Eyelid: temporary tacking sutures for entropion
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 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.
Alternative techniques
- Hotz-Celsus procedure Eyelid: Hotz-Celsus procedure for entropion.
Procedure
- A few minutes - depending on number of sutures required.
Decision taking
Criteria for choosing test
- Young puppies (<5 months) with entropion that is causing trichiasis.
- Spastic entropion in animals of all ages.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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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.