10/07/2025
July 10, 2025
DR. J SAYS:
STILL CRAZY (AND LEARNING) AFTER ALL THESE YEARS....
For many years, people have asked me about the brown crusties that their dogs and cats get at the medial aspect (inner corners) of their eyes. After questioning about attending squinting and/ or redness, etc., my answer might be something along the lines of "well, ya have to go to university for 7 years, but it's called 'eye-snot'. My dog 'Obi' (TWD) gets it, and I wipe it most mornings when I leave for work, sitting at the bottom of the stairs tying my shoes, as we 'boy-bond'. It's just maintenance". People seem ok with the answer.
About 6 months ago, 'Obi' (TWD) developed a 'corneal ulcer' in one eye. Amongst other things, these are very painful. I did a Schirmer Tear Test (STT) to see if he was producing enough tears.
He wasn't.
The diagnosis was 'Dry Eye'= Keratoconjunctivitis Sicca ='KCS'. You can contact Dr. Google to find a detailed medical description, breed predisposition, etc., of the condition. TWD is on 2x daily meds, for life, in an effort to stimulate his tear (=lacrimal) gland in his lower lids, to produce more tears.
About a month ago, I failed to get his meds into his eyes for a coupla treatments (bad doctor), and lo & behold, didn't he develop another corneal ulcer in the same eye. He is fine now.
Coupla weeks ago, I realized that, although we still 'boy-bond' at the bottom of the stairs every morning, TWD no longer has his brown crusties (eyesnot). I realize now that, presumably for many years, his 'clinical manifestation' of a (probable) underlying KCS condition was the brown crusties. I hope there was no attending burning sensation for him for all those years.......
Another reminder of how humbling the practice of veterinary medicine can be. Whether it's euthanasia of my own pets, frustrating treatment failures (they happen to everyone, whether or not we admit it), or TWD's 'eyesnot', there are these constant reminders that keep me grounded and taking nothing for granted. If we don't get too beaten up by these things and we can constantly learn from them, then in so many ways, they probably make us better veterinarians.
Have a great WE!
Yours in veterinary medicine.
DR. J