Cats have a distinct anatomical feature that many pet owners might not be fully aware of: their third eyelid. Known scientifically as the nictitating membrane, this inner eyelid serves a protective and functional role in feline health. It plays crucial roles such as spreading a tear film uniformly across the eye and protecting it from irritants and infections. However, seeing this third eyelid can sometimes be a cause for concern. In this detailed blog post, we’ll explore when a cat’s third eyelid may show, potential causes for its prominence, and when to seek veterinary advice.
Understanding the Third Eyelid
Unlike humans, cats possess three eyelids per eye. The third eyelid is located in the inner corner of a cat’s eye and serves several vital functions. It produces and distributes a tear film that keeps the eye moist and removes debris. This membrane is especially important for cats that are frequently exposed to dirt and dust, helping maintain overall eye health.
While the upper and lower eyelids shield the eyes from external elements like UV rays, wind, and water, the third eyelid helps further by providing an added layer of protection and moisture, preventing infections and other complications.
Is Seeing the Third Eyelid a Cause for Concern?
Observing your cat’s third eyelid might be alarming, but it’s not always a sign of distress. This eyelid may become visible when the cat is very relaxed, sleepy, or under anesthesia. These scenarios are generally normal and occur due to muscle relaxation. Another benign cause is dehydration, which can be quickly addressed by ensuring your cat has access to fresh water.

When to Worry About a Protruding Third Eyelid
While it’s normal to see the third eyelid occasionally, its continuous visibility can indicate underlying health issues. If you observe this along with other symptoms, a veterinary consultation is warranted. Let’s delve into some health conditions that can cause the third eyelid to become prominent.
Health Conditions Causing Third Eyelid Protrusion
Several conditions could make the third eyelid more visible, sometimes signaling serious health problems. Knowing these can help you take timely action.
Cherry eye appears as a red or pink mass protruding from the eye’s corner, making it easily distinguishable. While it’s more common in certain dog breeds, cats can also be affected, and it’s crucial to seek veterinary attention if you notice this symptom. For more details on conditions like cherry eye and their treatment, refer to this guide.
Conjunctivitis (Pink Eye)
Conjunctivitis, often known as pink eye, is an inflammation of the conjunctiva—the tissue lining the eyelid and covering the white part of the eyeball. Alongside the third eyelid becoming visible, your cat may exhibit red, swollen eyes, discharge, and excessive blinking or squinting. Conjunctivitis can be caused by infections or allergies and requires prompt veterinary treatment to alleviate symptoms and prevent complications.
Corneal ulceration often presents as visible sores or irregularities on the cornea, leading to excessive tearing, squinting, and pawing at the eye. Immediate veterinary care is necessary to prevent the condition from progressing to more severe issues like ocular perforation.
Nerve damage can lead to a host of symptoms including drooping eyelids, asymmetrical pupil sizes, and muscle weakness on one side of the face. This condition needs thorough investigation by a veterinarian to determine the underlying cause and appropriate treatment.
Upper Respiratory Infections
Respiratory infections, commonly caused by viruses like feline herpesvirus or calicivirus, can also trigger the third eyelid to become visible. These infections can cause a range of signs including nasal discharge, sneezing, and lethargy. Proper veterinary care is critical to manage symptoms and prevent transmission to other pets.
For a more in-depth look at feline upper respiratory infections, you can check out this comprehensive guide.
Hypertension and dehydration during periods of fever can make the third eyelid more evident. Recognizing fever early and seeking veterinary attention can lead to better management of the underlying infection and quicker relief for your cat.
Haws Syndrome
Haws syndrome is a specific condition where both third eyelids protrude simultaneously, often linked to gastrointestinal issues. The exact cause is not always clear, but it’s thought to be associated with intestinal inflammation. While it generally resolves on its own, persistent symptoms should be evaluated by a veterinarian for the best course of treatment. For further information on Haws syndrome, refer to dedicated resources.
When to Seek Veterinary Advice
It’s crucial to determine when to visit the vet if your cat’s third eyelid is showing consistently. Persistent visibility of the third eyelid, especially when combined with other symptoms like lethargy, changes in appetite, behavioral shifts, or visible discomfort, warrants immediate attention. Additionally, any acute changes in your cat’s eye appearance or general well-being should be a clear signal to seek veterinary care.
Symptoms to Watch For
Be vigilant for other warning signs that may accompany third eyelid protrusion:
- Sudden lethargy or decreased activity levels
- Persistent squinting or pawing at the eyes
- Visible eye discharge or redness
- Changes in eating or drinking habits
- Gastrointestinal issues like vomiting or diarrhea
If your cat exhibits any of these symptoms along with visible third eyelids, schedule a veterinary appointment as soon as possible. For tips on handling sudden health issues, visit our article on dealing with sudden illnesses.
Preventive Measures and Home Care
While some causes of third eyelid protrusion are beyond control, general preventive measures can support your cat’s overall health and potentially minimize risks. Ensure your cat has a balanced diet, clean water, and a stress-free environment. Regular veterinary check-ups are essential for early detection of potential health issues. To learn more about preventive care, explore our guide on essential cat care tips.
Regular Eye Care
Routine eye care can also play a part in preventing eye issues. Gently clean around your cat’s eyes with a damp cloth to remove any discharge. Monitor for any signs of irritation or infection, and keep an eye out for changes in their third eyelid. Educate yourself on more preventive eye care measures to keep your feline friend in optimal health.
Conclusion
The third eyelid is an often-overlooked aspect of feline anatomy, yet it plays an essential role in maintaining their overall eye health. While seeing it is not always a cause for concern, being aware of when it’s a sign of a deeper health issue can make all the difference for your cat’s wellbeing. Monitoring your cat’s health regularly and consulting your vet when necessary ensures that your feline companion stays healthy and happy.