Bilateral Entropion Surgery in a Kivircik Breed Ram

Abstract

The purpose here is to report this kind of rare case an acquired entropion in a ram without a history of trauma. Entropion can be congenital or acquired. This case report consists of a 1 year old, 26.6 kg, Kıvırcık breed ram with a purulent discharge for 15 days in both eyes. Following the general clinical examination of the patient, a complete detailed ocular examination was performed. The ocular reflexes were noted positive in the examination. The Schirmer tear tests (STT) were recorded as 10 mm/dk and 12 mm/dk respectively right and left.  Intraocular pressure (IOP) of the both eyes were detected as 12 mm/Hg and 13 mm/Hg (right andt left). The Fluorescein tests were positive. IOP and STT values were within normal limits, but there were purulent discharge and corneal damage. There was bilateral entropion of the upper and lower eyelids. The surgery was performed under general anesthesia. Xylasin hydrochloride and ketamine hydrochloride combination was used for general anesthesia. Bilateral entropion was treated with Hotz-Celsus method. The excess skin was excised elliptically and the wound was closed with intradermal sutures. Subconjunctival antibiotics and subcutan meloxicam were used postoperatively. The follow-up was simple because an intradermal suture was used and subconjunctival antibiotic injections preferred instead of eye drops. In patients with abnormal discharge and corneal lesions, entropion may be overlooked by owners because of ocular pain and blepharospasm. In severe cases, entropion can be treated, but corneal ulcer, complete perforation and panophthalmitis may result with blindness. In severe entropion cases, as in the case presented, successful treatment is possible with permanent corrective surgery.