Does your dog or puppy have a pink or red lump forming on the inner corner of their eye? This is commonly referred to as cherry eye in dogs or puppies. Medically, this condition is referred to as a ‘prolapsed nictitans gland’, the dog’s third eyelid gland.
While most cases of cherry eye in dogs are mild and non-urgent, this condition can cause varying degrees of discomfort, along with potential complications that can affect the dog’s vision.
In this Sploot Vets guide, we talk about cherry eye in puppies and dogs, what causes this issue, and when to seek help.
What Is Cherry Eye In Dogs & Puppies?
To best understand cherry eye in dogs and puppies, we need to first talk about the dog’s third eyelid, which is the part of the eye affected by cherry eye. A dog’s third eyelid has various functions, such as:
- Clearing dust or debris – the ones missed by the upper and lower eyelids
- Shielding the cornea – when the dog is running through tall grass or brush that can scratch the eye
- Providing added moisture – the gland at the third eyelid’s base (nictitans gland) is a crucial tear-producing gland for dogs.
Normally, the gland of the third eyelid or ‘nictitans gland’ should not be visible; it should be held in place by connective tissues under the skin. Cherry eye in puppies or dogs happens when the nictitans gland at the base of the third eyelid becomes prolapsed and protrudes outward, forming a cherry-like appearance at the inner corner of the eye.
Note: Cherry eye in dogs can affect both eyes or just one eye. Many cases seem to appear overnight.
What Causes Cherry Eye In Puppies & Dogs?
The most common cause of cherry eye in dogs is the weakening of the connective tissue which should be holding the nictitans gland in place. This is common in the following situations.
1. Cherry Eye in Puppies
Cherry eye in puppies is commonly caused by their weaker (and still developing) connective tissues. The risk can be compounded by genetic predispositions.
2. Brachycephalic Dog Breeds
Flat-faced breeds (like French Bulldogs, Shih Tzus, and Pugs) are more prone to cherry eye due to naturally weaker connective tissue, shallow eye sockets, and prominent eyes. All of these increase the risk of cherry eye in dogs; therefore, brachycephalic dog breeds are prone to developing cherry eye at any age.
3. Other Dog Breeds
Even breeds that are not brachycephalic (such as Beagles, Cocker Spaniels, Great Danes, and Bloodhounds) may have a genetic predisposition to weaker connective attachments. This makes cherry eye more likely for these dogs.
4. Trauma or Eye Irritation
While less common, injury, eye infection, or excessive scratching can strain or damage the connective tissue holding the gland of the third eyelid in place. This can potentially trigger gland prolapse or cherry eye in dogs.
Note: Inflammation of the gland is not a cause of cherry eye in dogs. Rather, it is a common effect on the gland after it is exposed due to prolapse.
When To Worry About Cherry Eye In A Dog
While cherry eye isn’t typically life-threatening, it often requires veterinary attention. Cherry eye can be uncomfortable for dogs and may lead to long-term complications.
If you see the following signs, we recommend scheduling a veterinary appointment promptly:
- Pawing at the eye – a sign of discomfort; this can increase the risk of eye infections in dogs.
- Excessive tearing or discharge – Yellow or green discharge may indicate infection.
- Gland inflammation – After the nictitans gland is exposed, it can become inflamed; this can potentially lead to chronic dry eyes in dogs, as the nictitans gland is a crucial tear-producing gland.
→ Whether you need a same-day check-up or urgent vet care, Sploot has you covered. Schedule a vet appointment today.
Can Cherry Eye In Dogs Fix Itself?
In rare cases, mild cherry eye in dogs may temporarily retract on its own. However, it often returns. Most cases will NOT permanently resolve without treatment. The longer the gland remains out of place, the greater the risk of swelling, inflammation, infection, and lifelong reduced tear production (chronic dry eyes in dogs).
Some pet parents may wonder: “What about cherry eye in puppies; can they grow out of it?” The answer is no, cherry eye in puppies typically does NOT resolve with age. Puppies will very likely need cherry eye surgery, similar to adult patients, to address the problem at its root.
Can You Push Cherry Eye Back In?
While there are videos online suggesting that cherry eye can be pushed back or massaged into place, this is typically just a temporary fix. This approach does not resolve the underlying cause (i.e., weak connective tissue).
Furthermore, attempting to push the cherry eye back in can lead to harmful effects, such as:
- Worsened gland inflammation – The tissue is delicate. Touching or massaging the cherry eye increases the risk of permanent damage or chronic dry eyes in dogs.
- May introduce bacteria – Handling the eye can introduce bacteria and increase the chances of eye infection in dogs.
→ Early evaluation gives your veterinarian the best chance to preserve gland function and prevent lifelong complications. Schedule a vet appointment at Sploot Vets today!
Cherry Eye In Dogs Treatment: Veterinary Surgery
The gold standard treatment for cherry eye in puppies and dogs is surgical repositioning of the affected nictitans gland/s. Here’s what you can expect for your dog’s cherry eye treatment:
1. Before The Operation:
The veterinarian will do a physical examination and bloodwork to ensure that your dog is cleared for surgery. Vets may also recommend anti-inflammatory eye drops for dogs to reduce swelling before surgery.
