Intracorneal ring segment explantation after intracorneal ring segment implantation combined with same-day corneal collagen crosslinking in keratoconus
| Autor: | Peter S. Kim, Stephanie A.W. Low, Sonia N. Yeung, Alejandro Lichtinger, Judy Y.F. Ku, David S. Rootman |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Keratoconus Refractive error Distance visual acuity Visual acuity genetic structures animal diseases medicine.medical_treatment Riboflavin law.invention Prosthesis Implantation Young Adult law Ophthalmology medicine Humans Intracorneal ring segment Device Removal Retrospective Studies Intrastromal corneal ring segment Keratometer business.industry virus diseases Prostheses and Implants medicine.disease Combined Modality Therapy eye diseases Surgery Aberrations of the eye Cross-Linking Reagents Treatment Outcome Photochemotherapy Female sense organs medicine.symptom business |
| Zdroj: | Cornea. 32(12) |
| ISSN: | 1536-4798 |
| Popis: | PURPOSE To report the outcome and the reversibility of refractive outcomes after intrastromal corneal ring segment (ICRS) explantation in patients with keratoconus treated with ICRS implantation and same-day collagen crosslinking (CXL). METHODS This is a retrospective review of ICRS explantation in 3 eyes of 3 patients with keratoconus that had undergone femtosecond laser-enabled placement of paired ICRS (Intacs) with same-day CXL by a single surgeon between 2008 and 2011. The main outcome measures included baseline/preexplantation/postexplantation visual acuity, refractive error, keratometry, and higher order aberrations. RESULTS None of the patients lost best-corrected distance visual acuity lines. ICRS can be safely and easily explanted from keratoconic eyes with previous CXL. Some of the topographic benefits gained from ICRS implantation may persist after explantation. CONCLUSIONS Despite the reversal of refractive outcomes, the preservation of topographic changes may occur in some cases after the explantation of 1 or both the segments in patients with keratoconus treated with ICRS implantation with same-day CXL. |
| Databáze: | OpenAIRE |
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