J Korean Ophthalmol Soc > Volume 50(10); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(10):1505-1509.
DOI: https://doi.org/10.3341/jkos.2009.50.10.1505    Published online October 15, 2009.
Intracorneal Ring Segment Implantation for the Management of Keratoconus: Short-Term Safety and Efficacy.
Ho Soong Kim, Tae Hun Lee, Kyung Hun Lee
1Sungmo Eye Hospital, Busan, Korea.
2St. Mary's Lasik Center, Busan, Korea. Styie1@empal.com
원추각막에서 각막링 삽입술 후 단기간 임상효과
김호숭1ㆍ이태헌2ㆍ이경헌1
Sungmo Eye Hospital1, Busan, Korea / St. Mary’s Lasik Center2, Busan, Korea
Abstract
PURPOSE
To assess the safety and efficacy of intracorneal ring segment (Intacs ring) implantation in managing keratoconus. METHODS: This retrospective case series comprised of 11 keratoconic eyes (11 patients) had Intacs ring (Addition Technology, Inc, California, USA) implantation. The main outcome measures were best corrected visual acuity, refraction, keratometry, topography, and pachymetry. Patients were examined before Intacs ring implantation as well as one week, one, three, and six months postoperatively. RESULTS: The mean best corrected visual acuity improved from 0.60+/-0.33 logMAR preoperatively to 0.39+/-0.23 logMAR six months postoperatively (p>0.05) and the mean corneal thickness, from 432.82+/-41.17 micrometer preoperatively to 448.00+/-62.27 micrometer at six months (p>0.05). The mean cylinder improved from -5.36+/-2.70D preoperatively to -2.50+/-1.66D six months postoperatively (p<0.05) and the mean keratometry, from 47.99+/-2.38D to 42.83+/-1.72D at six months (p<0.05). In addition, the mean spherical equivalent improved from -6.64+/-3.49D preoperatively to -3.66+/-3.37D six months postoperatively (p<0.05). One eye had a risk of ring exposure, but the others had no significant complications. CONCLUSIONS: Intacs ring implantation appears to be effective in improving cylinder, spherical equivalent, and keratometry in patients with keratoconus.
Key Words: Intacs;Intracorneal ring segment;Keratoconus


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