Treatment
It is essential to identify the underlying cause of entropion in order to plan the most appropriate corrective treatment. In many patients, the condition is straightforward and can be addressed with a relatively simple procedure. However, in some cases, entropion may be part of a more complex condition such as Diamond Eye. This syndrome, most commonly seen in large-breed dogs with loose eyelids, involves a combination of both entropion and ectropion , often requiring a more tailored surgical approach that may include multiple techniques.
In younger animals, temporary “tacking” sutures can be highly beneficial. These sutures provide short-term correction while the patient continues to grow and develop, helping to protect the eye until a more permanent solution can be performed.
For many cases, the Celsus-Hotz technique remains a highly effective surgical option. This procedure involves the precise excision of a semi-lunar section of skin near the eyelid margin, followed by closure in a specific manner. The technique applies controlled tension to the eyelid, allowing it to return to a more natural anatomical position and restoring normal eyelid function.
Brachycephalics
Brachycephalics with medial lower lid entropion may require a small triangular Celsus-Hotz or a medial canthoplasty especially if they have an overlarge palpebral fissure.
In some situations entropion may be part of brow droop and the actual surgical intervention might need to be much larger as in these cases correcting the eyelid alone will make little difference.
Post operative care
The post operative care for dogs undergoing entropion surgery typically consists of a period of leash walking along with an elizabethan collar to prevent self trauma. Treatment for concurrent problems such as corneal ulcers may also be required.You can read more about the aftercare in our resources section of the website.
