Surgical treatment of prolapsed nictitating membrane gland with Morgan's pocket technique on a kintamani dog
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Prolapsed nictitating membrane gland, or "cherry eye," is a common ocular condition in dogs, characterized by protrusion of the third eyelid gland due to weakened connective tissue, often causing inflammation and infection. A 1-year-old, 11 kg male Kintamani dog presented with a persistent reddish mass protruding from the corner of the right eye for three months. Clinical examination, history, and physical findings confirmed nictitating membrane prolapse (cherry eye), with a favorable prognosis. Cherry eye occurs when the gland of the third eyelid prolapses from its normal position, forming a swollen red mass at the medial canthus. Surgical correction was performed using the Morgan's pocket technique. The dog was premedicated with atropine sulfate, and anesthesia was induced using xylazine and ketamine. The prolapsed gland was repositioned between the two incision lines with gentle downward pressure and then sutured using 4-0 PGA (Assucryl®) in a simple continuous pattern. Postoperative care included antibiotic and anti-inflammatory eye drops (Cendo Xitrol®: Neomycin Sulfate, Polymyxin B Sulfate, Dexamethasone) and oral meloxicam for analgesia. By day 13 post-surgery, the eye had fully recovered, with no signs of recurrence or complications.
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