Vet P.O.V. Ophthalmic prosthetics in vet practice…useful tools or human vanity?

July 7th, 2007  

Add Comment15 Comments

It doesn't say much about that family. Not from where I sit. The greyhound rescue group I volunteer for recently took a grey that had the upper lip on one side of his face missing. The dog looked like he was showing his teeth on that side. But the otherside was normal. It was something to see. There was some talk about not taking him because of the way he looked. Being the VP I said we're taking him end of discussion. He'll get adopted before any of the ones that come with him I said. I was almost right. Smiley ( don't you love the name ) was adopted within days of being put on our list. The family that adopted him love him for him. He's in the best place he's ever been. Lip or no lip.

Ken July 7th, 2007 02:15:00 PM

What a wonderful opportunity the family had to teach their children that physical appearance does not change who we or the dog is on the inside. Too bad they didn't take it.

Dawn July 7th, 2007 03:30:00 PM

"He'll get adopted before any of the ones that come with him I said."

Too right! One of my breeder's black GSDs was hooked in the eye by another pup's claw when he was a mite. He lost the eye. But he was a gorgeous young dog with a great temperament and having only one eye made him even more appealing. Everyone who saw Captain wanted to steal him. Me, too. <g> Btw, there was nothing ominous about the empty socket. Maybe it was his color, which made it less obvious.

I wonder if the Golden's owners would have felt the same way if he'd had only one eye before they chose him.

Gil. July 7th, 2007 04:13:00 PM

An empty eye socket's a pretty moist space. Do animals with prosthetic eyes get infections back there?

Thing One July 7th, 2007 05:16:00 PM

Oh, not this kind, I guess, since it's implanted in a lot of the old eye-structure. Are there simpler "glass eyes" for animals? That's what I thought you were talking about.

Thing One July 7th, 2007 05:19:00 PM

We had a border collie who lost an eye when she ran out in front of a car. The vet sewed it up empty. Kids were ages 5 and 7 and never noticed. Except when she came home from the vet- she had a boo-boo and got a lot of treats.

Same kids. Several years later. Their grandpa had had cancer since they were born. His face, from his nose down, had been removed. The docs made a crude slit for his mouth. He looked like a burn victim. Kids never noticed. They told me years later they just thought he was realy old, and that was how you looked when you got really old.

I'd never get a prosthetic for my dog... doubt I'd get one for me,either. For me, not worth the trouble. For the pups, goes back to not made of money and can't see spending money on a fake eye, when next week I might need a medically necessary treatment.

agadore's mama July 7th, 2007 11:02:00 PM

I have always had a soft spot in my heart for the animals that are different or "challenged". (I refuse to use the term "disabled for them as they usually are quite able to live normal, healthy, and active lives). I always gravitate to the deaf cats, the animals missing an eye or a limb. If I had the space and financial resources, I'd have a houseful of them. These are the guys I always volunteer to foster and I wish I could keep them all. My own little tripod kitty Lucy has taught me so much about the determination of an animal to survive and thrive in the face of a life-changing event. Prosthetics for pets? Nah, they don't need 'em; they just pick themselves up and go on about the business of living their lives. Humans, on the other hand, do have to earn a living, take care of families, and, yes, care for their pets; so in that context prostheses are often the route to a normal lifestyle. Prosthetics for esthetics sake alone would have little appeal to me, particularly for companion animals. Their differences from the accepted "norm" can teach us much about diversity and acceptance.

Shellie July 8th, 2007 01:12:00 AM

Ken's comment about the greyhound with the missing lip reminds me of Will, a collie who was shot in the face and also ended up with a permanent "snarl." His story can be found here:
http://www.mscolrsq.org/will/

When I look at the last pictures of Will, I see a happy collie (with SUCH a sly, playful look to his eyes!) and his "snarl" doesn't bother me at all.

That said, I can somewhat understand why people would want eye prosthetics for their pet, as, IMHO an absent eye triggers a bigger squirm factor than a missing lip or ear.

Chris and her smooth collies,
Pablo & Lucy

Chris July 8th, 2007 02:25:00 PM

Thing One: There are actually two kinds of prosthetic eyes. i found this out after not being able to find the spherical implant described in the ophthalmology literature. The sphere--not depicted, is placed into an eviscerated eye, which means all th jelly and contents are removed and then the silicone ball plopped in. The other (the one pictured) is for an enucleated eye, where everything is removed but the lids. I don't know about infection rates on either. I do know that the sphere tends to look more realistic, as it moves with the eye's intrinsic musculature, whereas the hemispherical disky thing I showed you doesn't move when the other eye moves--just when the dog blinks.

Dr. Patty Khuly July 8th, 2007 06:35:00 PM

A friend's cat just had its eye removed after a severe infection couldn't be resolved. The vet sewed a button over the closed lids because she said the cat would be prone to bumping into things until it adjusted to just having one eye. I think the button was to protect the socket. I'd never heard of this being done before -- perhaps it's some odd small town remedy?

When I heard about the cat with the button-eye, I'd wondered if eye prosthetics were available, so I guess you were reading my mind. Thanks for the answer!

Leigh-Ann July 9th, 2007 07:27:00 AM

Like Shellie, I also gravitate towards the animals that others shy away from. In wildlife rehab. I always worked with the opossums, vultures and cottontail rabbits. The animals often considered too nasty or time-consuming by others. My 3 Chinese Crested dogs all have some physical and/or psychological problems. The special needs animals require more effort and $$$, but the rewards I receive from them are worth it.

