations go to the vet. Without a vision, the dog can live, but it would be very painful for the owner to watch how it retrains.

Cherry eyes can be treated well with minimal complications if the pet parent can see it on the earliest onset. As you’ve mentioned, dogs that became blind can still live long lives, but it will be such a heartbreaking moment to see them in their blind state.

I had a situation that I had to fix on my own. Of course, I first made my dog relaxed, and grabbed a clean cloth and dampened it with warm water ( to warm the area for a few minutes to lubricate the area). Then, I very gently moved my thumb over her eyelid, (no pressure on her eye) from the center of her closed eye towards the corner of her eye near her nose. I repeated this until I felt the cherry eye almost sucked back into the right place. Worked great for Marry! :)

It is nice to know that your home remedy worked. However, there are some instances where cherry eyes can be really stubborn and may require a more comprehensive intervention from the vet.

I have a 10 — 12 year old shitzu-lhasa mix I rescued about 10 yars ago. He was recently treated for conjunctivitis and it was determoned he has little to no tear production. I was given Cyclosporine drops for the tears and Neomycin for the infection. He developed cherry eye. Two days ago it got very large and we took him to the vet. The vet gave me the same cream with a steroid to reduce the swelling and rescheduled a follow up for Saturday. Today the bulb started to bleed. I am not sure if it was from him scratching it or rubbing against something or if it swelled to the point of rupture. He does not show signs of irritation or discomfort. I applied pressure and the bleeding stopped. I have an appointment with an ophthalmologist tomorrow but have read this massaging remedy. I am not sure if it is too large for this to work or not. Any recommendations?

I would not recommend the massage idea for the cherry eye because the pressure can aggravate the situation and can make things worse. It is also quite hard to estimate the pressure required for the massage, as too much pressure can induce bleeding.

I have 3months old beagle, I sold her without knowing that cherry eye is hard to cure and needs eye’s operation, I’m searching for effective ways to treat her cherry eyes without operation. Please help me. I’m currently using eye cleanser and antibiotic eye drops for her eyes but seems her condition got worsen.

You can routinely apply cold compress in a good 15-minute sessions once a day. This prevents swelling and dilation of the blood vessels, as well as provide relief from the discomfort caused by the bulge. Stay away from dusty areas as well, as these are your strongest irritants. I would also recommend you to re-evaluate the eye cleanser because it might be too strong for your dog’s eyes. These supportive interventions will not provide full recovery, but they can significantly slow down the progression of the condition.

Hi there. Today was a very sad day. We put to sleep our beloved pooch. She was 12 years old. 2 weeks before, she had a discharge from her eyes that were black/or very dark. As I cleaned it …it would just be out in 2 days. her bottom eyelids were very swollen and red. She had cancer cos she loved to lay in the sun..no matter how we tried to keep her out — every chance she had she would lay in the sun. Could her eye infection have come from swimming in our pool (which is cleaned with chlorine?) Her brother also 12 but in better health (only hind legs are promblematic) now has the same eye «infection» what can I do please? thanks for your help

Ms. J, I am terribly sorry for your loss. Cancer in dogs is often associated with the breed. There are dog breeds that are more prone to developing this disease than others, although the risks can be increased on other predisposing factors. That eye infection, in my opinion, was already there, and the swimming pool water might have severely aggravated it. On her brother’s case, I would recommend a routine appointment with the veterinarian for prompt assessment and if ever this ends up being cancer as well, the prognosis can be more promising.

Our pup has had one cherry eye for about 3 years. The vet told us it was better left alone unless it got bigger or caused problems. He said if she had to be under anesthesia for some reason, they could take care of it at the same time but there was no reason to treat right now.

Today, I noticed the other eye has started getting one. Is this information about treatment new? Should we contact our vet for a new plan of action?

It warrants a quick assessment from the veterinarian to evaluate the condition of the existing cherry eye, and the progression of the new erupting one. Some topical medications can be applied to the new cherry eye to inhibit its growth.

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Cherry Eye

Cherry Eye er en medfødt lidelse, hvor de bindevævsfibre som holder den store tårekirtel på plads i det 3. øjenlåg er defekte, og dermed har mindre styrke end normalt. Når hunden får en lokal infektion eller irritation i øjet hæver slimhinden og tårekirtlen op, og fibrene brister pga. presset. Derved mister tårekirtlen sin normale plads i det 3. øjenlåg og ses som en stor rød hævelse i øjenkrogen, dermed betegnelsen "Cherry Eye" (Kirsebærøje).

Hvem får Cherry Eye?

