The dog has severe lower lid entropion with trichiasis (abrasion of lid hairs on the cornea) and excess lacrimation from ocular surface trauma. A number of techniques could be used to evert the lid, perhaps the most commonly used being the Hotz-Celsus technique where an ellipse of skin is removed to create tension to pull the lid margin out. In this case we used the Quickert-Rathbun technique to place a single fornix-based suture to evert the lid margin. Read about it in Entropion correction by fornix-based suture placement: use of the Quickert-Rathbun technique in ten dogs. Vet Ophthalmol. 2004 7:343-7 downloadable from the recent publications page of the website.