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【Case Sharing】The Little Prince’s New View: Overcoming Severe Entropion

By Dr. Ryan Chuang


Imagine waking up every day with your eyelashes constantly rubbing against your eyeballs. For "Little Prince," a cat with severe Entropion (inward-turning eyelids), this was his daily reality. His lower eyelids were so severely folded inward that I had to manually roll them out with my fingers just to see his eyes.


The First Consultation: A Misunderstood Pain

When I first saw Little Prince, his eyes were chronically dry, inflamed, and showed signs of corneal ulcers. I explained the severity to his owner and recommended immediate surgery to stop the constant irritation.

However, the owner did not return for several months. Like many owners, they believed that because Little Prince had been born this way, he "didn't feel any discomfort" and was simply a "quiet" cat. This is a common misconception—animals are experts at hiding chronic pain.


The Turning Point: Six Months Later

I saw Little Prince again half a year later. By then, his condition had deteriorated significantly. Both eyes had thick, green discharge and severe corneal ulcers. His corneas had turned white and thickened, with blood vessels growing across the surface of his eyes—a sign of the body's desperate attempt to heal constant trauma.

He was initially seen by another doctor for antibiotics, and I took over for the follow-up. I had to be very firm with the owner: "No amount of eye drops will cure this as long as the eyelids are still rubbing against the eye. Every time he opens his eyes, his pain begins again.

The Transformation: Surgery and Recovery


Cat entropion surgery

Finally, the owner agreed to the surgery. The procedure took about 30 minutes, during which I removed the excess tissue under both lower eyelids and sutured them into a normal position.


Cat entropion surgery















The results were life-changing:

Cat entropion surgery





Day 5 Post-Op: The corneal ulcers had healed, and the abnormal white tissue on the eyes had almost vanished. Most importantly, Little Prince became a different cat. He started jumping and playing around the house—behavior the owner had never seen before.







Day 15 Post-Op: Little Prince could finally open his eyes fully. During his check-up,

he was curious and engaged with his surroundings, showing off the beautiful, watery eyes he was always meant to have.

Cat entropion surgery

Dr. Ryan’s Opinion

Little Prince wasn't a "quiet" cat by nature; he was simply in too much pain to move. This case reminds us that "congenital" does not mean "normal." If your pet has chronic eye discharge or squinting, please seek professional help. They deserve to live a life free from constant irritation.


(Article by Dr. Ryan Chuang. Reproduction without permission is prohibited; sharing with original attribution is welcomed.)


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