A 3-year-old male Domestic Shorthair cat was presented to the clinic with a 3-week history of persistent ocular discomfort, excessive tearing, discharges and frequent blinking of the left eye.
The owner reported progressive squinting, rubbing at the eye, and yellowish discharge.
No previous ocular trauma was noted, but the cat had been treated unsuccessfully with topical antibiotic drops from a local pharmacy.

Over time, the eye appeared cloudy, and the cat became sensitive to light and eyes were closed almost all the time

Corneal ulcer then developed due to hair and lashes contacting the cornea

Blepharospasm

Epiphora

Ocular discharge Mucoid or purulent if secondary infection

Corneal opacity Due to ulcer

Conjunctivitis Due to continuous inflammation

Hotz-Celsus procedure (Modified Blepharoplasty):

• Most common method in cats.
• A crescent-shaped section of skin and muscle is removed parallel to the eyelid margin.
• The edges are sutured to evert the eyelid margin outward.