Canis ISSN: 2398-2942

Eyelid: temporary tacking sutures for entropion

Contributor(s): Natasha Mitchell

Introduction

  • Entropion in young dogs often corrects itself during growth.
  • Temporary eversion of affected eyelid(s) eliminates trichiasis during this period, therefore reducing irritation and the risk of corneal ulceration. It also relieves the spastic entropion component.
  • Lembert type sutures are easy to place and the procedure is quick.

Uses

  • Entropion Entropion Eyelid: entropion keratitis - young dog correction in puppies.
  • Relief of spastic entropion caused by a painful corneal ulcer in a dog of any age.

Advantages

  • Simple and quick to perform.
  • If performed early, eg 2-4 weeks old in Shar Pei Chinese Shar Pei , may save more extensive surgery later.
  • Facilitates healing of any corneal ulcers Ulcerative keratitis that are being complicated by trichiasis.

Disadvantages

  • The sutures may become dislodged early, through self-trauma or rapid growth.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good, but the procedure may need to be repeated. After approximately 5 months of age (this varies according to severity, breed and individual dog), a more permanent solution such as the Hotz-Celsus Eyelid: Hotz-Celsus procedure for entropion procedure is indicated.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Johnson B W, Gerding P A, McLaughlin S A et al (1988) Non-surgical correction of entropion in Shar Pei puppies. Vet Med 83 (5), 482-3 VetMedResource.

Other sources of information

  • Gelatt K N & Gelatt J P (2011)Veterinary Ophthalmic Surgery.pp 104.


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