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When Cute Facial Folds Start Hurting the Eyes

Not all facial folds are harmless.

Entropion is an eyelid abnormality in which the eyelid margin rolls inward, causing the eyelashes, facial hair, or skin to rub continuously against the cornea. It is commonly associated with inherited facial and eyelid anatomy, particularly in dogs with heavy facial folds or shortened facial structures.

Repeated contact with the corneal surface may cause:

• Persistent tearing and squinting
• Eye redness and irritation
• Corneal inflammation or ulceration
• Pigmentation and scarring of the cornea
• Chronic discomfort and impaired vision

In this case, surgical eyelid correction was performed to reposition the affected eyelid margins. A carefully measured section of skin was removed, and the tissues were sutured to rotate the eyelids outward into a more functional position. This reduced direct contact between the surrounding hair and the surface of the eyes.

The goal of entropion repair is not cosmetic. It is to protect the cornea, relieve pain, improve eyelid function, and prevent further ocular damage. Accurate correction is important because removing too little tissue may leave the eyelid partially inverted, while excessive correction may cause the eyelid to turn outward.

The procedure was completed successfully, and the patient proceeded to postoperative monitoring, pain management, and eye protection during healing. Swelling and redness may be present immediately after surgery, but these should gradually improve as the tissues recover.

Some dogs look especially adorable because of their facial folds, but those same anatomical features may place constant pressure on the eyes. Sometimes, the concern is not the pet’s behavior—it is the structure of the eyelids.

Notice frequent eye rubbing, tearing, redness, discharge, or squinting? Visit any AVCI branch for a proper ophthalmic assessment.

Case handled by Dr. Enrique A. Guioguio.