Golden Retriever Dog Forums banner

Entropion - Before and After Surgery

8.1K views 37 replies 10 participants last post by  terri.tks  
#1 · (Edited)
Please do not take any information in this post as medical advice. I am not a qualified vet. Everything in this post is from my own experience and research and you should consult your vet if you think your dog has entropion

Hello everyone,

Our sweet 7 month old golden girl, Amber, has just had surgery to correct entropion in her right lower eyelid and I thought I’d make a post about our experience. When we were looking into entropion and corrective surgery we found very little information online that came from pet owners, so I hope this is helpful if your furry family member is going through the same thing.

I want to preface this post by saying we got Amber from a very reputable breeder. They are family friends of ours and I know they would’ve done everything they could to help the puppies if they had noticed anything amiss whilst the pups were in their care. While entropion is largely believed to be hereditary, it can also be caused by damage to the eye (such as an infection or scratch). Amber showed no signs of entropion until she was around 11 weeks old, by which point we had already had her for several weeks. My in-laws have Amber’s maternal great-grandmother and grandmother, so we have extensive knowledge of their family tree and have not found any other dog for 5+ generations with the condition in their line. Unfortunately Amber is just one of the unlucky ones.

I will leave a summary of cost, symptoms, complications and any other relevant information at the end of this post for ease.

This is our gorgeous girl at 8 weeks old, just after we brought her home:

Image


Before Surgery

As I said we first noticed Amber’s eye wasn’t sitting quite right when she was around 11 weeks old:

Image


Our vet diagnosed her with entropion and recommended we try temporary eyelid tacking to keep her comfortable while we waited to see if she would grow out of it. Some puppies do grow out of it, but unfortunately that wasn’t the case for Amber.

This was immediately after tacking:

Image


And a few months after tacking:

Image



The tacking procedure was very simple and Amber was home within a few hours, sleepy but otherwise fine! She had three stitches put in to keep her eyelid in place and stop any rubbing from her fur and eyelashes on her eye.

We thought the tacking had done the trick but a few weeks ago we noticed her eye was starting to flip inwards again:

Image


It all went downhill pretty quickly after that as she got a nasty eye infection. The vet gave us steroid and antibiotic eye drops for a few days to clear up the infection and scheduled full corrective surgery for the entropion for the following week. She thought Amber might have spastic entropion (entropion caused by excessive squinting due to pain) as her eyelid settled when the vet gave her a local anaesthetic to have a look at her eye, which is why they waited a few days to do the surgery to see if the drops helped, but they didn’t so we went ahead with the surgery.

After Surgery

This was immediately after surgery. She had around 1cm of her eyelid removed in total; most of which was from the outer third of her eye:

Image


Image


As you can see her eyelid is quite droopy and sore. The vet did say that sometimes the droopy eyes are permanent however Amber’s eye seems to be going back to normal as the swelling slowly goes down.

This was a few days after surgery:

Image


And today, a week after surgery:

Image


It can take 2-4 weeks for the swelling to completely go, so we won’t know for another few weeks how it will end up looking or if Amber will need a second surgery (more on this later), but as long as Amber is comfortable that’s all we care about.

Amber will need to wear a cone for approximately 10-14 days, depending on how she’s healing and how quickly her stitches are dissolving.

Aftercare

Amber was given Rimadyl tablets, an anti-inflammatory, for 7 days. We had no problem giving this to her, we broke it up into about 8 pieces and put it on her breakfast. She does have salmon oil with her meals so this could’ve helped with the taste.

We gave Amber a small meal of scrambled eggs when she got home after surgery and resumed her usual feeding schedule the day after. She had no problem with this but it’s completely normal if your dog doesn’t feel great for a couple of days after surgery so don’t worry if they’re not eating as they usually do, as long as they’re drinking and are otherwise fine.

The vet advised short lead walks for a few days, and she can now go for full length walks as long as she wears her cone and is kept on the lead. A word of advice about the cone: please take it seriously and keep it on. We thought we’d give Amber a break from wearing it one evening while we were both there to watch her as she’d never tried to scratch her eye, but that’s the first thing she did as soon as we took it off! Luckily she didn’t rip any of the stitches out but she did irritate them and make them bleed a little bit. I know we feel cruel when they’re uncomfortable with cones etc but it’s far better to keep the cone on for the recommended time instead of risking them getting an infection or worse, having to undergo the surgery again when they are already sore from the first time.