Note: In some cases, based on your pet’s specific anatomy or risk factors, veterinarians may recommend a consultation with a veterinary ophthalmologist for surgical management. At Sploot Vets, we have strong relationships with several excellent specialists and are happy to coordinate referral care when it is in your pet’s best interest.
2. Cherry Eye Surgery
During cherry eye surgery, your dog is placed under general anesthesia for comfort and safety. The gland of the third eyelid is carefully tucked back into its normal position and secured either with sutures or by creating a new tissue pocket for the gland. Both methods of cherry eye surgery for dogs can also be combined for severe cases.
Note: Removal of the gland is not typically recommended because it significantly increases the risk of chronic dry eye in dogs.
3. Post-Operative Medications
After cherry eye surgery, dogs are typically prescribed the following:
- Antibiotic and anti-inflammatory eye drops – to prevent infection and reduce swelling
- Lubricating drops – to keep the eye comfortable.
- Oral pain meds for dogs – to manage post-surgical pain while healing
Additionally, an e-collar is essential during the first 2 weeks of healing to prevent rubbing. Follow-up visits may include tear testing to ensure normal tear production.
Cherry Eye Revision Surgery [As Needed]
Sploot’s Regional Medical Director, Dr. Jessica Apted, shares the following about cherry eye revision surgery: “While cherry eye surgery is successful in most cases, there is still a small chance the gland can prolapse again. Recurrence rates are generally around 5 to 20 percent, depending on the surgical technique used and the dog’s breed or anatomy.”
She adds: “Dogs that are very young (under 1 year), have cherry eye in both eyes, have abnormalities in the cartilage of the third eyelid, or have certain facial conformations (such as bulldog-type breeds) may have a slightly higher risk of recurrence. If the gland does prolapse again, a revision surgery is typically very successful, and most dogs go on to have good long-term outcomes.”
Cherry Eye Surgery for Dogs at Sploot Vets
At Sploot Vets, we approach dog cherry eye treatment with precision and compassion. Here’s what we have to offer:
All-in-One, Next-Level Care
Not sure if your dog needs a check-up or urgent care for suspected cherry eye? The good news is we handle both routine and urgent care concerns. With our experienced veterinarians and state-of-the-art facilities, you can be sure that your dog is in good hands.
Veterinary Diagnostics & Dedicated Surgical Suites
We offer in-house veterinary diagnostics for quick laboratory results with no extra hassle. In addition, our surgeries are performed in dedicated surgical suites for focused care and hygiene.
Same-Day Surgery & Drop-Off Intakes
Depending on surgical suite availability and the surgeon’s schedule, cherry eye surgery can be performed the same day as your dog’s exam, helping to address the issue quickly and reduce prolonged irritation.
We also offer convenient drop-off intakes, which make care accessible even on busy days. Simply bring your dog to the clinic, and we will take care of the rest. Your pup will get attentive, Fear Free care from the moment they arrive, and you will receive prompt updates via text or phone call.
→ Get next-level care for your pup from one of our conveniently located vet clinics in Colorado Springs, Denver, Chicago, and more! Book an appointment to get started on your dog’s cherry eye treatment.
How Much Does It Cost To Fix A Cherry Eye In A Dog?
The cost of cherry eye surgery for dogs depends mainly on your location, the severity of the case, and whether one or both eyes are affected.
Pricing for cherry eye surgery is typically quoted per eye and may be offered as an estimate that covers the surgical procedure, anesthesia, and in-clinic post-operative care. However, specific inclusions can vary depending on the veterinary care provider.
Mid- to higher-range prices typically indicate more comprehensive care, higher-quality surgical methods, and better post-operative support. Here are some example price ranges for cherry eye surgery in different states:
- Colorado – $553 - $1900+ per eye
- Illinois – $491–$2,000+ per eye.
- Utah – $539–$1,900+ per eye.
Note: Addressing cherry eye in puppies and dogs early may help prevent additional complications that increase overall costs.
How to Prevent Cherry Eye in Dogs & Puppies
Because cherry eye is largely genetic, prevention isn’t always possible. However, you can reduce risks and support eye health by scheduling regular pet wellness exams and treating dog eye infections early. Here’s how each of these can help:
- Regular check-ups or wellness exams allow your veterinarian to monitor eye health, identify early signs of irritation or nictitans gland instability.
- Treating dog eye infections promptly helps reduce pawing and scratching, which can strain the connective tissue, potentially leading to cherry eye.
Final Thoughts on Cherry Eye in Puppies & Dogs
Cherry eye in dogs and puppies may look concerning, but it’s a common and treatable condition. In any case, early detection and treatment lead to the best health outcomes for your pup. If you notice a red or swollen mass in your dog’s eye, don’t wait. Prompt vet care helps prevent discomfort as well as long-term complications.
Sploot Vets: Your All-in-One, Fear Free Dog Vet
Whether you need support with cherry eye treatment or other health concerns, we’re always here to help!
At Sploot Vets, we provide all-in-one veterinary care with primary care, urgent care, and emergency vet services all under one woof™! With our experienced veterinarians and state-of-the-art facilities, you can be sure your dog gets top-tier care. In addition, our Fear Free veterinary approach ensures that your dog’s comfort is prioritized at every step.
Visit one of our modern vet clinics in Denver, Colorado Springs, and Chicago! Our doors are open 365 days a year, with extended clinic hours. Book an appointment here or through the Sploot Vets app!
