{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:53:59Z","timestamp":1775638439622,"version":"3.50.1"},"reference-count":5,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2026,5]]},"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To evaluate a modified full\u2010thickness corneal graft technique as a remedial strategy for advanced corneal melting following Boston type I keratoprosthesis (KPro) implantation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Eleven patients with significant corneal melting and >180\u00b0 KPro exposure underwent corrective surgery. A donor graft, matching the primary transplant diameter and with a 3\u2010mm central aperture, was thinned circumferentially and positioned beneath the KPro optical cylinder after debridement of necrotic tissue.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Over 6\u201312\u2009months of follow\u2010up, globe integrity was preserved in all cases. Two patients required repeat procedures for recurrence. Visual acuity improved in five patients; in others, it remained stable or declined due to comorbidities.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The modified full\u2010thickness graft technique is a promising alternative for managing advanced corneal melting after Boston type I KPro. Further studies with larger cohorts and longer follow\u2010up are warranted.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/aos.70003","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:30:28Z","timestamp":1760110228000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The use of a modified full\u2010thickness graft flap following Boston type I keratoprosthesis implantation in patients with advanced corneal melting"],"prefix":"10.1111","volume":"104","author":[{"given":"Ewa","family":"Wr\u00f3blewska\u2010Czajka","sequence":"first","affiliation":[{"name":"Experimental Ophthalmology Unit, Department of Biophysics Medical University of Silesia Katowice Poland"},{"name":"Ophthalmology Department Railway Hospital in Katowice Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6707-5790","authenticated-orcid":false,"given":"Edward","family":"Wyl\u0119ga\u0142a","sequence":"additional","affiliation":[{"name":"Ophthalmology Department Railway Hospital in Katowice Katowice Poland"},{"name":"Clinical Department of Ophthalmology, Faculty of Medical Sciences in Zabrze Medical University of Silesia in Katowice Katowice Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09273948.2016.1269930"},{"issue":"4","key":"e_1_2_7_3_1","first-page":"456","article-title":"Management of corneal melting post\u2010KPro implantation","volume":"39","author":"Daoud Y.J.","year":"2020","journal-title":"Cornea"},{"issue":"2","key":"e_1_2_7_4_1","first-page":"123","article-title":"Boston keratoprosthesis: a review of the literature","volume":"35","author":"Dohlman C.H.","year":"2022","journal-title":"Ophthalmology Clinics of North America"},{"issue":"7","key":"e_1_2_7_5_1","first-page":"875","article-title":"Lamellar corneal ring graft for corneal melting after KPro","volume":"40","author":"John T.","year":"2021","journal-title":"Cornea"},{"issue":"3","key":"e_1_2_7_6_1","first-page":"345","article-title":"Outcomes of keratoprosthesis exchange in corneal melting","volume":"44","author":"Wang L.","year":"2018","journal-title":"Journal of Cataract & Refractive Surgery"}],"container-title":["Acta Ophthalmologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.70003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aos.70003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aos.70003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:06:55Z","timestamp":1775635615000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aos.70003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,10]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/aos.70003"],"URL":"https:\/\/doi.org\/10.1111\/aos.70003","archive":["Portico"],"relation":{},"ISSN":["1755-375X","1755-3768"],"issn-type":[{"value":"1755-375X","type":"print"},{"value":"1755-3768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,10]]},"assertion":[{"value":"2024-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}