the surgery, along with a high rate of recurrence. Anchoring approaches from posterior may disrupt normal fluid excretion. Subsequently, an anterior approach was introduced. Disadvantages of anchoring techniques include restricted mobility of third eyelid, which is essential in the functions of fluid distribution and self-cleaning. New procedures are currently being explored to allow tacking of the NM without restricting movement of the third eyelid. Few studies compare results of surgeries, therefore choosing a procedure is a matter of preference. Envelope/pocket method The envelope method, often called the pocket technique, requires suturing of tissue around the prolapse, encasing it in a layer of conjunctiva. Pocket techniques are easiest for doctors to learn. Pocket methods also have anterior and posterior versions. Posterior suturing techniques are the most commonly used because they cause the least complications, with no alterations in tear production. Surgery should only be attempted by experienced surgeons. Inappropriate surgical techniques can result in many complications including cysts on the eye. Prognosis Without treatment Previously, treatment was thought optional until the role of NM was fully understood. The NM gland is responsible for 40–50% of tear production. If exposed for extended periods of time, the gland is at risk for trauma, secondary infection, and reduced tear production. Many complications can arise if left untreated: early closed-eye massage manipulation is recommended to prevent inflammation . Post treatment Postoperative treatment includes antibiotic eye ointment three times daily for two weeks. It is possible to have a relapse of the gland after surgery and require multiple surgeries. With treatment, it is possible for animals to live a normal life. See also Conjunctivitis, commonly referred to as pink eye References External links Cherry Eye from The Pet Health Library Dog diseases Eye diseases