COMMON EYELID PROBLEMS - PART 1 Entropion Lower lid entropion is common in many large breed dogs including Labradors, Golden Retrievers, Rottweilers


Lower lid entropion is common in many large breed dogs including Labradors, Golden Retrievers, Rottweilers, Standard Poodles and many other breeds with loose skin including Shar Pei, Basset Hound and Bulldog. Age of onset is usually 6-18 months old. Surgery is necessary to correct eyelid position to alleviate pain and minimise damage to the eye. Our surgery for lower lid entropion involves shortening the lower eyelid and then rolling it out. Excellent eyelid apposition is essential, so a figure of 8 suture pattern is used to close the eyelid shortening. 5/0 Maxon® suture is ideal as it is absorbable, so suture removal is not needed. Many cases require treatment for conjunctivitis.


Lower lid entropion

upperlid ptosis

Upper lid ptosis

ptosis post

Ptosis post-op



Upper eyelid entropion is commonly seen in breeds with loose skin and older dogs, especially Cocker Spaniels. A lateral eyelid corner closure is performed to stabilise the eyelid margin and then the upper eyelid is lifted. Many cases in older dogs have chronic conjunctivitis and often dry eye.

Extra eyelashes grow right from the eyelid edge out the meibomian gland openings. They are commonly seen in Staffordshire Bull Terriers, Golden Retrievers, Cocker Spaniels and Poodles. Signs include squinting, watery discharge, conjunctivitis and corneal ulcers. Surgery is required if they are causing irritation and involves transconjunctival excision of each individual eyelash root. High-power magnification is essential. In some cases of multiple fine lashes with thin eyelids cryotherapy is performed.

Ectopic Cilia are individual eyelid hairs that have grown the wrong way and are directed through the conjunctival side of the eyelid right onto the cornea. They usually cause intense pain and focal ulceration. Breeds seen with these include Shetland Sheepdogs, Flat-Coated Retrievers and Tibetan Spaniels. Surgery is required to remove the hair and the root. Commonly nests of hairs are found.

Eyelid Tumour
Small eyelid tumours that involve less than 40% of the eyelid length can be simply excised with 2-3mm margin. A figure of eight suture with 5/0 Maxon® is used to close the defect, followed by simple interrupted sutures. Common small tumours include meibomian gland adenomas, melanocytomas and warty growths. Larger, faster growing tumours require larger margins and reconstructive procedures. Pathology is recommended to determine what type of tumour and if the margins are clean.


Ectopic cilia


Eyelid tumour


Large tumour


Post lip-lid blepharoplasty

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