Misty – Meibomian Tumour
Tumours of the Meibomian glands in eyelids are common in older dogs and start as small bumps at the margin of the upper and lower eyelids. Many of these stay small (2-3mm) and do not continue to grow further, so there is never any rush to have these removed.
Some of these tumours even rub/rest on the eye itself, but if they remain small, they do not appear to cause any irritation. Occasionally, the tumours become “active”, as I prefer to describe it to clients, and they start to become larger. Once evidence of enlargement is seen, then they will only continue to grow until removed.
These tumours are easily removed using a “V” wedge excision of the affected eyelid. We can cut close to these tumours as they do not require large margins, thus preserving most of the eyelid. Most of these require removal of around 1/8th to ¼ of the affected eyelid, but even up to a 1/3rd of the eyelid can be removed without noticing that surgery has been performed once healed.
Very fine sutures, such as 6/0 prolene, are used to close the surgery site/re-oppose the eyelid margins. Placement of the first suture at the eyelid margin is very important. If this is located perfectly, then it is often hard to tell that the affected eyelid did indeed have surgery once healed.
These surgeries are often referred to eye specialists and usually cost $1,500 or more as a result. We perform these surgeries frequently. whey take only around 15-20mins surgery time and cost as little $500-$650, depending on whether pre-anaesthetic blood are chosen or not.
The accompanying below of Misty show a Meibomian gland tumour, and unusually, a “stye” on the affected eyelid follicle beside it as well, which we removed with the same “V” wedge. The cost of the surgery in the photos was only $510 and the follow-up is simply sutured removal two weeks after surgery, which we do not charge for.