Repairing nictitans gland prolapse in dogs

Gómez, José B. Rodriguez

doi:10.1136/vr.e5981

Cited by 5 publications

(6 citation statements)

References 9 publications

(4 reference statements)

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“…Moore and Morgan have described techniques that aim to embed the gland by creating a pocket [8,18]. The techniques aimed at pulling the gland through stitches are those described by Blogg, Gross, Albert, Kaswan-Martin, and Martin-Stanley [23,[31][32][33][34][35]. However, there is no consensus on the most effective technique [2].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Morgan’s pocket technique in the treatment of nictitans gland prolapse in dogs

Deveci¹,

İşler²,

Yurtal³

et al. 2020

Turk J Vet Anim Sci

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Section: Discussionmentioning

confidence: 99%

Evaluation of Morgan’s pocket technique in the treatment of nictitans gland prolapse in dogs

Deveci¹,

İşler²,

Yurtal³

et al. 2020

Turk J Vet Anim Sci

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“…Currently, replacement is recommended, with choice of surgical technique suggested to be a matter of personal clinician preference [ 1 ] (p. 964) [ 11 ], since no systematic comparisons are available for surgical outcomes. Similarly, different techniques are thought to vary in efficacy due to surgical complexity, breed conformation differences, effects on third eyelid mobility and cartilage position, gland function, and risks of complications and surgical failure [ 12 , 13 , 14 ]. In particular, repair is thought to be less successful in some giant and brachycephalic breeds (e.g., Neapolitan Mastiffs, English Bulldogs) [ 15 ] (p. 209) [ 16 ] (p. 54) and in cases of prolapse of long standing duration [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…Finally, topical corticosteroid use remains controversial; some veterinarians suggest that risk of surgical failure is higher in hypertrophied or inflamed glands while others discourage the use of perioperative steroids [ 18 , 19 ]. Currently, one technique (Morgan Pocket) is favored by a number of veterinarians, as it is thought to be easy to master and fairly effective [ 1 ] (p. 964) [ 3 ] (p. 80) [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

An Evidence-Based Rapid Review of Surgical Techniques for Correction of Prolapsed Nictitans Glands in Dogs

White¹

2018

Veterinary Sciences

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Prolapsed nictitans gland (PNG) is an important ocular condition of dogs. Various surgical interventions have been described, but effective technique is currently considered to be a matter of personal clinician preference. The aim of this rapid review was to evaluate existing peer-reviewed evidence of effectiveness for surgical techniques and their subsequent effects on quantitative and clinical lacrimal outcomes for PNG. We performed a structured bibliographic search of CAB Abstracts, PubMed, and Medline using terms relevant to dogs, nictitans gland, and surgery on 13 September 2017. Included studies were assessed for study design, reporting characteristics, surgical techniques, and surgical and lacrimal outcomes. Fifteen of three hundred fifteen identified studies were eligible for inclusion. Seven different replacement techniques were identified, along with gland excision. All studies were observational or descriptive, with the exception of a single crossover trial. Outcomes reporting was heterogeneous and provided limited detail on lacrimal outcomes or on breed propensity for recurrence. Insufficient data precluded comparison of techniques for either surgical failure rates or lacrimal outcomes, although proportional meta-analysis yielded an overall failure rate of 3% (95% CI 1–7%) for the Morgan’s pocket procedure. Improved reporting of veterinary surgical studies will improve evidence appraisal and synthesis, as well as reduce potential sources of bias.

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“…Although a variety of techniques for gland replacement have been published [ 7 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ], there is limited data for comparative efficacy on surgical and lacrimal outcomes, particularly for breeds thought to be at higher risk for recurrence or for development of KCS. Morgan’s pocket technique is considered technically less challenging than some other procedures and is frequently covered in ophthalmology surgical texts [ 3 , 4 , 5 , 6 , 29 ], factors which may have driven popularity amongst respondents. Our finding that periosteal anchoring was suggested more frequently by PGs for revision surgery suggests that it may be favored in patients more prone to recurrence, a view reinforced by some authors [ 28 , 30 ] and a recent study showing decreased recurrence in English Bulldogs when pocketing was augmented with a periosteal tack [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Variation in the Reported Management of Canine Prolapsed Nictitans Gland and Feline Herpetic Keratitis

White¹,

Jones²,

Baker³

et al. 2018

Veterinary Sciences

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Treatment variation in medicine may be driven by evidence gaps, clinician factors, and patient preferences. Although well-documented in human medicine, variation in clinical management is relatively unexplored in veterinary practice. Clinical vignette questionnaires were administered to a cross section of general practitioners (GPs) and veterinarians with postgraduate training in ophthalmology (PGs) to survey recommended management of canine prolapsed nictitans gland (“cherry eye”, PNG) and feline herpesvirus (FHV-1) keratitis. The majority of veterinarians (96.2%) suggested surgical replacement of cherry eye, with a pocketing technique being the most frequently nominated procedure. GPs were more likely to suggest gland excision in the event of surgical failure, while PGs more frequently nominated techniques incorporating a periosteal anchor for salvage repair. Most respondents managed FHV-1 keratitis with topical antibiotics (76.4%), with a minority suggesting topical antivirals (32.2%). GPs favoured topical acyclovir whilst PGs more frequently recommended topical trifluorothymidine. A significantly larger proportion of PGs nominated systemic famciclovir and lysine supplement for FHV-1 keratitis. This survey revealed moderate treatment variation for these conditions, both between and within practitioner groups. Additional research is needed to assess the reasons for this variation, particularly for conditions in which high quality evidence is scant.

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Repairing nictitans gland prolapse in dogs

Abstract: When repairing a nictitans gland prolapse correct positioning of sutures is critical

Cited by 5 publications

References 9 publications

Evaluation of Morgan’s pocket technique in the treatment of nictitans gland prolapse in dogs

Evaluation of Morgan’s pocket technique in the treatment of nictitans gland prolapse in dogs

An Evidence-Based Rapid Review of Surgical Techniques for Correction of Prolapsed Nictitans Glands in Dogs

Variation in the Reported Management of Canine Prolapsed Nictitans Gland and Feline Herpetic Keratitis

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