Other than that we just clean her eye with a cotton pad and antiseptic spray after walks and any time we notice any eye goop. She was reluctant to let us touch her eye at first but as the days go on she’s happy for us to have a good look at it and clean it as usual. Other than when she scratched at the stitches she has had no bleeding or weeping/discharge.

Other Info

I saw a lot of people online recommending you go to an eye specialist for this kind of surgery as there are some botched horror stories, however I think it depends on the kind of vet practice you go to. We went to our regular vets as the surgeon who performed the surgery has over 15 years experience with entropion surgery and similar surgeries, and we felt confident they would do a good job. It can cost up to £2000 for an eye specialist to perform the same surgery and while we would’ve happily paid this if it was the best thing for Amber, we saw no reason to go elsewhere given our vets had the means and experience to do a good job. Do what is best for your pet and your circumstances. It is still early days but Amber’s eye is lining up exactly like her other eye and I don’t think we will notice a difference once it’s completely healed and her fur has grown back.

Whilst some puppies do grow out of entropion, if they get to 6 months old and are still suffering with entropion then they are probably unlikely to outgrow it, and if your dog develops entropion as an adult it is very unlikely they will outgrow it. We were terrified of Amber having the surgery to begin with but we are so happy we did it now. By all means try tacking and anything else your vet or specialist recommends first, but please don’t put off surgery if all else has failed. Entropion is extremely painful and can cause corneal ulcers, eye infections and permanent damage to the eye resulting in blindness if left untreated. It’s bad enough having one eyelash in your eye, imagine having several in your eye at once, constantly rubbing and making your eye sore.

Summary

Cost at regular vets (UK):
Approximately £640. According to our itemised bill the majority of this was for the anaesthetic and fluids etc whilst Amber was having the surgery. As she is only 7 months old our vet didn’t think she needed blood work doing before the surgery, but if you have an older dog this might be a good idea just to check they’re healthy enough to withstand the anaesthetic.

Recovery: Approximately 2 weeks wearing a cone. Around 2-4 weeks for the swelling to go down and up to 8 weeks to be completely healed.

Symptoms: Excessive squinting and rubbing at the eye (although Amber never did this until the infection). Other symptoms include watery eyes, discharge, and obvious signs of the eyelid flipping inwards.

Potential complications:
Under-correction;
where too little of the eyelid is removed, resulting in a further surgery being needed to remove the rest of the excess eyelid
Over-correction; where too much of the eyelid is removed, resulting in ectropion (not enough eyelid remaining), which can cause dry eye and make your dog more prone to infections. Ectropion can be fixed however it is much easier to correct entropion and perform a second surgery, so I’ve heard most surgeons will err on the side of caution and remove less than they need to in most cases just to be on the safe side.

Apologies for the long post, but I do hope it’s helpful. It’s a minefield of information online so I just wanted to share a real experience in case you and your dog are going through the same thing. Try not to worry, it’s a very simple procedure if your dog needs it, and the prognosis is excellent. Once it’s done (even if you need a second surgery), it’s done and your dog can live their lives as they deserve.

Amber is the light of our lives and hopefully now she can live a full and happy life. She is always so happy and is the friendliest dog I’ve ever had the pleasure of meeting. She deserves nothing but the best 🧡

Image
 
#2 ·
I want to thank you for your post. Thank you for taking your time to describe to the smallest details, accompanied with pictures, yours and sweet Amber's journey thru this process. It is very noble thing to do, thank you so much! You are an amazing person and sweet Amber is an amazing golden. I wish your girl full and speedy recovery and hope no more surgeries are needed and sweet Amber lives healthy and long life.
 
#6 ·
Update: 9 days post-op

We have got a check up appointment with the vet tomorrow, however we have just caught Amber’s sister licking her eye and the majority of the scabs have come off (we are looking after her sister for a few weeks while her owners are away. It was really unfortunate timing as she’d only been with us a few days when Amber had to have her op). While we’ve kept them apart the best we can, anyone who owns a golden will know how hard it is to stop them playing.

