Walter Hanna, Bilotta Teresa, Goncalves Catarina, Busse Claudia
Department of Ophthalmology, Small Animal Clinic, University of Veterinary Medicine Hannover Foundation, Hannover, Germany.
Dick White Referrals, Station Farm, Six Mile Bottom, Cambridgeshire, UK.
Vet Ophthalmol. 2025 Mar;28(2):114-123. doi: 10.1111/vop.13084. Epub 2023 Mar 22.
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.
描述一种通过将塞尔苏斯 - 霍茨（Celsus - Hotz）技术与改良的昆特 - 齐曼诺夫斯基（Kuhnt - Szymanowski）技术相结合来矫正犬睑内翻和下眼睑过长的手术方法。
回顾了接受所述手术的患者的病历。切除下眼睑的半月形部分，并在伤口最外侧做一个斜切口。在该切口旁边掀起一个皮瓣，以暴露腹侧的皮下组织。采用四边楔形切除术在不同位置缩短睑缘。在关闭睑缘楔形切除术后，从外侧皮瓣切除一个等宽的楔形组织。皮肤和皮下组织按常规方式缝合。
所有手术均由欧洲兽医眼科医师学会（ECVO）的专科医师或住院医师进行。4只犬单侧手术，18只犬双侧手术。最常见的品种是英国斗牛犬（n = 7）、圣伯纳犬（3只）、罗威纳犬（2只）和意大利卡斯罗犬（2只）。中位年龄为22个月（范围5 - 100个月）。中位随访时间为30天（范围9 - 987天）。97.5%（39/40）的眼睛单次手术足以矫正睑内翻。
所描述的联合技术是一种合适的手术方法，可同时矫正下睑睑内翻和眼睑过长，还具有阶梯式伤口闭合和灵活的睑缘楔形定位的额外优点。
