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Modified Kuhnt–Szymanowski surgical procedure for secondary cicatricial ectropion in a horse
Authors:Michala de Linde Henriksen  Caryn E Plummer  Dennis E Brooks
Institution:1. Department of Small and Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Fl 32610‐0126, USA;2. Department of Large Animal Clinical Sciences, Faculty of LIFE Science, University of Copenhagen, Copenhagen, Taastrup 2630, Denmark
Abstract:A 1‐year‐old Dutch Warmblood gelding was presented to the University of Florida’s Large Animal Hospital (UF‐LAH) for correction of ectropion of the right lower eyelid. The ectropion was the result of a lower eyelid laceration. A primary repair was performed by the referring veterinarian; however, the horse prematurely removed the sutures and the wound healed with inversion of the eyelid margin. Surgical correction of the entropion, with removal of tissue from the lower eyelid, resulted in cicatricial ectropion. During the initial evaluation at UF‐LAH, a corneal ulcer was noted in the right eye because of exposure from the anatomically nonfunctional lower eyelid. A modified Kuhnt–Szymanowski procedure was performed to correct the ectropion and repair the eyelid margin. The surgical site healed appropriately with an acceptable cosmetic and functional result. No recurrences of corneal ulcers in the right eye were reported in the 18 months following surgical correction of the ectropion.
Keywords:blepharoplasty  corneal ulcer  ectropion  entropion  equine  Kuhnt–  Szymanowski
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