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).

Lateral continuous blepharo-canthoplasty effectively corrects entropion and macroblepharon in cats.

This retrospective study evaluated a novel surgical technique called lateral continuous blepharo-canthoplasty for treating entropion and macroblepharon in cats. The procedure combines a Hotz-Celsus technique on the lower eyelid with lateral canthal wedge resection. Thirty-nine cats (58 eyes total) were included, with a mean age of 2.92 years. Maine Coon cats represented 71.8% of the cohort. Surgery was performed bilaterally in 19 cats and unilaterally in 20 cats, with a median follow-up of 287.5 days. The technique demonstrated excellent clinical outcomes with resolution of clinical signs and favorable eyelid conformation in all cases. Only minor complications occurred, including wound dehiscence from self-injury in two eyes. The combined approach effectively addresses both entropion correction and eyelid shortening while stabilizing the lateral canthus, representing a valuable surgical option for feline patients with these concurrent conditions.

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