Lidelsen er racedisponeret og menes dermed at være arvelig. Forekommer ofte hos Fransk Bulldog, Shiz-Tzu, Amerikansk Cocker Spaniel m.fl. Din hund kan dog godt få cherry eye selvom den ikke tilhører nogen af de disponerede racer.

Hvordan behandles Cherry Eye?

Behandlingen består i at forsøge at få tårekirtlen på plads i det 3. øjenlåg igen. Oftest opstartes medicinsk behandling først, for at få hævelsen og evt. infektion i ro så meget som muligt inden operation.

Hunden fuldbedøves og der lægges et snit igennem slimhinden på bagsiden af det 3. øjenlåg på begge sider af den fremstående tårekirtel. Såret lukkes med en sutur hen over tårekirtlen, sådan at kirtlen presses tilbage på sin plads. Denne sutur skal ikke fjernes efter følgende, men forsvinder af sig selv.

I svære tilfælde kan det være nødvendigt at lægge en ekstra sutur, der fastgør tårekirtlen til den lille ankerbruskplade der er i det 3. øjenlåg. Dette gøres for at undgå at fibrene brister før hævelsen i slimhinde og tårekirtel er aftaget. Denne sutur skal fjernes igen ca. 3-5 dage efter operationen. Suturen fjernes oftest i vågen tilstand, hvis hunden tillader dette.

Hunden hjemsendes samme dag med øjendråber og smertestillende medicin. Hunden skal bære krave de første 5-8 dage, så den ikke kan komme til at kradse i øjet.

Det kan være at hunden skal til kontrol efter nogen dage, dette vurderes i hvert enkelt tilfælde af dyrlægen. De første dage efter operationen vil slimhinden i øjet oftest være ekstra hævet pga. operationen, og øjet vil fremstå mere rødt end før operationen. Dette er en hel normal biologisk reaktion på indgrebet. Hvis hunden virker meget irriteret, eller du bliver bekymret, skal du endelig ringe til dyrlægen, da der kan være behov for at lave en ekstra kontrol. Nogen gange kan det være nødvendigt at skifte den medicinske behandling, eller justere på dosis undervejs i forløbet.

I nogen tilfælde kan det ske at syningen i blinkhinden brister efter operationen pga. hævelsen i slimhinden, i sådanne tilfælde kan det være nødvendigt at operere hunden igen.

Hvad er fremtiden for min hund, hvis den får Cherry Eye?

Da der er tale om en kronisk lidelse i bindevævet sker det ofte at hunde får cherry eye på begge øjne, men ikke altid samtidigt. Der er også en risiko for at det kan ske igen, selv efter operation.

Da lidelsen involverer den store tårekirtel, der står for størstedelen af produktionen af tårevæske til øjet kan hunden på sigt udvikle et kronisk tørt øje (en lidelse der betegnes KCS), hvis dette sker vil hunden få behov for livslang behandling med kunstig tårevæske.

Af dyrlæge Henning Ingeman Hvad er boxer ulcus hos hunde? Boxer ulcus er en øjensygdom, hvor en større eller mindre del af hornhindens overflade løsner sig fra det underliggende væv og derved danner…

Af dyrlæge Claus Nicolet. Hvad er tørre øjne (KCS)? Tørre øjne (Keratoconjunctivitis Sicca, KCS) er en almindeligt forekommende øjensygdom hos hunde. En eller flere af tårekirtlerne kan af forskelli…

Af dyrlæge Simon Vølund. Hvad er øjenbetændelse hos hunde? Øjenbetændelse er en betændelsestilstand i øjets slimhinde. Årsagen til øjenbetændelse kan være: Smitte via bakterier eller virus (f.eks…

Hornhinden er øjets yderste lag, der ses, når øjet betragtes forfra eller fra siden. Hornhinden er bygget op af flere små lag klart gennemsigtigt bindevæv. Yderst på hornhinden findes en klar tårefilm…

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Fremfald af blinkhindekirtlen i шjet

Cherry Eye eller Kirsebжrшje

Tеrevжsken

• Tеrevжsken holder шjets overflade konstant fugtig bеde hos dyr og mennesker.
• Sker der vжsentlige жndringer i mжngden eller sammensжtningen af tеrevжsken, opstеr der hurtigt en sygdom i шjets bindehinde eller hornhinde.
• Tеrevжsken kommer fra flere forskellige kirtler omkring шjet.

Blinkhinden

• Blinkhinden, ofte benжvnt som det tredje шjenlеg, er placeret i den indvendige шjenkrog, og ligger mellem шjenlеgene og шjeжblet.
• Blinkhindens funktion er at beskytte шjet og hjжlpe med at sprede tеrevжsken over шjets forside.
• I blinkhinden findes en af шjets to store tеrekirtler.

