The Chinese Shar-Pei Eyes

Another topic of great debate, to tack or not to
tack, to have entropion surgery or not.

The Chinese Shar-Pei are born with wrinkled faces,
some heavy, some not, all rolling lids are genetic and
I have seen some of the most wrinkled faces, tack
free, and rolling lid free.

The eyes are closed at birth, and open from about
14-19 days, and then some never open, or open a
little and shut tight again. What to do?  If this is a
show puppy, we want natural untouched eyes, and yes
many lines have successfully had generations of eye
tack and surgery free animals, but it is not easy to
get.
I have bred tack and surgery free lines of adults and
still not been able to get tack free eyes from
puppies. For a breeder it is very frustrating.

Eyes can shut at any time during your dogs life and
there are many reasons for it, up to and including
stress, walks where debris or pine needles can get
into the dog or pups eyes. Just because a puppy is
born with tack free eyes does NOT MEAN it will be
free of this for the rest of its life, and just because
a puppy does have eye tacks does not mean you will
have any further problems with this condition either.

What is Entropion? Entropion is the inward rolling of
the eyelid, most commonly the lower lid, but can be
both lids. This irritates the surface of the eye (the
cornea) and may ultimately cause visual impairment,
by way of scratching this cornea and causing the same
affect as taking sandpaper to a smooth surface, thus
small scratches. See roll below instead of flat against
eyes like top one.












Entropion is a common hereditary disorder in dogs.
Selection for a particular conformation, of
exaggerated facial features with prominent eyes
and/or heavy facial folds, has created or worsened
this problem in many breeds.

It is likely that entropion is influenced by several
genes (polygenic inheritance) that affect the skin and
other structures that make up the eyelids, the way
the skin covers the face and head, and the
conformation of the skull.

This problem occurs in many breeds. Entropion is seen
in the Shar-Pei, Mastiffs, Akita, American
Staffordshire Terrier, Pekingese, Bulldogs,
Pomeranian, Pug, Japanese Chin, Shih Tzu, Yorkshire
Terrier, Staffordshire Bull Terrier, Dalmatian, Old
English Sheepdog, Rottweiler, Siberian Husky, Vizsla,
Weimaraner, Toy and Miniature Poodle and also seen
in hounds (Basset Hound, Bloodhound), spaniels (
Clumber spaniel, English and American cocker spaniel,
English Springer Spaniel, English Toy Spaniel, Tibetan
Spaniel), and sporting breeds Chesapeake Bay
Retriever, Flat-coated Retriever, Golden Retriever,
Gordon Setter, Irish Setter, Labrador Retriever,
Great Dane, Bernese Mountain Dog, Mastiff, Saint
Bernard, Newfoundland, and Great Pyrenees.

In the latter larger breeds the central lower lid is
often ectropic while the lid at the corners of the eye
is entropic, which means you have both conditions
occurring.

The corner is rolling in and the center is hanging too
low. For many breeds and many disorders, the studies
to determine the mode of inheritance or the
frequency in the breed have not been carried out, or
are inconclusive.

What does entropion mean to your dog & you? The
problem is usually evident before a year of age.
Discomfort from entropion will cause increased tearing
and squinting. Your dog may be sensitive to light and
may rub at its eyes. Chronic irritation by the
turned-in eyelid may cause corneal ulceration and
scarring which is painful and, if not corrected, can
impair vision.

How is entropion diagnosed? The inrolling of the eyelid
is readily apparent. Generally both eyes are
affected. Depending on the degree of corneal
irritation and the duration, there will be other signs
such as those mentioned above. Your veterinarian will
evaluate the degree of entropion and use flourescein
dye to determine if there is any corneal ulceration.
FOR THE VETERINARIAN: The use of topical
ophthalmic anaesthetic to anaesthetize the cornea
and conjunctiva will enable eliminatation of the spastic
component of the entropion in order to better
evaluate the anatomic component. This is important
before surgery is performed.

How is entropion treated? Entropion is corrected
surgically. If possible it is best to delay surgery until
the dog is an adult since the involved facial structures
are still growing and changing. More than 1 operation
may be required. It is better to correct the
entropion conservatively and repeat the operation
later if necessary, than to over correct causing
ectropion, as the head reaches maturity and enlarges.

Breeding advice- Entropion is one of the eye
conditions that is a result of selection by breeders
and a demand by the public for such features as
excessively prominent eyes and heavy facial folds. A
responsible breeding programme will choose animals for
breeding with a more normal head conformation, so as
to select away from these exaggerated facial
features and the problems associated with them. The
Vizsla Club of America has recognized entropion as an
unacceptable problem in their breed, and advises
breeders not to breed affected animals. Such
leadership by breed clubs is important in discouraging
this and other undesirable traits.