I have been struggling to save the right eye of my dog, Pepper for the past few years. She has severe dry eye, and the eye makes no tears at all. I had almost given up last year and was about to opt for enucleation; however I tried switching to a different vet opthalmologist instead. Instead of just pushing the parotid duct transposition, he prescribed a cocktail of eye ointments & drops that seem to help. I may still be faced with enucleation in the future if Pepper's eye becomes worse. I would not consider a prosthetic, even though I could afford it. Pepper wouldn't care how she looked. Plus I think it is a wonderful lesson for my children, their friends and anyone else we met - that an animal, or anything else, need not be perfect to be loved.

Susan July 9th, 2007 11:39:00 AM

Not to be crude by the comparison, but my sister lost her eye in college. She has a prosthesis, but sometimes removes it if she is sick or if her eye socket gets irritated. Probably as a result, my nephew (her son) is always drawn to kids who have physical ailments. He just seems to have a compassion for them. This is something that pets with conditions could teach a child.

(quick funny story - we were at an amusement park over Halloween when he was about 4. An "old witch" was handing out chocolate eyeballs. Chris asked for one for his mom. I laughed so hard.)

kelli July 9th, 2007 05:16:00 PM

I find it hypocritical that the AVMA aproves of a purely cosmetic procedure like this but opposes tail docking and ear cropping, both of which are functional in many cases.

I have terriers. Their tails are docked to provide handles for pulling them out of holes and other tight spaces which they are very prone to getting. What does that actually mean? Terriers have thick strong tails that are able to support the weight of their bodies without harm. The high tail set also contributes to this.Imagine lifting a German Shepherd straight up by its tail. Bending the low-set tail up over the dog's back and hanging the weight of the body off it would probably injure the dog. By removing the outer third of the tail you remove the possibility that you could grab the dog by the thinner, weaker part of the tail which could cause an injury.

I have friends with spaniels. When undocked they are prone to injury in rough cover.

Docking is usually done at three to five days of age. Done well the pups are more bothered by the handling than the actual docking. It's over in a minute and the pup is back nursing a minute later. It seems that vets aren't trained in docking anymore. Traditionally trained laypeople seem to be able to do it with less distress to the pups than vets these days.

I'm less familiar with cropping. I've avoided the cropped breeds that appeal to me because I didn't want to deal with it. Unlike docking which may have become more traumatic when done by vets, cropping has been improved. I'm told a trained vet using a light anaesthesia and a laser scapel can do the procedure with little trauma to the pup. I have certainly seen newly cropped pups who don't seem at all bothered. I have friends who have both cropped and uncropped individuals of traditionally cropped breeds. They all say the cropped dogs are significantly less likely to get ear infections, based on their own experience and the reports of people who bought puppies from them.

But even if a procedure is completely cosmetic, why can we make decisions about cosmetic procedures for our children, but not for our pets?

Linda H August 8th, 2007 06:50:00 PM

Linda: You make fine points. Here's my rebuttal: The AVMA's position on cosmetics is consistent in that it allows for reconstruction--bringing the animal to its previous state of cosmetic wholeness, as in this ophthalmic prosthesis case--but disagrees with actively docking and cropping for pure cosmetic gain (as for show dogs of certain breeds). Working dogs such as terriers may well be an acceptable exception, but 99% of docks are cosmetic, not functional.

Still, I do docks. I think I do great docks, too. I use local anesthetics, even on 2 day olds (I won't do them any older than 4 days). I see so many bad bad bad docks that I feel somewhat justified in doing them myself (I was trained by a vet and boxer breeder and I admit to feeling that if it's going to be done it should be done right, inconsistent as this is with my general principles).

As for ear cropping--I've yet to hear of a modernly justifiable reason for cropping ears. This should be banned outright. I used to do them for the same reason I did the docks--because I'd been well-trained and felt it a waste to let less-savory types do the delicate, painful work without the necessary analgesics. I now won't do any at all--it's too horrible to contemplate the weekes of recovery and re-tapings--while 2 day old babies *seem* to suffer a minimum of an hour--with appropriate tissue handling and pain meds. Even an hour is too much some say, but it's minimal compared to a botched job. Ears hurt no mater who does them.

Now for the children issue: Cosmetic surgery in children *is* a big deal, indeed. Reconstructive stuff may be a no-brainer but everything else falls in the category of dangerous moral ground. Even 16 year-old nose-jobs and--heaven forbid!--birthday breast augmentations are not exactly considered morally neutral issues. I'd say the AVMA's recommendations (and I'm no apologist for them) is consistent with the American Pediatrics Association's stance on cosmetic surgery for children.

Dr. Patty Khuly August 9th, 2007 09:44:00 AM

This site has not been visited for about a year. I hope I get a response. I had a blind dog. Charlie's eyes had been removed. I don't know why they were removed, I adopted him from a rescue group after the fact. He was billed as the "Wonder Dog," and he certainly was. He passed nearly a year ago. There is a blind dog coming up for availability that has had inplants. The pictures make her look a bit odd. Squinty... not symmetrical. It looks uncomfortable to me..like how you feel when you can't wait to change out of your work clothes for some loveable jeans. I don't think I'd like something plastic floating around my eye socket. Can this operation be reversed? Perhaps I am the vain one here...but it looks a bit like a botched job. I'm sure a good intention was behind the decision...how difficult, painful, costly would a reversal be? Thank you. I also have a wonderful vet....but I'd like to test the waters before I make a move, if at all. DK

d.kastelic November 28th, 2008 10:18:03 AM

Add Commment

Your Name:

CAPTCHA Verification