Abstract：
OBJECTIVE: To introduce a novel surgical technique for treatment of macroblepharon and diamond eye conformation in dogs.
METHODS: Lateral canthal reconstruction was used in dogs with prominent eyelid malformations resulting in ocular surface disease. Lateral canthus was resected and new lateral canthus was created using a two-layer closure. This technique was performed either alone or in combination with additional procedure(s). Additionally, this technique was used to resect lateral canthal dermoid.
RESULTS: One hundred and fifty-three eyes of 85 dogs were included in the study. Procedure was done for macroblepharon and/or lateral canthal entropion (149 eyes of 81 dogs) or for lateral canthal dermoid (four eyes of four dogs). Procedure was done either alone (n = 68 eyes) or in combination with additional procedure (n = 85 eyes). Favorable cosmetic outcome and client satisfaction was achieved in all dogs. Good to excellent functional outcome was recorded in all but 6 eyes of 4 dogs, which required additional surgery. Most common complications included slight undercorrection or overcorrection.
CONCLUSIONS: Lateral canthal reconstruction is a simple yet effective surgical procedure for macroblepharon and/or lateral canthal entropion. If done early, it prevents development of secondary eyelid malformation (\"pagoda defect\") in giant breed dogs. If done after severe eyelid malformation has developed, combining this technique with concurrent pagoda resection is recommended to achieve ideal eyelid conformation. None.
METHODS: Lateral canthal reconstruction was used in dogs with prominent eyelid malformations resulting in ocular surface disease. Lateral canthus was resected and new lateral canthus was created using a two-layer closure. This technique was performed either alone or in combination with additional procedure(s). Additionally, this technique was used to resect lateral canthal dermoid.
RESULTS: One hundred and fifty-three eyes of 85 dogs were included in the study. Procedure was done for macroblepharon and/or lateral canthal entropion (149 eyes of 81 dogs) or for lateral canthal dermoid (four eyes of four dogs). Procedure was done either alone (n = 68 eyes) or in combination with additional procedure (n = 85 eyes). Favorable cosmetic outcome and client satisfaction was achieved in all dogs. Good to excellent functional outcome was recorded in all but 6 eyes of 4 dogs, which required additional surgery. Most common complications included slight undercorrection or overcorrection.
CONCLUSIONS: Lateral canthal reconstruction is a simple yet effective surgical procedure for macroblepharon and/or lateral canthal entropion. If done early, it prevents development of secondary eyelid malformation (\"pagoda defect\") in giant breed dogs. If done after severe eyelid malformation has developed, combining this technique with concurrent pagoda resection is recommended to achieve ideal eyelid conformation. None.
摘要：
目的：介绍一种新的手术技术，用于治疗犬的大眼和菱形眼构象。
方法：在患有导致眼表疾病的明显眼睑畸形的狗中使用了外侧than重建。切除了侧角，并使用两层闭合法创建了新的侧角。该技术单独进行或与另外的程序组合进行。此外,该技术用于切除外侧can皮样。
结果：本研究包括85只狗的一百五十三只眼睛。对巨睑和/或外侧斑内翻（81只狗的149眼）或外侧can皮样（四只狗的四只眼睛）进行了手术。单独进行手术（n=68只眼）或与其他手术组合进行手术（n=85只眼）。所有狗都获得了良好的美容效果和客户满意度。在4只狗的6只眼睛中记录了良好到出色的功能结果，这需要额外的手术。最常见的并发症包括轻微的矫正不足或矫正过度。
结论：对于巨大睑和/或外侧睑内翻，外侧指甲重建是一种简单而有效的手术方法。如果做得早,它可以防止巨型犬的继发性眼睑畸形（“宝塔缺陷”）的发展。如果在严重的眼睑畸形发展后进行，建议将该技术与同时进行的宝塔切除术相结合，以获得理想的眼睑形态。没有。
方法：在患有导致眼表疾病的明显眼睑畸形的狗中使用了外侧than重建。切除了侧角，并使用两层闭合法创建了新的侧角。该技术单独进行或与另外的程序组合进行。此外,该技术用于切除外侧can皮样。
结果：本研究包括85只狗的一百五十三只眼睛。对巨睑和/或外侧斑内翻（81只狗的149眼）或外侧can皮样（四只狗的四只眼睛）进行了手术。单独进行手术（n=68只眼）或与其他手术组合进行手术（n=85只眼）。所有狗都获得了良好的美容效果和客户满意度。在4只狗的6只眼睛中记录了良好到出色的功能结果，这需要额外的手术。最常见的并发症包括轻微的矫正不足或矫正过度。
结论：对于巨大睑和/或外侧睑内翻，外侧指甲重建是一种简单而有效的手术方法。如果做得早,它可以防止巨型犬的继发性眼睑畸形（“宝塔缺陷”）的发展。如果在严重的眼睑畸形发展后进行，建议将该技术与同时进行的宝塔切除术相结合，以获得理想的眼睑形态。没有。
