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Oscar's Ectopic Cilia and Entropion

10 yr old boxer, Oscar had a sore right eye.
Under magnification we could see hairs on the edge of the upper eyelid rubbing against the cornea causing pain and inflammation. Hairs growing in the wrong direction on the eyelids are called ectopic cilia.
He also had an inturning lower lid (entropion) causing rough hairs to rub against the cornea causing even more damage.



The cornea was red, inflamed and losing it's transparency.
Untreated the cornea would eventually ulcerate and there would be a risk of blindness.
The ectopic cilia were removed by electrosurgery - a fine wire electrode is used to cauterize the hair follicles one at a time leaving just a tiny hole where each hair was which then heals quickly. A small strip of skin was removed from just below the right lower eyelid; the wound was closed with small stitches. This pulled the eyelid edge off the cornea and back to it's correct position. Oscar recovered well; in a short time his eye was comfortable and the cornea began to clear leaving only a slight haziness along the outer edge of the eye.
Here is a picture of Oscar's right eye 3 months later.
The cornea has recovered well and there are no signs of corneal opacity or inflammation

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