Modified Medial Canthoplasty for Correction of Euryblepharon in Two Horses.
Letourneau AR, Butler BA, Martinez PS, da Costa Martins B, Monk CS, Plummer CE · Veterinary Ophthalmology · 1 March 2026
Modified medial canthoplasty effectively corrects euryblepharon and improves palpebral anatomy in horses.
This case series describes a modified medial canthoplasty technique for treating euryblepharon in two horses. A 1-year-old thoroughbred mare presented with bilateral microphthalmos, euryblepharon, medial canthal pocket syndrome, and dacryocystitis, while a 2-year-old Appaloosa gelding presented with a retrobulbar mass, euryblepharon, and mild lower eyelid ectropion. Both cases underwent medial canthoplasty with temporary tarsorrhaphy. The procedure involved identifying and cannulating nasolacrimal puncta, everting and excising the medial canthal eyelid margin just medial to the puncta, and closing the resection site in two layers. In the second horse, prolapsed retrobulbar fat was excised prior to the shortening blepharoplasty. Histopathology confirmed retrobulbar fat prolapse. Both horses demonstrated significant clinical improvement post-operatively. This technique appears effective for restoring normal palpebral anatomy and resolving clinical signs associated with euryblepharon and related conditions in equine patients.
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