Does Your Dog Have Distichiasis?
Squinting, tearing, and eye rubbing. Here's what distichiasis is and when it needs more than eye drops.

Squinting, tearing, and eye rubbing. Here's what distichiasis is and when it needs more than eye drops.

If you’ve noticed your dog squinting, tearing up, or pawing at their eye, there’s a chance the culprit is something you’d never think to look for: extra eyelashes growing from the wrong place. This condition is called distichiasis (dis-tih-KY-uh-sis), and it’s more common than most pet owners realize, especially in certain breeds.
Sometimes these extra lashes cause zero problems. Other times, they rub against the surface of the eye and cause real irritation, or worse, a corneal ulcer (a painful scratch or sore on the clear front surface of the eye). Here’s what to know.
Distichiasis (sometimes called distichia when referring to the individual hairs) is an eyelash disorder where extra lashes grow out of the oil glands along the eyelid margin, which is the edge of the eyelid where lashes normally don’t grow. These abnormal eyelashes point inward toward the eye instead of outward, where they can brush or press against the cornea with every blink.
Not every dog with distichiasis will be in pain. Soft, fine lashes sometimes cause no irritation at all. Stiff or coarse ones are a different story. The problem is you can’t always tell from the outside how much trouble those lashes are causing without a closer look.
Watch for these signs, especially if your dog is a breed that’s prone to the condition:
A corneal ulcer is a wound on the clear front surface of the eye. It’s painful, and it can develop quickly when something keeps rubbing the same spot. If you notice cloudiness or your dog seems suddenly very sensitive to light, don’t wait on that one.
Distichiasis is almost always inherited, meaning it’s passed down through genetics. It’s not caused by anything you did or didn’t do. Certain breeds show up in the vet’s office with this condition far more often than others:
It can show up in puppies or develop as a dog gets older. Either way, the underlying cause is the same: oil glands along the eyelid margin that produce hair follicles where they shouldn’t.
These three conditions all cause eye irritation and can look nearly identical from the outside, but they’re different problems with different treatments. Here’s how to read what you might be seeing:
| Condition | What’s actually happening | What it looks like | Treatment focus |
|---|---|---|---|
| Distichiasis | Extra lashes grow from the eyelid margin where lashes shouldn’t be. The eyelid itself sits normally. | Tearing, squinting, redness. Your vet can usually spot the lashes with a magnifying light. | Removing or destroying the abnormal lashes |
| Entropion | The eyelid rolls inward, so normal skin and lashes rub against the eye’s surface. | The eyelid may look like it’s folding under. Similar signs to distichiasis but the lid position is the problem, not the lashes. | Surgery to reposition the eyelid |
| Ectopic cilia | A single hair or small cluster grows through the inside surface of the eyelid, directly touching the eye. | Usually invisible from the outside. Often causes intense, sudden pain or discomfort that seems out of proportion to what you can see. | A specific surgical approach to remove the follicle from the inner lid |
If your dog’s eye is bothering them, don’t assume you know which of these it is. A vet, ideally a veterinary ophthalmologist, can tell them apart with the right tools. Getting the diagnosis right matters because the treatment path is different for each one.
Your vet will examine your dog’s eyelids under magnification and likely stain the eye with a special dye to check for corneal ulcers. If there’s any doubt, they may refer you to a veterinary ophthalmologist.
Treatment depends on how much irritation the lashes are actually causing:
If the lashes are soft and your dog shows minimal signs, your vet may recommend lubricating drops to reduce friction and keep the eye surface comfortable. This manages symptoms but doesn’t remove the lashes.
When lashes are causing real irritation or corneal damage, removal is the answer. There are a few approaches your vet might use:
The right choice depends on how many lashes are affected, where they are, and how your dog is tolerating them. Your vet will walk you through the options that make the most sense for your specific situation.
If your dog has been diagnosed with mild distichiasis and you’re in a watch-and-manage phase, here’s a simple routine to follow:
Drops are not a permanent fix. If your dog is clearly uncomfortable despite lubrication, or if a corneal ulcer develops, that’s the signal to move from monitoring to removal.
Yes, distichiasis is eligible for coverage under a Lemonade Pet accident and illness policy, as long as the condition isn’t pre-existing. That means your dog shouldn’t be showing any signs or symptoms before your policy starts or during your waiting period.
Cryotherapy, electroepilation, and surgery can add up quickly, especially if your dog needs repeat treatments or develops a corneal ulcer alongside it. For breeds like Cocker Spaniels, Bulldogs, and Shih Tzus that are prone to eyelash disorders, getting coverage in place before any signs appear is what makes it actually useful when you need it. 👉 Get a quote with Lemonade in minutes.
Distichiasis is very manageable when caught early. Some dogs do well on lubricating drops alone. Others need a procedure, and when they do, it usually works well. The most important step is getting a proper diagnosis so you know exactly what you’re dealing with. If your dog’s eye has been bothering them, that’s your cue to call the vet. And if your dog isn’t already covered, now is a good time to get a quote while they’re still healthy.
It depends on the lashes. Soft, fine extra eyelashes may cause little to no discomfort, while stiff or coarse ones rubbing the cornea can be quite painful. If your dog is squinting or rubbing their eye, assume it’s bothering them and have it checked.
No. The abnormal hair follicles don’t disappear without treatment. Mild cases can be managed with lubricating drops, but the lashes themselves won’t stop growing without intervention like epilation, cryotherapy, or surgery.
Distichiasis involves extra lashes growing from the eyelid margin, while ectopic cilia are hairs that grow through the inner surface of the eyelid and press directly against the eye. Ectopic cilia are usually harder to see and tend to cause more acute pain. They require different treatment.
Not necessarily. Mild cases are often managed with lubricating eye drops. More problematic lashes may need electroepilation, cryotherapy, or surgical removal, but your vet will recommend the approach that fits your dog’s specific situation.
Cocker Spaniels, Bulldogs, and Shih Tzus are among the most commonly affected breeds, along with Golden Retrievers, Boxers, Poodles, and Dachshunds. The condition is inherited, so breed history matters.
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