You can see the stitches etc more clearly now that the scabs are gone, so I thought it’d be helpful to show you the healing process:

Image



We are thrilled with how neat and clean the incision is - although we would’ve preferred it if the scabs had fallen off naturally.
 
#7 ·
Thank you for writing a really detailed experience of entropion. It has been extremely educational. I am sure this will be really helpful for owners who are in this situation. I am sorry Amber and you had to go through this - sometimes even with the best ethical breeders we can't control nature and prevent these issues. I wish Amber a swift recovery and thank you for updating this thread.
 
#8 ·
I just want to say that I have had my own dogs from 1956 until I lost my last one July 5, 2022, breeds were English Setters, Irish Setters, Great Pyrenees and of course goldens. I was fortunate to have never had a dog this problem. Due to my age and limited income, I can no longer afford to have a dog, but just love reading about the breeds I love and seeing their pictures. You may note my screen name is 3 goldens--I had 3 goldens when I joined this forum back in 2005 when it was brand new. I want to say that no matter what, your Amber is a beautiful girl and I know she will be happy because you love her so much and show her the love. Wishing her all the luc in the world.
 
#9 ·
Thank you so much for your wonderfully kind response. I never knew how much I needed Amber until she came into my life. She is so in tune with my feelings. Her personality is so big already, she makes us laugh every day with her little quirks. Taking care of her is truly the honour of my life. We had “first pick” of the puppies and I knew instantly she was supposed to be ours, before she even opened her sweet little eyes :giggle: 🧡
 
#11 ·
I will be watching for them. So many times, people come here and tell us their dog has been diagnosed with such and such and asked about the meds the vet is giving their dog, if any of us has had the same thing happen with our dog, etc. and people respond....then we never hear from the original poster again and we are left to wonder if the dog made it okay, etc. So follow ups are much appreciated.
 
#12 · (Edited)
Update: 12 days post-op

The cone is gone! At least during the day - we’ve been putting it on at night time just in case. Had a check up at the vets and they’re really happy with how she’s healing.

Amber had her first walk off-lead today since her surgery and as you can imagine she loved it! She had the best time exploring and paddling in the river and we even bumped into her mum (top left in the last pic) and two of her brothers from her litter.

Image



Image


And a close up of her eye now as well - we are so pleased with how well she is doing 😄

Image
 
#13 ·
I am glad all is going so well, like it is suppose to. It is gorgeous place to walk, forest bathing is great for people too. Sweet Amber is looking great!
Thanks for the update.
 
#14 ·
This is great and THANKS so much for the update. She is such a beautiful girl. By the way, the first Great Pyrenees we adopted was a 7 year old boy who had been blind his entire life. My vet said had Shaggy's eye slits were too small and had he had surgery as a puppy, he would have at least had partial vision. When he was rescued he had been abused all h is life, kept in a crate living a lot of time in his own wastes. He had skin infection, geat loss of fur, ear infection (even had poop in his ears from scratching. he was so stunted, had no idea how to be on leash, knew no commands, nothing The foster had him 15 months and he learned so fast. She worked hard and had made great strides in getting his skin supple, his fur in, et. But he kept a raging ear infection. Turs out she is vegan and feds her animals vegan, I put him on grain free my vet packed his ears, and no more ear infections. He was with her 15 month and kept in a room to himself while she was at work Nobody wanted a 7 year old blind, stunted Great Pyrenees....except us.

He was amazing. He was house trained and did know how to be on a leash, thanks to his foster, I do not run AC as I get sick if in it long so have windows and doors open. It didn't take him any time to learn the way in and out onto the patio and into the yard was to follow the wound of the water fountain by the sliding patio door. He had total freedom At first we took him in and out on leash and would tell him "step down" at the door to go out and "Step up" to come in. He would approached it slowly by the sound of the fountain and I guess could tell by the feel of things (mats) and he would step up and down and we just let him on his own. We made sure not to leave anything out of place for him to bump into or stumble over and he could fin his way around our yard, doing the "Pyr Patrol as pyrs are bred to do, checking the perimeter of the yard for something not suppose to be there. he could find us in any room of the house by following our voices. By the way, when I was in high school back in early 60's I read a short story about a collie who had been born blind. The breeder was going to have her out to sleep when they realized she was blind, but his wife and their vet vetoes it and Fair Ellen lived a long and happy life. even ha pups and was a great mother. I learned a lot from that story about having a blind dog The story was written by Albert Payson Terhune bac in the early 1900s. If you google it, you can even see pitures of her

This is Shaggy His fur was starting to come in and you can see how stunted he is But he was just the sweetest dog and loved having folks come to visit and to love on him Hemangiosarcoma too him, the first dog I ever lost to it

Image
Image
 
#15 ·
How gorgeous is Shaggy? Who wouldn’t want that sweet little boy. How anyone can hurt animals is beyond me, especially just because they look “different” or aren’t cute little puppies anymore.

