Lateral Tarsorrhaphy and Fixation on the Orbital Ligament to Correct Macroblepharon in Dogs: 77 Palpebral Fissures

Maximilian Werner-Tutschku; Barbara Nell

doi:10.1111/vop.13316

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Title (eng)

Lateral Tarsorrhaphy and Fixation on the Orbital Ligament to Correct Macroblepharon in Dogs: 77 Palpebral Fissures

Author

Maximilian Werner-Tutschku

University of Veterinary Medicine Vienna

Barbara Nell

University of Veterinary Medicine Vienna

Abstract (eng)

To describe a surgical method for correcting lower lid entropion, lateral canthal entropion, and macroblepharon.Lid margins were incised at a 45° angle, and lateral lid margins and a rhomboid shaped piece of skin were resected based on the degree of macroblepharon. Subcutaneous tissue was sutured with absorbable sutures and anchored to the orbital ligament with a non-absorbable suture to maintain lateral canthal position. A new lateral canthus was formed using a "figure of eight" technique with absorbable sutures, and the skin was closed with simple interrupted sutures. Complications were categorized as minor (wound infections, delayed healing) or major (orbital ligament detachment).Lateral tarsorrhaphy with orbital ligament fixation was performed on 77 palpebral fissures (PF) in 39 dogs, with English Cocker Spaniels and Great Danes being the most affected breeds. Most dogs were male (72%) with a median age of 23?months; 69% were under 50?months. Of the PF treated, 57 (74%) had no complications, 11 (14%) had minor complications, and 9 (12%) had major complications, including six cases of ruptured orbital ligament fixation and one case of unilateral entropion recurrence. One dog was euthanized due to severe complications from auto-mutilation and lack of compliance.This surgical method effectively corrects diamond-shaped eyes, although complications can occur, especially in male dogs with excessive facial skin.

Keywords (eng)

AnimalsDogsDog Diseases SurgeryMaleFemaleLigaments SurgeryEntropion VeterinaryEntropion SurgeryEyelid Diseases VeterinaryEyelid Diseases SurgerySuture Techniques VeterinaryEyelids SurgeryEyelids Abnormalities

Type (eng)

journal article

Language

[eng]

Persistent identifier

https://phaidra.vetmeduni.ac.at/o:4015

DOI

10.1111/vop.13316

Is in series

Title (eng)

Veterinary Opthalmology

Volume