Entropion correction by fornix-based suture placement

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Entropion correction by fornix-based suture placement: use of the Quickert–Rathbun technique in ten dogs

David L. Williams

Veterinary Ophthalmology (2004) Vol 7, issue 5,pages: 343–347

Abstract
The objective of this study was to evaluate fornix-based suture placement as a method for
entropion correction in the dog. Lower eyelid entropion with resultant trichiasis was
corrected in 10 dogs using fornix-based suture placement similar to that employed in the
Quickert–Rathbun technique used in man. A double-ended suture was placed originating
at the deepest extent of the fornix and exiting the lid 1–2 mm from the eyelid margin.
Degree of correction was assessed visually immediately after surgery and at reexamination
with a follow-up period of up to 6 months. Fornix-based suture placement
led to immediate eversion of the eyelid in each case and thus amelioration of the trichiasis
in all dogs. In two cases eyelid eversion initially appeared over-corrected and in two cases
exposure of conjunctival tissue was evident initially at the palpebral margin. In all cases,
however, such complications were transient with long-term results giving an acceptable
apposition between ocular surface and eyelid margin in all adult dogs. In three juvenile
dogs on which the technique was used, further surgical treatment was required as the
puppies grew. Fornix-based suture placement is a novel approach to entropion correction
in the dog which yields acceptable results in the majority of suitable cases without
recourse to incisional surgery.

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