Successful surgical correction of cherry eye by modified Morgan’s pocket technique in 5 dogs

Prolapse of the third eyelid gland, commonly referred to as cherry eye, is a frequent ophthalmic disorder in young dogs, particularly in predisposed breeds such as Shih Tzu, Beagle, Pomeranian, and Bulldog. The condition presents as a reddish, rounded swelling at the medial canthus of the eye due to connective tissue laxity or retinacular defect. The gland is responsible for nearly half of the aqueous tear film, and its removal predisposes affected dogs to keratoconjunctivitis sicca, underscoring the importance of surgical repositioning rather than excision. The present report describes five clinical cases of cherry eye in dogs of different breeds and ages ranging from 13 months to 5 years. Clinical findings included unilateral or bilateral reddish masses protruding from the nictitating membrane, occasionally ulcerative due to self-trauma, with associated conjunctivitis, corneal opacity, or dryness. Preoperative assessment involved hematology, serum biochemistry, and radiographs to confirm systemic health. Anesthetic management included diazepam, butorphanol, propofol induction, and isoflurane maintenance. Surgical correction was performed using a modified Morgan’s pocket technique, wherein two superficial curvilinear para-incisions were made on the bulbar surface of the third eyelid, the prolapsed gland was repositioned into the created pocket, and conjunctival edges were sutured with polyglycolic acid using Lambert and Cushing patterns. Postoperative care included topical antibiotic drops and oral anti-inflammatory medication. All treated dogs showed uneventful recovery without recurrence or postoperative complications. The findings highlight that the modified pocket technique is a safe, reliable, and effective method for preserving glandular function, maintaining tear film stability, and preventing long-term ocular surface disease.