Billede a+b: 1. Brusk 2. Den store tеrekirtel i blinkhinden 3. Blodеrer 4. Bindevжvsbеnd til шjenhulen 5. Lymfefollikler

Blinkhindekirtlen

• Kirtlen i blinkhinden har en meget stor produktion af den vandige del af tеrevжsken.
• Op til 50% af den vandige tеrevжske kommer fra denne kirtel, og den har derfor stor betydning for шjets sundhedstilstand.

Fremfald af blinkhindekirtlen

• I nogle tilfжlde kommer der en unormal forstшrrelse af kirtlen, og kirtlen kommer op foran kanten af blinkhinden.
• Nogle racer er disponeret for denne шjensygdom, og den optrжder i langt de fleste tilfжlde hos helt unge hvalpe og unghunde.
• Pе grund af det fшlsomme vжv i kirtlen bliver den rшd og hжvet, hvorfor sygdommen pе grund af kirtlens udseende kaldes et "Kirsebжrшje".

fremfald af blinkhindekirtlen i det hшjre шje. Kirtlen er meget hжvet.

• En nшjagtig еrsag til fremfald af blinkhindekirtlen er ikke fundet.
• Mange ophthalmologer har den opfattelse, at de bеnd af bindevжv, der skal holde kirtlen pе plads i blinkhinden, er svagt udviklede, og derfor opstеr "Cherry Eye".

Fremfald af blinkhindekirtlen i det hшjre шje.

Behandling

• Tidligere var dyrlжger ikke klar over kirtlens store betydning for produktion af den vandige del af tеrevжsken.
• Derfor blev kirtlen ofte fjernet ved en simpel afklipning, men dette indgreb kan senere fшre til en alvorlig betжndelse i шjets binde- og hornhinde som fшlge af tшrhed i шjet.
• Mange af de hunderacer, hvor fremfald af blinkhindekirtlen optrжder, er ogsе disponeret for tшr betжndelse i шjets bindehinde og hornhinde.

Mеling af den vandige del af vжsken foregеr med et lille stykke filtrerpapir i шjet, der bliver fugtig af tеrevжsken.

Mеlingen tager et minut og normalvжrdien er 15-20 mm/minut.

Bulldogs er tilbøjelige til kirsebær øje.

Selvom det ikke ligefrem almindelig, er kirsebær øje hos hunde påvirke nogle racer mere end andre. Læs mere om denne betingelse, af mulig årsag, og hvordan det behandles.

Om Cherry Eye i Hunde

Cherry eye er den fælles betegnelse for en diskusprolaps tåre kirtel. Under normale omstændigheder er tårekirtlerne skjult under den tredje øjenlåg af en hunds øjne. Den tredje øjenlåg er faktisk blinkhinden. Dette er en tynd sektion af væv, der normalt er placeret under det nedre øjenlåg, hvor det ikke kan ses. Når overdelen begynder at rage det udsætter blinkhinden. Når udsat for, er dette følsomme væv let beskadiget og / eller inficeret.

Selv om den nøjagtige årsag til denne tilstand er endnu ukendt, kan kirtlen begynde at rage på grund af en svaghed i bindevævet, der normalt formodes at holde det på plads.

Udseende af Cherry Eye

Udseendet af kirsebær øje kan være ganske alarmerende for alle, der ikke er fortrolige med denne betingelse. Den tåre kirtel tendens til at blive tør og irriteret, når den er udsat for. Når du ser på en hund med denne tilstand, den kirtel ligner en rød, hævet masse i hjørnet af øjet, der lidt ligner et kirsebær, og dette er, hvordan tilstanden fik den almindelige betegnelse.

Ene eller begge Гёjne kan udvikle udragende tГҐrekirtlerne.

Diagnosticering og behandling af en berГёrt Hund

Cherry eye hos hunde er ikke livstruende, men tilstanden kan forringe en hunds øjne funktion Jo længere kirtel er udsat for, jo større er chancen for at det bliver skadet eller inficeret. Så skal denne betingelse behandles, så snart det bliver indlysende. En dyrlæge kan nemt diagnosticere denne betingelse med en simpel visuel eksamen i hundens øjne.

Dyrlægen vil så bestemme den mest effektive behandling baseret på, hvor langt den tilstand er nået. I nogle tilfælde, hvor kirsebær øjet er blevet diagnosticeret hurtigt efter betingelse blev tydeligt, vil dyrlægen ordinere et antibiotikum, anti-inflammatorisk medicin eller en kombination af de to i håb om at reducere hævelse nok, at kirtlen vil gå tilbage til sin oprindelige position på egen hånd.

