Lateral Continuous Blepharo-Canthoplasty: A Combination of Hotz-Celsus and Lateral Canthus Wedge Resection for the Correction of Entropion and Macroblepharon in Cats (58 Eyes)
Abstract
PURPOSE: To describe a surgical technique for the correction of entropion and macroblepharon in cats, which combines Hotz-Celsus and lateral canthus wedge resection ("lateral continuous blepharo-canthoplasty").
METHODS: A retrospective study on cats with entropion and macroblepharon undergoing surgery was carried out. A Hotz-Celsus procedure on the lower eyelid was merged with a lateral canthal excision via a wedge resection.
RESULTS: Thirty-nine cats were treated. Average age was 2.92 years (range 1-6.83 years). Surgery was performed bilaterally in 19 cats (48.7%), and unilaterally in 20 cats (51.3%) for a total of 58 eyes. The most represented breed was Maine Coon (28 cats, 71.8%). Median follow-up was 287.5 days (range 30-809 days). Minor complication was wound dehiscence (n = 2 eyes) by self-injury. All the patients had favorable outcome, resolution of clinical signs and excellent eyelid conformation.
CONCLUSION: The technique resulted in an effective procedure for combined entropion and macroblepharon in cats, with the benefits of eyelid shortening and lateral canthus stabilization.
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