Temporary Entropion- Entropion is an eye problem
that causes the puppy's eyelids to roll inward. As a
result, the eyelashes rubbing against the cornea cause
acute distress. Symptoms of eye problems include
pawing at the eyes and excessive tearing, leading to a
cloudy discharge. I have found it very useful to use
lubricating eye drops in the puppies eyes once a day,
or polysporin or even castor oil. Especially when still
teething, blowing coat, when in season or around
females in season, or during stressful stays at
kennels etc.

There is a chance that your Shar-Pei's eyes may
blink or water slightly, something which can also
happen if your Shar-Pei is stressed. This will usually
subside when the temporary problem has been solved.

Usually 48 hours of drops will allow the eye to return
to normal, otherwise vet attention may be required to
prevent an ulcer from forming, which is caused from
continual rubbing of the eyelashes on the eye, and
this will be visible to the human eye as it appears as
a white area.

What is ectropion? - Ectropion is a defect of
conformation in which there is a sagging or rolling-out
(eversion) of the eyelids. This results in abnormal
exposure of the eye, which often leads to irritation
or excess tearing, as this lower lid is open and you
know yourself, if you are in the wind your eyes tear.
It is the opposite to entropion and can also be caused
by eye surgery and if too much skin is removed from
the eye, but I have also seen pups with this condition
in the chinese shar pei as well. See loose bottom lid.











How is ectropion inherited?- It is likely that
ectropion is influenced by several genes (polygenic
inheritance) that affect the skin and other structures
that make up the eyelids, and that affect the way
the skin covers the face and head.

What breeds are affected by ectropion? -Ectropion is
most commonly seen in dogs with exaggerated facial
features where it is often a breed characteristic. It
is found in the Basset Hound, Bloodhound, Boxer,
Bulldog, Clumber Spaniel, English and American Cocker
Spaniel, Gordon Setter, Labrador Retriever, Springer
Spaniel, and Shih Tzu. Ectropion is also common in
giant breeds such as the Great Dane, Mastiff, Saint
Bernard, Newfoundland, and Great Pyrenees In these
breeds the central lower lid is often ectropic while
the lid at the corners of the eye is entropic.

What does ectropion mean to your dog & you? -
Because of increased exposure of the eye, dogs with
ectropion are prone to develop allergic or bacterial
the surface of the eye and lines the eyelids.
Affected dogs may develop keratoconjunctivitis sicca
because of reduced efficiency at wetting and cleaning
the cornea.

Dogs who have had surgical correction for a defect
such as ectropion are prohibited from exhibition in the
show ring.

How is ectropion diagnosed? - In addition to the
sagging of the eyelids, dogs with ectropion commonly
have a mucopurulent discharge in the eye, reddening
of the exposed conjunctiva, and decreased tear
production. To check the latter, your veterinarian will
do a Schirmer tear test.

How is ectropion treated? With mild ectropion, no
treatment may be necessary. If secondary problems
such as conjunctivitis develop, these are treated as
required. More severe ectropion can lead to chronic
problems associated with eye irritation. In these
cases, surgery is performed to remove a small wedge
of tissue from the margin of the eyelid.

Even when you have all the posts in place for great
eyes, you are still facing other health problems that
may be more concerning than eyes.

My rule of thumb was, if a pup requires eye tacking,
it is done, and if it does not then it is not done, but
the bottom line here is health should never be
sacrificed for good eyes.  

A solid breeding program requires all concerns to be
monitored and if I had to choose tacking eyes over
fevers, amyloidosis, cancers and allergies, then it
would have to be a breeding decision based on my
discretion. Any decisions on puppy or dog owners to
pursue entropion surgery should always be discussed
with an experienced breeder and all surgeries should
be discussed with an experienced veterinarian, that is
familiar with this breed and this disorder.

It is important that head size should be considered as
skulls do grown eye problems could be outgrown.  Early
entropion surgery could result in ectropion as an adult
and vice versa.

Dogs who have had surgical correction for a defect
such as entropion  or ectropion may not be exhibited
in the show ring, so I guess any shar-pei show dogs
you see in the ring will never of had any tacks?  or
corrective eye surgery?






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Shar-Pei Canadiana.
Original Web Site opened October 25, 1997.
Web page designed by Vicky McBeth.
"Beautiful young pups
are acts of nature,
But beautiful old dogs
are works of art."
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