Lower lid entropion in dogs: A modified technique of the combined Hotz–Celsus and wedge resection procedure

Abstract

Background: This study aimed to describe a modification of the combined Hotz-Celsus and wedge resection technique for the treatment of lower lid entropion in dogs and evaluate its success rate. Methods: To reduce tissue trauma, facilitate tissue handling and shorten the surgical time, shortening of the eyelid was performed by excising a rectangular piece of the eyelid margin only, in the central section, extending to but not below the first Hotz-Celsus incision. The eyelid margin surgical wound was then sutured before excision of the Hotz-Celsus crescent which had been surgically scored at the start of surgery. Records of 31 dogs were reviewed for signalment, outcome, need for further surgery, and follow up from 6 to 48 months after surgery. Results: Sixty-one eyes with lower lid entropion were treated. The most common breeds were English bulldog and English cocker spaniel and the median age was 16 months. The success rate for a single entropion correction surgery was 98.4%. One eyelid required a second surgical correction and four eyelids of three large breed dogs had wound breakdown. Conclusions: This modified technique is successful at correcting lower eyelid entropion associated with overlong eyelid length in dogs while being technically easier to perform.

Comprehensive Review of Canine Entropion: Types, Surgical Techniques, and Prognosis

“…Diagnosis is clinical and sometimes accompanied by a combination of conditions, such as ectropion with entropion where the patient presents a macropalpebral fissure; additionally, a 'diamond eye' is observed in the affected eye(s) [17][18][19]. Entropion presents a spectrum of clinical signs, with the severity of symptoms varying from mild to severe.…”

“…According to [19] The primary entropion can occur in two ways: congenital or acquired. This means that the patient could develop this condition in their early months of life or later in adulthood, often because of a combination of factors that trigger this condition.…”

Comprehensive Review of Canine Entropion: Types, Surgical Techniques, and Prognosis

“…Primary entropion, often congenital or conformational, is frequently associated with specific breeds [22]. This type of entropion can vary in terms of the degree of eyelid involvement.…”

Comprehensive Review of Canine Entropion: Types, Surgical Techniques, and Prognosis

“…Diagnosis is clinical and sometimes accompanied by a combination of conditions, such as ectropion with entropion where the patient presents a macropalpebral fissure; additionally, a ʹdiamond eyeʹ is observed in the affected eye(s) [17][18][19]. Entropion presents a spectrum of clinical signs, with the severity of symptoms varying from mild to severe.…”