{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:19:35Z","timestamp":1784164775391,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,22]],"date-time":"2023-03-22T00:00:00Z","timestamp":1679443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Ophthalmology"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To describe a surgical approach to correct entropion and overlong lower eyelids in dogs by combining the Celsus\u2013Hotz with the modified Kuhnt\u2013Szymanowski technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of patients undergoing the described surgical procedure were reviewed. A semilunar\u2010shaped piece of lower eyelid was excised and combined with an angled incision at the most lateral aspect of the wound. Adjacent to this incision a skin flap was mobilized to expose the subcutaneous tissue in the ventral aspects. A four\u2010sided wedge resection was used to shorten the lid margin in variable positions. Following closure of the eyelid margin wedge resection, a wedge of equal width was removed from the lateral skin flap. Skin and subcutaneous tissues were closed in a routine fashion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All surgeries were performed by an ECVO diplomate or resident. The surgery was performed unilaterally in four and bilaterally in 18 dogs. Most common breeds were English Bulldog (<jats:italic>n<\/jats:italic>\u00a0=\u00a07), Saint Bernard (3), Rottweiler (2) and Cane Corso Italiano (2). Median age was 22\u2009months (range 5\u2013100\u2009months). Median follow\u2010up was 30\u2009days (range 9\u2013987\u2009days). A single surgical procedure was sufficient to correct the entropion in 97.5% (39\/40) of eyes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combination technique described is a suitable surgical procedure to simultaneously correct lower lid entropion and excessive eyelid length, with the added benefits of a stepped wound closure and a flexible lid margin wedge positioning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vop.13084","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:41:10Z","timestamp":1679532070000},"page":"114-123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A combination of modified <scp>Kuhnt\u2013Szymanowski<\/scp> and <scp>Celsus\u2013Hotz<\/scp> techniques for correction of entropion and overlong lower eyelids in dogs (40 eyes)"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4552-4954","authenticated-orcid":false,"given":"Hanna","family":"Walter","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Small Animal Clinic University of Veterinary Medicine Hannover Foundation  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Bilotta","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Small Animal Clinic University of Veterinary Medicine Hannover Foundation  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catarina","family":"Goncalves","sequence":"additional","affiliation":[{"name":"Dick White Referrals Station Farm, Six Mile Bottom  Cambridgeshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6230-4195","authenticated-orcid":false,"given":"Claudia","family":"Busse","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Small Animal Clinic University of Veterinary Medicine Hannover Foundation  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,22]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"935","volume-title":"Veterinary Ophthalmology","author":"Stades FVDW","year":"2021"},{"key":"e_1_2_8_3_1","first-page":"110","volume-title":"Slatter's Fundamentals of Veterinary Ophthalmology","author":"Maggs D","year":"2013"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/vop.12442"},{"key":"e_1_2_8_5_1","first-page":"938","volume-title":"Veterinary Ophthalmology","author":"Stades FVDW","year":"2021"},{"key":"e_1_2_8_6_1","volume-title":"Handbuch der plastischen Chirurgie","author":"Zeis E","year":"1839"},{"key":"e_1_2_8_7_1","first-page":"249","article-title":"A new operation for entropion and trichiasis","volume":"8","author":"Hotz F","year":"1879","journal-title":"Arch Ophthalmol"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-5224.2007.00482.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/vetr.1383"},{"key":"e_1_2_8_10_1","first-page":"274","volume-title":"Ophthalmic Plastic Surgery","author":"Kuhnt HSJ","year":"1976"},{"issue":"4","key":"e_1_2_8_11_1","first-page":"651","article-title":"A further modification of the Kuhnt\u2010Szymanowski procedure for correction of atonic ectropion in dogs","volume":"20","author":"Munger R","year":"1984","journal-title":"J Am Anim Hosp Assoc"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.2003.tb11075.x"},{"key":"e_1_2_8_13_1","first-page":"787","volume-title":"Veterinary Ophthalmology","author":"Wilkie D","year":"2021"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/dss.0000000000001576"},{"key":"e_1_2_8_15_1","unstructured":"World Health Organization.Global guidelines for the prevention of surgical site infection second edition; Licence: CC BY\u2010NC\u2010SA 3.0 IGO.2018."},{"issue":"4","key":"e_1_2_8_16_1","first-page":"155","article-title":"Palpebral fissure length in the dog and cat","volume":"2","author":"Stades F","year":"1992","journal-title":"Progress in Veterinary and Comparative Ophthalmology"}],"container-title":["Veterinary Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vop.13084","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vop.13084","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vop.13084","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T08:22:23Z","timestamp":1742199743000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vop.13084"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,22]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/vop.13084"],"URL":"https:\/\/doi.org\/10.1111\/vop.13084","archive":["Portico"],"relation":{},"ISSN":["1463-5216","1463-5224"],"issn-type":[{"value":"1463-5216","type":"print"},{"value":"1463-5224","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,22]]},"assertion":[{"value":"2022-10-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}