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All received a single layer of<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>ell Vet<jats:sup>\u2122<\/jats:sup>, bandage contact lens, and temporary tarsorrhaphy. Bandage contact lens and temporary tarsorrhaphy were removed after graft vascularization or epithelialization. Topical steroids, cyclosporine, tacrolimus were started after epithelialization. Based on their last examination, outcomes were categorized into five groups based on the presence of corneal vessels, appearance of the scar, and the ability to visualize the posterior and\/or the anterior segment through the grafted area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 82 eyes included in the study, with 68 eyes with sufficient follow\u2010up time for final assessment. Scarring was minimal in 47 eyes, moderate but not enough to obscure visualization of the posterior segment in 12, and severe in nine. There were five eyes that developed phthisis bulbi, glaucoma or were enucleated and nine that were lost to follow up. Graft dehiscence occurred in 19 eyes. Twelve healed without additional surgical intervention while three required a second graft, two became phthisical, and two were enucleated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Clinical Relevance<\/jats:title><jats:p>Corneal reconstruction with<jats:styled-content style=\"fixed-case\">AC<\/jats:styled-content>ell<jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>et<jats:sup>\u2122<\/jats:sup>alone is a viable alternative and results in minimal scarring and complications in cats. 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