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Peer-reviewed veterinary case report

Use of a chronic soft tissue expansion device to facilitate blepharoplasty in a horse with lower-lid cicatricial ectropion with a 14-year follow-up.

Journal:
Veterinary ophthalmology
Year:
2020
Authors:
Whittaker, Cameron J et al.
Affiliation:
Eye Clinic for Animals · Australia
Species:
horse

Plain-English summary

A 3-year-old Thoroughbred filly was taken to a specialized horse hospital because she had a serious problem with her lower eyelid, which was turning outward and causing irritation to her eye. Traditional surgery wouldn't work for her condition, so the veterinarians used a special device to stretch the surrounding tissue, allowing them to perform a more effective surgery to fix her eyelid. Two months after the surgery, her eye irritation had cleared up, and even after 14 years, she only had a slight return of the irritation with no major issues. Overall, the treatment was successful and led to a good outcome for the filly.

Abstract

A 3-year-old Thoroughbred filly presented to a referral equine hospital for surgical correction of a severe cicatricial lateral lower eyelid ectropion OD, with secondary exposure keratitis. The severity of the ectropion deemed that conventional ectropion repairs would be unsuccessful. Therefore, a soft tissue expansion device was used to create sufficient local tissue for a rotational graft with tension-relieving horizontal incisions to be performed to facilitate closure and acceptable eyelid apposition. The keratitis had resolved by two months postoperatively. There were no long-term complications and only mild recurrence of the keratitis observed 14-years postoperatively.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/32687627/