{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T14:17:19Z","timestamp":1788617839935,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"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>Objective<\/jats:title><jats:p>To describe the use of multidirectional corneoconjunctival transposition (CCT) as a surgical treatment for large keratomalacia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A prospective study including dogs and cats initially presenting with keratomalacia larger than 6\u2009\u00d7\u20096\u2009mm and affecting more than half of the corneal thickness. Signalment, concurrent eye diseases, ulcer size, bacterial culture and susceptibility testing results, follow\u2010up, and outcome were recorded. The surgery consisted of harvesting of two or three opposite corneoconjunctival grafts, after removal of the malacic tissue using a square\u2010edge keratectomy. The medical treatment consisted of administration of topical and systemic antibiotics, topical atropine, and N\u2010acetylcysteine. Follow\u2010up examinations were performed at D7, D14, D21, and D28, and then at various time points. The corneal clarity score (CCS) was recorded upon completion of the follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven dogs and five cats were included. Brachycephalic dogs were overrepresented, with no breed predisposition in cats. Concurrent eye diseases were corneal pigmentation in three dogs, hypopyon in two dogs, nictitating membrane wound in one dog, and corneal perforation in one cat. The size of the keratomalacia ranged from 6\u2009\u00d7\u20096 to 9.5\u2009\u00d7\u200911.5\u2009mm. The short\u2010term complications were suture dehiscence (two of 12) and progression of the keratomalacia (one of 12). The long\u2010term complications were corneal pigmentation (10 of 12), corneal epithelial inclusion cyst (two of 12), and marginal synechiae (one of 12). All animals were sighted at the last follow\u2010up. The median CCS was G3 (range G2\u2013G4).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Multidirectional CCT is an effective surgical treatment for large keratomalacia in dogs and cats.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vop.13086","type":"journal-article","created":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T17:35:36Z","timestamp":1679420136000},"page":"124-134","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Multidirectional corneoconjunctival transposition in the treatment of large keratomalacia in 7 dogs and 5 cats"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1005-0154","authenticated-orcid":false,"given":"Thomas","family":"Dulaurent","sequence":"first","affiliation":[{"name":"Centre Hospitalier V\u00e9t\u00e9rinaire Saint\u2010Martin  Allonzier\u2010la\u2010Caille 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