Comments on the dilemma in the June issue: Not a dry eye in the house: treating rescue dogs with off-licence cyclosporine

01 Jul 2019

Ip, J.

In Practice Image

Financial stress is often a problem encountered in the veterinary profession. In this instance, I agree with how Williams would handle the case, as although treating the dog and improving its quality-of-life is most important, the cascade would deem cyclosporine diluted in corn oil an inappropriate treatment, despite being the cheaper option.

However, I do have some concerns with prescribing topical tear replacement. Depending on the dog’s temperament, would frequently applying the drops be stressful and, in time, reduce the quality-of-life for the dog? It can also be difficult to identify when a dog’s eyes are irritated compared to human dry eye, where people self-apply when the irritation becomes apparent.

Additionally, is it feasible for the owner(s) to apply the drops multiple times throughout the day? And, if the tear replacement is not as effective as the licensed cyclosporine would the treatment prove less cost effective if the dog...