Tear Staining

Brown streaks on the cheeks of little dogs is a common sight. When tears overflow from the eyes, they run down the face, creating wetness that provides the perfect environment for bacterial growth. As bacteria replicate, they cause skin irritation and produce pigment that stains the hair brown. In dark-coated dogs, this colour change is of little consequence, but in white dogs, tear staining is obvious.

 

There are two causes of tear staining. The first is tear-duct blockage. In the normal canine eye, tears leave the eye via two small openings (called “puncta”), one in the upper eyelid and the other in the lower. Once through the puncta, tear fluid enters the tear duct that carries it to the nose. This anatomy is the same in people – it’s why your nose drips when you cry.

 

Some dogs are born with “imperforate puncta” – a condition that prevents tears from entering the tear ducts. According to Michael Zigler, a veterinary ophthalmologist practicing in Oakville, Ont., the incidence of this condition can be as high as two per cent in some small dog breeds. Imperforate puncta can be surgically opened but success depends on the rest of the tear-duct system being intact.

 

Many tear-stained dogs have a subtle eversion (turning out) of the lower eyelid, which compresses the puncta, preventing normal tear drainage. Surgical correction of the eyelids can reverse tear overflow in these cases.

 

The second cause is excess tear production – too much volume for normal tear ducts to handle. Any eyelid deformity that causes chronic eye irritation (rubbing on the eye surface), such as an inverted eyelid or extra eyelashes along the edge of the eyelid, stimulates increased tear production. Many of these conditions can be corrected surgically.

 

In most dogs, a cause for tear staining can be found with a careful examination of the eyelids and tear-duct system. Unfortunately, it’s often a combination of factors that leads to tear overflow and subsequent staining. Treatment may be frustrating or unsuccessful. Ultimately, the owner of a dog with tear staining needs to diligently keep the hair clean.

 

Zigler recommends trimming the hair regularly, cleaning the skin with a water-soaked cotton ball, then blotting it dry. He also suggests applying Zincofax, an ointment used for diaper rash, to help control skin irritation.

 

The authors of the book Small Animal Dermatology recommend the application of hydrogen peroxide to stained hair. Because the stained area is close to the eyes, the hair should be carefully “painted” with a cotton applicator (Q-tip) soaked with peroxide. Alternatively, a commercial product that bleaches tear-stained hair back to its natural white colour can be used on a regular basis.

 

 
By Jeff Grognet, D.V.M.