I andre tilfælde, hvor kirtlen er mere udtalt og irriteret, kan dyrlægen beslutte, at pakdåsen skal sættes tilbage på plads kirurgisk at holde det fra udragende igen.

Tidligere blev den fremspringende tåre kirtel rutinemæssigt fjernet, men denne behandling er ikke længere begunstiget, fordi det fører til permanent tørre øjne. Hvis overdelen ikke kan reddes og skal fjernes, vil de berørte hund skal behandles med recept øjendråber til resten af ​​livet for at holde øjet fugtigt.

Racer er hГҐrdest ramt

Stort set enhver hund kan udvikle et tilfælde af kirsebær øje, men der er et par racer, der synes at være genetisk disponeret for at udvikle sygdommen. Bulldogs især top listen, men andre racer såsom Saint Bernards, Boston Terriers, Shar Peis, Blodhunde og beagles.

Cherry eye er meget behandles, og en berørt hund har en stærk chance for en fuld helbredelse, hvis den udsatte tåre kirtel behandles med det samme. Der er en større chance for tilbagefald, hvis tilstand kun behandles med medicin. I mange tilfælde, kirurgisk udskiftning af kirtlen giver de bedste odds for at forebygge tilbagefald.

Dyrehospitalet 9000

Her er en oversigt over, hvad de mest almindelige behandlinger koster. Du er altid velkommen til at ringe til os på 7015 9000 og høre nærmere.

Du skal være obs. på fodnoter under ydelser i prislisten, da nogle af priserne f.eks. er uden narkose, materialer, medicin mv. Men du vil også finde prisen på f.eks. vaccination i forbindelse med behandling i disse noter.

OBS. pr 1.5-2015 er ALLE priser uden medicin og materialer i den forbindelse. Dette for at overholde gældende lovgivning omkring fakturering af medicin.

Der gives studierabat på konsultationer -10 % samt på Royal Canin foder, ved fremvisning af studiekort.

Ved risikopatienter, ældre dyr samt patienter med mislyd ved hjertet vil dyret under narkose blive koblet til et apparat, som måler dets blodtryk kontinuerligt

under hele operationen. Det vil koste 312,50,- som skal medregnes i narkoseudgiften. Ring og få et overslag hvis du er i tvivl om vores priser. Det er altid

svært at sætte faste priser på ydelser, som har med medicin og kirurgi at gøre, da to dyr aldrig er ens. Men vi kan altid give et overslag.

Cherry eye eller? <>

Vi sidder og spiser, og hunden går lidt omkring.

Og så kigger jeg lige pludselig på hende og så har hun dette ved øjet?

Det er lidt slørret pga lille pigen vil jo ikke sidde stille

For nu er der ikke noget og se?

Jeg kan måske tyde en lille bitte hinde ved hendes øje.

For nu begynder det igen, men hun vil rigtig gerne klø i det, og det lader jeg hende altså ikke gøre.

Jeg vil skynd mig og til Dyrelæge, hvor i sikkert vil prøve nogle øjene dråber først, hvor du så skal presse den ind når du giver det

Vores dyrlæge sagde at det nok ikke kløede. Men at det til gengæld var skide smertefuldt for hunden. I vores tilfælde skyldtes det nemlig en lille rift i hornhinden, som fik øjetæblet til at falde lidt tilbage, og forsage blinkhindefremfaldet.

Og håber da på det bedste

Og det er den lille der har galt med øjet

Det er den lille det hele handler om

Men dyrlægen sagde at hvis det kom igen, så skulle vi lige komme ind med hende.

Men det vi fik og vide, var det Hanne linkede til længere oppe

Ole und Piet entdecken die Welt

Das possierliche Beagletierchen gibt mit seinem Verhalten immer wieder Rätsel auf, welche die fundierte Wissenschaft nur unsachgemäß erklären kann. Um Artgenossen und Mitmenschen die Furcht vor dem großen Unbekannten zu nehmen, studieren und dokumentieren wir hier den Jäger und Sammler in seinem natürlichem Lebensraum.

Das possierliche Beagletierchen gibt mit seinem Verhalten immer wieder Rätsel auf, welche die fundierte Wissenschaft nur unsachgemäß erklären kann.

Um Artgenossen und Mitmenschen die Furcht vor dem großen Unbekannten zu nehmen, studieren und dokumentieren wir hier den Jäger und Sammler in seinem natürlichem Lebensraum.

Viel Spaß dabei

Sonntag, 11. Juli 2010

Cherry Eye

Unser Arzt hat nun eine Methode von einem Augenspezi angewandt, in der ein bestimmtes Medikament (habe leider den Namen vergessen) in eine Schicht der Nickhaut (glaub die 3te. ) injiziert wird.