👁️ Cherry Eye in Dogs and Cats – A 2025 Vet’s Guide to Diagnosis, Surgery, and Aftercare

By Dr Duncan Houston, BVSc

🔍 What Is Cherry Eye?

Dogs and cats have a third eyelid—a protective membrane that helps moisturize the eye. Within this third eyelid is a tear gland responsible for up to 30% of total tear production. When this gland slips out of place, it forms a visible red mass in the inner corner of the eye. This is called cherry eye. 🍒👁️

🐶 Breeds at Higher Risk

Cherry eye is especially common in smaller breeds and those predisposed to atopy:

• Boston Terriers
• Cocker Spaniels
• Bulldogs
• Beagles

🧬 What Causes Cherry Eye?

• 💥 Weak connective tissue holding the tear gland in place
• 📉 Genetic predisposition to weak or underdeveloped fibers

Once the gland prolapses, blood flow and tear production can be compromised, leading to swelling and discomfort. 🧪

👁️ Symptoms

• 🔴 Red, swollen mass in the corner of the eye
• 💧 Discharge or excess tearing
• 😿 Pawing at the eye, blinking, or squinting

🛠️ Surgical Treatment Options

1. 📌 Tucking or Tacking Procedure

A permanent stitch is placed to hold the gland in place. Most common method.

Pros:

• ✅ Quick and commonly performed
• ✅ Low complication rate

Cons:

• ⚠️ Suture may loosen or rub the eye
• 🔁 Multiple surgeries may be required if it recurs

2. 🪡 Imbrication or Pocket Technique

A small “pocket” is made from surrounding tissue to encase the gland. Dissolvable stitches are used. Often performed by specialists.

Pros:

• ✅ More secure and cosmetic
• ✅ Can be combined with tacking

Cons:

• 🧪 Requires precision and specialized equipment
• 🔁 Risk of stitch failure or inflammation as they dissolve

Both techniques can be used in combination for a stronger repair. 🛡️

💊 Recovery and Post-Op Care

• 🧴 Anti-inflammatory eye drops for 1–2 weeks
• 🩺 Elizabethan collar (cone) to prevent rubbing
• 📅 Recheck visit with your vet to assess healing

If swelling, discharge, or irritation worsens, contact your vet immediately. ⚠️

❌ What About Removing the Gland?

Removal is strongly discouraged. The third eyelid gland produces nearly 1/3 of the tears protecting the eye. Without it, your pet is at high risk for:

• 🌵 Dry eye (keratoconjunctivitis sicca)
• 😣 Lifelong discomfort and vision impairment
• 💊 Daily medications needed to maintain comfort

Gland removal may only be considered in cases of repeated surgical failure or severe gland damage. Even then, it’s a last resort. 🚫

🧬 Is Cherry Eye Preventable?

Cherry eye is not preventable but early detection and treatment greatly reduce complications. 🧠

🐾 What to Expect Long-Term

• ✅ Most dogs recover fully after surgery
• 🔁 Recurrence may happen and require another procedure
• 🐕 Breeds with flat faces may need more careful monitoring

📲 Ask A Vet for Cherry Eye Support

Not sure if your dog or cat has cherry eye? Need help understanding your surgical options? Use the Ask A Vet App or visit AskAVet.com to chat with a veterinary expert 24/7. 🐶📱

✅ Summary: Cherry Eye Essentials

• 👁️ Cherry eye = tear gland prolapse from the third eyelid
• 🐶 Common in small and brachycephalic breeds
• 🛠️ Treated with tacking or imbrication surgery
• ❌ Gland removal is avoided to prevent dry eye
• 📅 Post-op care includes drops and vet rechecks

💬 Final Words from Dr Duncan Houston

Cherry eye may look dramatic—but it’s treatable. Surgery gives your pet the best chance at comfort and long-term eye health. If you're unsure how to proceed, we’re here to help you navigate the best plan for your dog or cat. 👁️🐾

Still have questions? Get answers fast with the Ask A Vet App or at AskAVet.com. 🩺📱