In this study we described four cases of bilateral ectropion in pigeons tha
t were investigated in Greece. Anemia, leukocytosis, and increased levels o
f enzymes lactate dehydrogenase, aspartate aminotransferase, creatine phosp
hokinase, and total serum proteins were found. Chlamydial elementary bodies
were observed by modified Ziehl-Neelsen stain in direct smears of conjucti
va, liver, and spleen as well as in yolk sac samples after egg inoculation
with eyelid material. Histologically, significant hyperplasia of the conjun
ctival epithelium was observed. Using immunohistochemical methods, chlamydi
al antigen was revealed in eyelid, liver, and spleen paraffin sections. Thi
s study suggests that Chlamydia spp. was the causative agent that induced e
ctropion.