{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T01:19:34Z","timestamp":1784164774955,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T00:00:00Z","timestamp":1736812800000},"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 method for correcting lower lid entropion, lateral canthal entropion, and macroblepharon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Lid margins were incised at a 45\u00b0 angle, and lateral lid margins and a rhomboid shaped piece of skin were resected based on the degree of macroblepharon. Subcutaneous tissue was sutured with absorbable sutures and anchored to the orbital ligament with a non\u2010absorbable suture to maintain lateral canthal position. A new lateral canthus was formed using a \u201cfigure of eight\u201d technique with absorbable sutures, and the skin was closed with simple interrupted sutures. Complications were categorized as minor (wound infections, delayed healing) or major (orbital ligament detachment).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Lateral tarsorrhaphy with orbital ligament fixation was performed on 77 palpebral fissures (PF) in 39 dogs, with English Cocker Spaniels and Great Danes being the most affected breeds. Most dogs were male (72%) with a median age of 23\u2009months; 69% were under 50\u2009months. Of the PF treated, 57 (74%) had no complications, 11 (14%) had minor complications, and 9 (12%) had major complications, including six cases of ruptured orbital ligament fixation and one case of unilateral entropion recurrence. One dog was euthanized due to severe complications from auto\u2010mutilation and lack of compliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This surgical method effectively corrects diamond\u2010shaped eyes, although complications can occur, especially in male dogs with excessive facial skin.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vop.13316","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T05:13:32Z","timestamp":1736918012000},"page":"448-456","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lateral Tarsorrhaphy and Fixation on the Orbital Ligament to Correct Macroblepharon in Dogs: 77 Palpebral Fissures"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8507-7481","authenticated-orcid":false,"given":"Maximilian","family":"Werner\u2010Tutschku","sequence":"first","affiliation":[{"name":"Department for Companion Animals and Horses, Ophthalmology Service University of Veterinary Medicine  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Nell","sequence":"additional","affiliation":[{"name":"Department for Companion Animals and Horses, Ophthalmology Service University of Veterinary Medicine  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,14]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"132","volume-title":"Veterinary Ophthalmic Surgery","author":"Gelatt K. N.","year":"2021"},{"key":"e_1_2_11_3_1","first-page":"196","article-title":"Lateral Canthoplasty","volume":"7","author":"Wyman M.","year":"1971","journal-title":"Journal of the American Animal Hospital Association"},{"key":"e_1_2_11_4_1","first-page":"14","article-title":"Entropion\u2010Operation Mit Lidrandverk\u00fcrzung","volume":"4","author":"Gutbrod F.","year":"1993","journal-title":"Veterin\u00e4re Spiegel"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.1998.tb03614.x"},{"key":"e_1_2_11_6_1","first-page":"220","article-title":"A Combined Tarsorrhaphy Canthoplasty Technique for Repair of Entropion and Ectropion","volume":"6","author":"Bigelbach A.","year":"1996","journal-title":"Veterinary and Comparative Ophthalmology"},{"key":"e_1_2_11_7_1","unstructured":"H.Grussendorf \u201cOutcome of a Surgical Technique for Dogs Suffering From Macroblepharon Trans. E.C.V.O E.S.V.O and DOK Meeting Munich \u201d(2004): 41."},{"key":"e_1_2_11_8_1","first-page":"1","article-title":"Lateral Canthal Reconstruction for the Treatment of Macroblepharon\/Diamond Eye Conformation in Dogs","author":"Kecova H.","year":"2024","journal-title":"Veterinary Ophthalmology"},{"key":"e_1_2_11_9_1","first-page":"102","volume-title":"Augenheilkunde: Lehrbuch und Atlas; Hund, Katze, Kaninchen und Meerschweinchen Schattauer","author":"Walde I.","year":"2008"},{"key":"e_1_2_11_10_1","first-page":"431","article-title":"Canine Entropion","volume":"10","author":"Miller W. H.","year":"1998","journal-title":"Compendium: Continuing Education For Veterinarians"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/vetr.1383"},{"key":"e_1_2_11_12_1","first-page":"1","article-title":"A Combination of Modified Kuhnt\u2010Szymanowski and Celsus\u2010Hotz Techniques for Correction of Entropion and Overlong Lower Eyelids in Dogs (40 Eyes)","author":"Walter H.","year":"2023","journal-title":"Veterinary Ophthalmology"}],"container-title":["Veterinary Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vop.13316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T08:24:32Z","timestamp":1742199872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vop.13316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,14]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/vop.13316"],"URL":"https:\/\/doi.org\/10.1111\/vop.13316","archive":["Portico"],"relation":{},"ISSN":["1463-5216","1463-5224"],"issn-type":[{"value":"1463-5216","type":"print"},{"value":"1463-5224","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,14]]},"assertion":[{"value":"2024-08-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}