Stan's progress in early 2024

Stan has had his second eye operation to restitch the cherry eye, then his final eye operation to tidy the lids. He has been in good health, eating normal food, although he will never put on his full body weight, he is covered well enough. He has plenty of energy and enjoys running around with his doggy friends.

Follow Stan's journey Below

Why the rush?

Stan came into our care as a six month old puppy. His owner couldn’t afford to keep him anymore and Stan had two medical conditions. His vet had diagnosed a liver shunt, which will involve an operation. He also has Entropion, an eye condition that can lead to blindness.
Whilst still waiting another five to six months before Stan can have surgery on his liver, his eyes have suddenly deteriorated.

Stan_Stage_1_a
Stan_Stage 1 b

Stan’s Left Eye

Stan’s Right Eye

Stan's visit to the vet

It is possible that Stan felt the irritation because he rubbed his left eye, unfortunately scratching it with his dew claw. The eye became swollen and was obviously causing him pain.
The following diagnosis from the vet explains clearly, the state of his eyes.

The referral veterinary hospital report....

On Stan’s left eye the gland of the third eyelid is prolapsed ‘Cherry eye’, and a corneal ulceration is present.

Although the right eye is not severely affected at the moment and Stan appears to be comfortable from that eye, there is pigmentation of the cornea, which is a sign of poor ocular health, and therefore correction of the right eyelids is also needed.

Urgent surgery needed

However, the left eye is the main concern here, and it will require surgical intervention urgently. We would aim to shorten Stan’s eyelids and prevent them from rolling inwards and reposition the ‘Cherry eye’. Given Stan’s liver problems, there is a slightly higher anaesthetic risk, as most anaesthetic drugs will be metabolised in the liver. If the liver function is suboptimal this will have an effect to the anaesthetic.

We would therefore perform a blood test, at additional cost, prior to the anaesthetic and we would have to carefully plan the anaesthetic protocol, consulting an anaesthesiologist. The estimated costs for bilateral Entropion surgery and left eye ‘Cherry eye’ correction and scrolled cartilage, would be around £3800 - £4500.

There would be follow-up examinations that are not included in the estimate.
Stan’s eye surgery has been brought forward because of the severity of the condition, as he grows and matures further eye surgery may be necessary.

8.30am awaiting his operation...

Chart explaining what was done

The two yellow lines are the slivers of eyelids that have been removed. The red line is where the Surgeon put a stitch in to help reduce the dip in his bottom eyelid, the diamond eye bit.

Successful operation!

Now for the long car journey home

He’s so much happier now he can see. Think he was a bit worried yesterday that we were dumping him again. Was so pleased to see me and get back in the car. He struggled to get in and waited for our help. Then went straight to sleep. He woke briefly about an hour later to make sure we were still there.

Stan couldn't wait to get out and see Ian

Then when I stopped the car and reversed up he couldn’t wait to get out to see Ian. We had to help him out as he was still drunk on the meds. Wobbled around a bit but went straight into the lounge and on the sofa to sleep again.

Home safe and sound

All snuggled up on the sofa

We had to keep his body temp up and he felt a little cool, so Ian wrapped him in a blanket

Full of beans!

This morning he is full of beans trying to hug and kiss me with his cone on and throwing Grape Ape at me.

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One happy dog this morning!

Tired now after a little tug of war game and a run around the garden. Snoring....

Post-op Update

Stan's Left Eye

Stan's Right Eye

Stan visits the vet for a checkup

After almost two weeks and a consultation with the assistant surgeon, all is progressing well and Stan can have his collar off under supervision. The left eye is still slightly swollen, this will reduce in time.

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The hood is off and he is up and running!

Stan is a much happier boy now he can see more clearly. He can now see when a ball is thrown and had great fun with the garden hose, which became shorter after he chewed it in half .

Also he can now see when a stick is thrown, and had great fun with his young companion.

The most remarkable video to watch is the fact he could see a small hover fly in the flowers.

Post op update

Though Stan’s eyes are greatly improved his left eye is still showing a ‘cherry eye’. As he is still growing, his head getting larger and his eye sockets stretching, perhaps in time all will settle into the correct position.

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Latest update on Stan, who is now one year old.

Stan’s expensive eye operation has improved his vision, but further surgery is needed at extra cost. Hopefully a final ‘tuck and trim’ will conclude his eye treatment.

Stan has endured invasive examination on his eyes to determine the extent of attention. Keeping his head quite still he was calm and patient whilst being examined. What a remarkable young chap.

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Stan is now two years old. His eyes require additional surgery to 'nip and tuck' what was not possible when he was younger

In October 2022 he had his first emergency eye operation, the second, was to lessen his Liver Shunt condition. Now his final operation, is due 17th October 2023 to have meticulous surgery to both his eyes for Entropion, Ectropion and cherry eye. The invasive, detailed, possibly three hour surgery on both his eyes will be expensive. We are expecting an Invoice of up to £3000. The outcome? Stan will have clear vision, no more irritation and no more drops! For the first time in his young life he will be free of discomfort.

He is now medication free!

He is now on a normal kibble diet. He has a teaspoon of manuka honey with lactose free milk with his breakfast and homeopathic milk thistle added to his dinner.

Latest update on Stan

He’s fully grown now and his fitness is building up well, as are his muscles.

He’s put on 8kg or more since the Liver shunt operation, and is loving life. His eyes are irritating him though and we have to put gel on regularly, but this is the last hurdle he’s got to jump. Now he’s off for more blood test and pre-op checks at our local vet, before heading off on a 5hr trip to Eastcott Veterinary Hospital in Swindon. This is to see Ida and get his eyes fixed. Once he’s over the stress our little man will be absolutely over the moon.

Stan's visit to the vet

  • Left eye showing prolapsed Nictitans gland and abnormal eyelid anatomy.
  • Right eye showing abnormal eyelid anatomy, including large eyelid opening {macropalpebraljissure), lower lateral entropion, causing hairs to rub on the cornea and chronic keratitis and pigmentation of the cornea as a result. Also showing chronic watery tear oveiflow (epiphora)

Diagnosis

  • Re-prolapse of Nictitans gland left eye, right eye area of gland very inflamed
  • Macropalpebral fissure OU and entropion causing trichiasis
  • Pigmentary keratitis right cornea

Stan’s Left Eye

Stan’s Right Eye

Stan arrives home after his operation

Weds 18th October

Arrived home early hours tired and hungry. Slept all night!

Thurs 19th October

Been grotty all day and in a bit of pain but staying brave. Eyes pretty sore over the few days housebound.

Wed 25th October

Off out for first proper walk since operation.

Stan continues to improve

Tuesday 27th October

Eyes improving all the time. Just a few itches to contend with so cone must stay on. Walking every day as normal and Stan feeling much happier.

Thurs 29th October

Stan allowed on walk without cone which made him very happy. Have noticed a marked improvement in sight. Stan can see into the distance now whereas post-op he would only see close up.

Stan is very happy now

Wed 31st October

Stan is very happy now. Cone taken off at home under supervision. Vision very good. No sign of eye pain or irritation. Completed medication courses. Pretty much back to normal apart from being an even bigger baby and more clingy.

COST TO DATE

During 2022
  • Vet referral examination
  • Liver consultation and scan
  • Emergency eye operation
  • Several vet checks for bloods and bile. 
  • Eye consultation 
  • Liver shunt surgery 
  • Several vet checks for bloods and bile

Cost: £14.195.75

During 2023
  • Vet checks prior surgery 
  • Corrective eye operation 
  • Predicted cost for recent eye operation

Cost: £3.500

Total Cost: £17.694.75