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A combination of modified Kuhnt–Szymanowski and Celsus–Hotz techniques for correction of entropion and overlong lower eyelids in dogs (40 eyes)

2023; Wiley; Linguagem: Inglês

10.1111/vop.13084

1463-5224

Hanna Walter, Teresa Bilotta, Catarina Gonçalves, Claudia Busse,

Dermatologic Treatments and Research

To describe a surgical approach to correct entropion and overlong lower eyelids in dogs by combining the Celsus-Hotz with the modified Kuhnt-Szymanowski technique.Medical records of patients undergoing the described surgical procedure were reviewed. A semilunar-shaped piece of lower eyelid was excised and combined with an angled incision at the most lateral aspect of the wound. Adjacent to this incision a skin flap was mobilized to expose the subcutaneous tissue in the ventral aspects. A four-sided wedge resection was used to shorten the lid margin in variable positions. Following closure of the eyelid margin wedge resection, a wedge of equal width was removed from the lateral skin flap. Skin and subcutaneous tissues were closed in a routine fashion.All surgeries were performed by an ECVO diplomate or resident. The surgery was performed unilaterally in four and bilaterally in 18 dogs. Most common breeds were English Bulldog (n = 7), Saint Bernard (3), Rottweiler (2) and Cane Corso Italiano (2). Median age was 22 months (range 5-100 months). Median follow-up was 30 days (range 9-987 days). A single surgical procedure was sufficient to correct the entropion in 97.5% (39/40) of eyes.The combination technique described is a suitable surgical procedure to simultaneously correct lower lid entropion and excessive eyelid length, with the added benefits of a stepped wound closure and a flexible lid margin wedge positioning.