Marsupialization of lacrimal granuloma on the third eyelid in a canine. Case report

The aim of this study was to describe the formation of a granuloma as a surgical complication following repositioning of the third eyelid lacrimal gland and the success of its surgical treatment using marsupialization in a dog. A three-month-old male French Bulldog was presented at the Uningá Veterinary Clinic with a primary complaint of a nodule in the lower medial region of the right eye. This medical complication developed after a previous surgical procedure by another veterinarian to reposition the third eyelid lacrimal gland. Suspecting a granuloma, cyst, or neoplastic growth, the animal underwent a marsupialization procedure, during which a fragment of the nodule wall was collected for histopathological analysis, which confirmed the diagnosis of a granuloma. Nine months of follow-up post-surgery showed complete recovery without complications. This case concluded that histopathological analysis is essential for accurate differential diagnosis of a lacrimal granuloma. Furthermore, careful burial of the third eyelid gland is recommended as an important measure to prevent granuloma formation. Finally, the study demonstrates that marsupialization can yield excellent results without compromising lacrimal function.