As I mentioned in my first post, we thought Amber’s eye had been fixed by the tacking she had done at 12 weeks old, but after the infection she got the other week we found out that actually her eyelashes had started growing inside her eyelid, so even though everything looked okay from the outside, it was a different story inside which is how she ended up getting the infection that led to her getting the corrective surgery. I still haven’t forgiven myself for not noticing sooner that my sweet little angel was in discomfort all those months until it was too late. I can’t tell you how many nights I’ve cried myself to sleep thinking about how she trusts us and loves us more than anyone in this world and how it’s our job to take care of her and I failed for so long.

The whole time she must’ve been in constant discomfort but she was still always so happy and friendly and loving. That’s partly why we didn’t notice for so long. I cried my heart out when we got back from the vets the day we found out about how her eye looked inside. It felt like someone had ripped my heart out. I have never felt so guilty in my life. And what did Amber do while I was crying? She brought me little presents (some of her favourite toys) and sat with me until I told her I was okay. I don’t deserve her.

How people can knowingly and purposely hurt animals is really beyond comprehension. I will spend the rest of my life trying to make it up to our sweet little girl. We’ll make sure she has the best life we can give her, no matter what.

I’m so glad Shaggy found you and that he was loved by you. It amazes me how animals can be treated so badly and yet still have so much love in their hearts for people who show them kindness ❤
 
#18 ·
Update: 2 weeks post-op

Most of Amber’s stitches are gone - two of them fell out yesterday afternoon and the rest seem to have followed overnight. Only a slight bit of swelling remains now and her fur is starting to grow back.

Image


Image


She got to go back to her favourite cafe this morning for the first time in almost 3 weeks. She absolutely loves it there and was thrilled to see that her favourite puppuccino is still on the menu!

Image
 
#25 ·
Amber's puppuccino looks much better than my cappuccino. :)
It's time for sweet Amber to enjoy her life to the fullest!
 
#19 ·
I agree that you shouldn't blame yourself - easier said of course but it's not your fault. We are all doing the best for our dogs with the knowledge we have at that given time. You're a wonderful owner and maybe it was just fate that brought Amber to you because you care and feel so much. I feel that when I read your words 🥹 I wish I could give you a hug.

Thank you for sharing these updates. You should actually be proud of yourself because you're a fantastic owner! 😊 Sending warm thoughts and hugs to Amber and you 🥰 Please keep updated coming and we would love to follow Amber on her adventures!

*Sorry for any errors, my English has deteriorated significantly since I have not been speaking it for some months..
 
  • Love
Reactions: AmberSunlight24
#20 · (Edited)
Thank you for always being so kind. I always come away from this forum feeling happy and uplifted by all the wonderful people I’ve had the pleasure of talking to!

I’m not a religious person but I do like to think that my lovely mum, who passed away a few years ago, sent Amber to take care of me. Amber always seems to know when I need a hug more than usual. She will only ever know love and kindness, we will make sure of that. Seeing her happy brings me so much joy.

Your English is perfect!
 
#24 ·
Thank you for always being so kind. I always come away from this forum feeling happy and uplifted by all the wonderful people I’ve had the pleasure of talking to!

I’m not a religious person but I do like to think that my lovely mum, who passed away a few years ago, sent Amber to take care of me. Amber always seems to know when I need a hug more than usual. I have to give myself an injection every other week and Amber whines and tries to knock the injection pen away from me because the first time I did it in front of her I accidentally hit my muscle and it made me cry out in pain. So now she thinks it will hurt every time and she tries to protect me. As soon as she hears the click of the lid coming off the pen she gets upset. My husband has started taking her out into the garden when I’m doing it now so we don’t upset her. She is so special and so intelligent, even at just 7 months old. The lights went out the day my mum died, but our sweet Amber Sunlight turned them back on. She will only ever know love and kindness, we will make sure of that. Seeing her happy brings me so much joy.

