Lateral Continuous Blepharo-Canthoplasty: A Combination of Hotz-Celsus and Lateral Canthus Wedge Resection for the Correction of Entropion and Macroblepharon in Dogs (88 Eyes).

Combining Hotz-Celsus with lateral canthus wedge resection effectively corrects concurrent entropion and macroblepharon in dogs.

This retrospective study describes a novel surgical technique called 'lateral continuous blepharo-canthoplasty' for the concurrent correction of entropion and macroblepharon in dogs. The procedure combines the established Hotz-Celsus technique applied to the lower eyelid with a lateral canthus wedge resection, addressing both eyelid inversion and excessive eyelid length in a single surgical intervention. The study included 47 dogs (88 eyes), with a mean patient age of 3 years. Surgery was bilateral in 87.2% of cases. Breeds most commonly represented included English Bulldog, Labrador Retriever, English Cocker Spaniel, Chow-Chow, Rhodesian Ridgeback, and Golden Retriever — breeds predisposed to conformational eyelid abnormalities. The median follow-up period was 574 days (range 130–967 days), providing meaningful long-term outcome data. Clinical results were excellent across all patients, with complete resolution of clinical signs and favorable eyelid conformation achieved in 100% of cases. The only complication reported was wound dehiscence secondary to self-trauma in one dog (2 eyes), representing a minor complication rate. The technique offers the dual advantages of eyelid shortening and lateral canthus stabilization, making it particularly suited for brachycephalic and other conformationally predisposed breeds. This combined approach reduces the need for staged procedures, potentially improving patient outcomes, minimizing anesthetic episodes, and simplifying case management for practitioners dealing with complex eyelid conformational disorders.

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