This twelve year old Cocker spaniel is presented with both eyes in this sorry state. What do you think is going on?
Well, there is entropion with trichiasis often seen in these dogs. But as this rather over-exposed Schirmer tear test strip suggests, there is also no tear production in either eye. We performed a Stades procedure to remove those irritating eyelashes and started topical cyclosporine and carbomer gel tear replacement. Oh – and we haven’t even mentioned the eyelid dermatopathy the dog has have we? Malassezia infection I guess but we’ll leave that for the dermatologists!