Continuous intracorneal ring implantation for keratoconus using a femtosecond laser

作者: Mahmoud Jabbarvand , Ahmad SalamatRad , Hesam Hashemian , Mehdi Mazloumi , Mehdi Khodaparast

DOI: 10.1016/J.JCRS.2013.02.054

关键词:

摘要: Purpose To assess the clinical outcomes after continuous intracorneal ring (ICR) implantation for management of keratoconus using femtosecond laser technology. Setting Farabi Eye Hospital, Tehran University Medical Sciences, Tehran, Iran. Design Prospective nonrandomized consecutive case series. Methods All patients presented with reduced visual acuity, contact lens intolerance, and a central corneal thickness more than 360 μm. A Myoring ICR was inserted in an intrastromal pocket created by laser. The visual, refractive, aberrometric, biomechanical were measured preoperatively as well 1, 3, 6 months 1 year postoperatively. Results study comprised 98 keratoconic eyes mean age 30.7 years ± 9.01 (SD). Fifteen (15.3%) had grade I keratoconus, 37 (37.7%) II 24 (24.5%) III 22 (22.4%) IV keratoconus. uncorrected corrected distance acuities spherical cylindrical errors improved 1 month surgery ( P >.05). keratometry astigmatism decreased month Primary coma significantly =.03), aberrations increased Conclusion Continuous appears to be acceptable substitute keratoplasty advanced Financial Disclosure No author has financial or proprietary interest any material method mentioned.

参考文章(24)
Norma Allemann, Marta Sartori, Mauro Campos, Paulo Ferrara, Claudia Francesconi, Danielle Miranda, Ferrara intrastromal corneal ring segments for severe keratoconus. Journal of Refractive Surgery. ,vol. 19, pp. 645- 653 ,(2003) , 10.3928/1081-597X-20031101-06
Jorge L. Alio, David P. Piñero, Albert Daxer, Clinical Outcomes After Complete Ring Implantation in Corneal Ectasia Using the Femtosecond Technology Ophthalmology. ,vol. 118, pp. 1282- 1290 ,(2011) , 10.1016/J.OPHTHA.2010.12.012
Melissa Barnett, Mark J Mannis, Contact lenses in the management of keratoconus. Cornea. ,vol. 30, pp. 1510- 1516 ,(2011) , 10.1097/ICO.0B013E318211401F
Mahmoud Jabbarvand, Ahmad SalamatRad, Hesam Hashemian, Mehdi Khodaparast, Continuous Corneal Intrastromal Ring Implantation for Treatment of Keratoconus in an Iranian Population American Journal of Ophthalmology. ,vol. 155, pp. 837- 842 ,(2013) , 10.1016/J.AJO.2012.11.015
David P. Piñero, Jorge L. Alio, Rafael I. Barraquer, Ralph Michael, Corneal biomechanical changes after intracorneal ring segment implantation in keratoconus. Cornea. ,vol. 31, pp. 491- 499 ,(2012) , 10.1097/ICO.0B013E31821EE9F4
Mohammad I. Khan, Anas Injarie, Mohammed Muhtaseb, Intrastromal corneal ring segments for advanced keratoconus and cases with high keratometric asymmetry. Journal of Cataract and Refractive Surgery. ,vol. 38, pp. 129- 136 ,(2012) , 10.1016/J.JCRS.2011.07.031
Vedat Kaya, Canan Asli Utine, Sezen Harmanci Karakus, Isilay Kavadarli, Ömer Faruk Yilmaz, None, Refractive and visual outcomes after Intacs vs ferrara intrastromal corneal ring segment implantation for keratoconus: a comparative study. Journal of Refractive Surgery. ,vol. 27, pp. 907- 912 ,(2011) , 10.3928/1081597X-20110906-03
Douglas D Koch, Thomas Kohnen, Stephen A Obstbaum, Emanuel S Rosen, None, Format for reporting refractive surgical data Journal of Cataract & Refractive Surgery. ,vol. 24, pp. 285- 287 ,(1998) , 10.1016/S0886-3350(98)80305-2
Albert Daxer, Corneal intrastromal implantation surgery for the treatment of moderate and high myopia Journal of Cataract & Refractive Surgery. ,vol. 34, pp. 194- 198 ,(2008) , 10.1016/J.JCRS.2007.10.011
David P. Piñero, Jorge L. Alio, Bassam El Kady, Efekan Coskunseven, Hector Morbelli, Antonio Uceda-Montanes, Miguel J. Maldonado, Diego Cuevas, Inmaculada Pascual, Refractive and Aberrometric Outcomes of Intracorneal Ring Segments for Keratoconus: Mechanical versus Femtosecond-assisted Procedures Ophthalmology. ,vol. 116, pp. 1675- 1687 ,(2009) , 10.1016/J.OPHTHA.2009.05.016