Your English is perfect! Is your native language Arabic? My grandad was from Saudi Arabia ☺
Our goldens are amazing and so tuned with our feelings. Sorry about the loss of your mom. I had Charlie with me when I lost my parents and he helped me so much with his presence.
Amber is amazing girl!
 
#21 ·
Amber is looking GREAT, such a beautiful girl with such expressive eyes. I hope this is the end of her eye troubles. Hugs to you, and a kiss on her head from me.
 
  • Love
Reactions: AmberSunlight24
#26 ·
Update: 3 weeks post-op

Our happy girl is thriving. We were on holiday from work all of last week and we were able to go on some lovely walks with Amber. She had her first pub lunch (sausages, mashed potatoes, carrots and gravy) and she met sheep for the first time! She also enjoyed a well deserved swim in the river for the first time, too.

On Friday she was officially discharged from the vets - they don’t need to see her again regarding her eye, unless we have any concerns :D


Image


Image


Image


Image


Image


She is completely back to her usual quirky self, fetching everything in sight in true retriever style! :giggle:🧡

Image
 
#27 ·
She looks gret And so beautiful. I am so happy for her---and you.
 
  • Love
Reactions: AmberSunlight24
#29 ·
Amber's journey is having deserved happy ending. Time to enjoy summer life. Love that last picture.
 
#30 · (Edited)
Update: 4 and a half weeks post-op

I can’t believe it’s been over a month since Amber’s surgery! I think this will be our last update as everything is pretty much back to normal now. All that’s left is for the fur around her eye to finish growing back. I think the way her eye is sitting now will probably be how it looks forever. It’s slightly droopier than her other eye but overall we’re really impressed with our surgeon, he did a fantastic job and above all else he stopped our angel girl being in any further pain and discomfort:

Image


Image


She has always been the happiest dog I’ve ever met but she has an extra spring in her step now - so her eye was obviously bothering her more than we first realised. She is loving having longer walks in the woods now that she’s a bit older, and getting to explore new places now she’s able to walk further.

Image


Image


She had a lovely walk in the woods with her pack the other day. Here she is with her great-uncle (top left), her grandmother (top right), her cousin (bottom left), and her great-grandmother (bottom right) 😀:

Image


Amber would like to give everyone who has left us a comment and checked in with how she is doing a big fluffy hug and wet nose boop.

If anything changes I will of course update the thread, but for now it’s goodnight from us X

Image


Image
 
#31 ·
Update: 2 months post op

Amber would just like to let all her friends on here know that she is currently loving life! Her eye has improved even more since our last update. Our gorgeous girl is 9 months old now and she is thriving.

Image


Image


Image


Her favourite thing to do at the moment is snuggle on the bed with us in the morning and make us as late for work as possible!

Image


Image


Image


And we’ve just had a “paw-trait” done of her to hang above the fireplace 😄

Image

Now she looks as regal as we think she is!
 
#32 ·
What a sweetheart. I'm glad her eye is all better
 
  • Love
Reactions: AmberSunlight24
#33 ·
I am so happy that beautiful girl is doing wonderful and can enjoy life without that pain. Funny thing about us dog lovers--we hate to see our dogs in pain as bad as we hate to see our kids in pain. It has to be because they are not "things" they are not "just dogs", they are not "property. They are part of our families.
 
  • Love
Reactions: AmberSunlight24
#34 ·
Amazing improvements and I don't think anybody could have even told that she had had this condition before! Congratulations to being such an amazing owner to Amber and that last portrait is just perfect! :love:
 
  • Love
Reactions: AmberSunlight24
#36 ·
So sorry you and lovely Honey are going through this! It’s truly awful seeing them in discomfort. We were terrified about the surgery so can totally understand how you’re feeling.

Hopefully you’ll take comfort in seeing some recent pictures of Amber, who turned 1 a few weeks ago and has gone from strength to strength since her surgery! She’s had no problems at all with her eye since her op. We’re wishing Honey a super speedy recovery. Please keep us updated with how she is doing, and if you have any questions I’d be happy to help if I can!