My cat has a third eyelid on both eyes, how to treat it?

My cat has a third eyelid on both eyes, how to treat it? - briefly

The third eyelid, also known as the nictitating membrane, is a normal anatomical feature in cats and is typically not a cause for concern. However, if it is persistently visible, it could indicate an underlying issue such as an eye infection, injury, or a condition known as "cherry eye." In such cases, it is crucial to consult a veterinarian for a thorough examination and appropriate treatment.

My cat has a third eyelid on both eyes, how to treat it? - in detail

The third eyelid, also known as the nictitating membrane or haw, is a normal anatomical feature in cats. It is typically not visible, but certain conditions can cause it to become more prominent or protrude. If the third eyelid is visible on both eyes, it may indicate an underlying issue that requires attention. Here are the potential causes and appropriate treatment options.

The third eyelid can become visible due to several reasons, including:

  • Conjunctivitis: This is an inflammation of the conjunctiva, which is the thin, moist tissue that lines the inside of the eyelids and covers the white of the eye. It can be caused by infections, allergies, or irritants.
  • Corneal ulcers: These are open sores on the surface of the eye, often due to trauma or infection. They can be quite painful and may cause the third eyelid to protrude.
  • Glaucoma: This is a condition where the pressure inside the eye is too high, which can lead to damage to the optic nerve and vision loss. It can cause the third eyelid to appear more prominently.
  • Trauma: Physical injury to the eye or surrounding area can cause the third eyelid to become visible.
  • Systemic diseases: Certain systemic diseases, such as feline leukemia (FeLV) or feline immunodeficiency virus (FIV), can weaken the immune system and make the cat more susceptible to eye infections and other issues.
  • Cherry eye: This is a condition where the gland associated with the third eyelid prolapses and becomes visible. It is more common in certain breeds and typically requires surgical correction.

To determine the cause, a veterinarian will perform a thorough examination of the eyes and may recommend additional diagnostic tests, such as a Schirmer tear test to measure tear production, or a fluorescein stain to check for corneal ulcers. Blood tests may also be necessary to rule out systemic diseases.

Treatment will depend on the underlying cause:

  • For conjunctivitis, the veterinarian may prescribe eye drops or ointments containing antibiotics, anti-inflammatories, or both. It is crucial to follow the prescribed treatment regimen and complete the full course of medication, even if the symptoms improve.
  • Corneal ulcers usually require intensive treatment, including antibiotic eye drops, pain management, and sometimes even surgical intervention.
  • Glaucoma management may involve medication to lower eye pressure, or in severe cases, surgery. Regular monitoring of eye pressure is essential.
  • Trauma may require immediate veterinary attention to prevent further damage and infection. The veterinarian may prescribe antibiotics and anti-inflammatories to aid in healing.
  • Cherry eye typically requires surgical correction to reposition the gland.
  • If a systemic disease is suspected, the veterinarian will recommend appropriate treatment and management strategies.

Prevention involves regular veterinary check-ups, maintaining good hygiene, and addressing any underlying health issues promptly. It is also essential to keep the cat's environment clean and free from potential irritants or injuries.

In some cases, the third eyelid may remain slightly visible even after treatment, but it should not cause discomfort or affect the cat's vision. Regular follow-ups with the veterinarian are necessary to monitor the condition and ensure the cat's eye health. If the third eyelid becomes more prominent or if the cat shows signs of discomfort, such as squinting, excessive tearing, or discharge, it is crucial to seek veterinary attention promptly. Early diagnosis and treatment can prevent complications and ensure the cat's overall well-being.