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Covid 19 Ophthalmology for Animals - June 14, 2021

We are pleased to announce that we will begin taking steps to reopen our offices to allow for face to face visits.

The safety of our clients and employees is our highest priority and we will continue to review all available CAL/OSHA and CDC recommendations as we work towards welcoming you back inside. We ask that you please be patient with us as the rules and regulations can change quickly.

Only Vaccinated people with DVM appointments will be allowed into the building at this time, and you may choose whether or not to enter the building.

In order to keep everyone safe all persons will be required to wear a face mask indoors

Our office can only accommodate one client per pet inside of our office as it will be difficult to maintain the proper distancing at all times. You will be asked to answer some questions prior to coming inside.

Allowing inside visits will periodically impact processes and wait times.

Plexiglas shields will be installed at our front desks and hepa filtration systems will be running throughout the building.

We ask that everyone maintains the social distancing practices and utilize the hand sanitizers at the front door and within the hospital.

Once again Masks will be required inside until further notice.

Medication pickups will still be curbside.

When you arrive for your appointment, you may choose to check in via phone or text.

Please do not enter the building without an escort at any time.

Thank you for your continued patience! We look forward to seeing you soon.

Eyelid Surgery

lid massSeveral eyelid abnormalities benefit from surgery. Surgery is utilized to correct inherited or acquired conformational abnormalities such as entropion, macroblepharon (excessive eyelid length), ectropion or eyelid agenesis, to remove tumors of the eyelids, or to treat distichiae and ectopic cilia.

What kinds of eyelid issues could my pet have that require surgery?

Entropion is inversion or ‘rolling in’ of the eyelids, leading to contact between eyelid hairs and the cornea. This contact is irritating and uncomfortable, and causes corneal ulceration, scarring, and pain. In contrast to entropion, ectropion is eversion or ‘rolling out’ of the eyelids and is often seen in combination with macroblepharon. Ectropion results in exposure and irritation of the conjunctiva and cornea due to evaporation of the tear film and collection of dust and debris. These conformational abnormalities are most often inherited and can be seen with excessive eyelid length, weak eyelid cartilage, extensive facial folds, a particular skull conformation, or the anatomy of the orbit.

Distichiae and ectopic cilia are eyelashes arising from hair follicles that are in the wrong location, leading to irritation of the cornea. Distichiasis can be a benign diagnosis if the hairs are soft, but especially in certain breeds with short stout coats the problem can be serious. Ectopic cilia are also more common in certain breeds and cause significant pain and damage to the cornea.

Eyelid masses can have many causes, but tumors and inflammatory swellings are most common. Benign neoplasia (cancer) is most often diagnosed and in the majority of cases complete surgical excision is curative. If surgery is not done correctly with perfect apposition of the surgical margins, chronic corneal irritation and ulceration can result.

eyelid massHow will I know if my pet has an eyelid problem?

Signs of a problem can be variable and include squinting or holding the eye closed, tearing, ocular discharge, swelling, and/or redness. Contact between eyelid hairs or eyelashes and the cornea is painful and the eye will often be very sensitive. Corneal changes such as ulceration, cloudiness, or pigmentation may be present. Severe cases can affect vision as well. Eyelid masses can be small or large and can sometimes also cause corneal irritation. They may be within the eyelid or growing from the eyelid margin or skin surface.

What types of eyelid surgeries are performed?

Surgery is catered to the specific eyelid issue of the patient. Treatment of entropion and ectropion depends on the cause and the age of the animal, but generally the goal is correcting the inversion or eversion to allow the eyelids to lie flat against the globe. Because eyelid length is often seen in conjunction with entropion and ectropion, eyelid shortening may be combined with these procedures.

Distichiae and ectopic cilia are treated with removal of the offending hairs and destruction of the hair follicle to prevent re-growth.

Eyelid mass removal surgery depends on the size and location of the lesion. Small masses can be removed more easily, while larger masses require a more complicated procedure. The most important concept with any eyelid surgery is to provide your pet with a functional, comfortable eyelid.

pdfDownload more information about Entropion

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