Complex entropion cases are one of the most challenging ophthalmic conditions in dogs that can lead to painful corneal ulcers and vision loss if left untreated. This lesson provides a comprehensive approach to diagnosing and surgically correcting complex entropion in dogs, particularly the challenging “diamond eye” conformation seen in breeds like St. Bernards, Mastiffs, and Shar Peis. It covers essential anatomical factors affecting eyelid positioning, systematic assessment techniques and detailed surgical planning strategies to address multiple conformational abnormalities simultaneously. The author takes you through a detailed case study of a St. Bernard with bilateral diamond eye and demonstrates how to combine various surgical techniques – from basic Celsus-Hotz procedures to advanced Grussendorf lateral canthoplasty – to achieve successful functional and cosmetic outcomes. Thorough pre-operative assessment, careful surgical planning and post-operative management is crucial to minimise complications and ensure correction of these complex eyelid malpositions.
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