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Veterinary Professionals

Entropion

Overview

Entropion is a relatively common condition where the eyelid rolls inwards towards the eye. When this happens, the eyelashes and surrounding hair rub against the surface of the eye, causing irritation and discomfort. Pets with entropion often develop watery eyes and may squint, blink excessively, or rub at their eyes with their paws. If left untreated, the constant rubbing can lead to more serious problems such as corneal ulcers, inflammation, and eye infections. The condition can affect one or both eyes and is commonly seen in certain breeds due to their facial shape and eyelid conformation.

Treatment

The most appropriate treatment for entropion depends on the underlying cause and the severity of the condition.

In many pets, entropion can be corrected with a relatively straightforward surgical procedure. However, some animals, particularly certain large breeds with loose facial skin and eyelids, may have more complex eyelid conformations that require a more tailored surgical approach.

In younger animals, temporary stitches may sometimes be recommended. These help hold the eyelid in a more normal position while the patient continues to grow and develop, reducing irritation and protecting the eye until a permanent correction is more suitable.

For many patients, surgery involves carefully reshaping the eyelid so that it sits in a more natural position against the eye. The aim is to stop the hairs and eyelid from rubbing on the surface of the eye, restore comfort, and protect the eye from ongoing damage.

 

Great care is taken to achieve a comfortable and functional result while preserving the normal appearance and protective function of the eyelids

Stades procedure used to treat upper lid trichiasis and entropion

Brachycephalic Breeds

Flat-faced (brachycephalic) breeds such as Pugs, French Bulldogs, and Bulldogs commonly develop entropion affecting the inner corner of the lower eyelid.

These breeds may also have a larger-than-normal eyelid opening, which can increase exposure and irritation of the eye. In these cases, surgery may involve reshaping a small section of the eyelid or reducing the size of the eyelid opening to improve comfort and better protect the eye.

 

In some patients, the problem may also be influenced by the position of the surrounding facial tissues and brow. Where this is the case, more advanced corrective procedures may be needed, as treating the eyelid alone may not fully resolve the irritation or discomfort.

Post-Operative Care

Following entropion surgery, most dogs recover well with a short period of restricted activity and careful monitoring at home.

An Elizabethan collar (cone) is usually required to prevent rubbing or scratching at the eyes while the surgical site heals. Lead walking using a harness is recommended during the recovery period to help avoid accidental injury or excessive activity.

If there is any existing irritation or damage to the surface of the eye, such as a corneal ulcer, additional medication or treatment may also be needed as part of the recovery process.

You can find more detailed information about recovery and aftercare in the resources section below.

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