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Overview of Canine Ectopic Cilia Ectopic cilia are single or multiple hairs that grow through the inside of the eyelid several millimeters from the lid margin, and rub on the cornea. Identification of the cilia is done via visual inspection of the eye, by everting or turning the eyelid outward and searching the conjunctival side with magnification. Fluorescein stain uptake on adjacent corneal surface helps identify the position of the cilia. The most common surgery performed is excision or removal of the eyelash and surrounding conjunctiva. The corneal ulcer is usually treated with topical antibiotics and a pupil dilator (atropine) to relieve the dog's pain while the site is healing.
There is no preventative care for ectopic cilia, but affected dogs should not be bred to dogs with either ectopic cilia or distichiasis.

Eyelashes are growing from two locations (arrows) along the conjunctival surface underneath the upper lid of this dog. The cilia can be very difficult to identify in some dogs because they are fine, light-colored and very small. The base of the incision may also be cauterized or frozen with cryotherapy to try and kill any hair follicles that are not visible and to prevent regrowth of the same or new hairs.
It is sometimes necessary to refer the dog to a veterinary ophthalmologist for slit lamp biomicroscopy or examination under an operating microscope to identify the cilia if they cannot be seen with routine magnification. Home Care and Prevention for Dogs with Ectopic Cilia Administer all medication as directed by your veterinarian and return for follow-up as directed. Ectopic cilia can be seen in any dog breed, although it appears to be more common in the dachshund, Lhasa apso, Shetland sheepdog, shih tzu, golden retriever, English bulldog, Boston terrier and pug.

The dog is usually monitored for recurrence of the ectopic cilia or development of new ones for 8 to 12 weeks following the surgery.
General Causes of Ectopic Cilia in Dogs Similar to distichiasis, a hair follicle forms in the base of one of the glands in the eyelid rather than on the skin side of the eyelid. As the hair grows, however, it does not exit from the opening of the gland, but rather it breaks through the inner surface of the eyelid.

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