Abstract
PURPOSE: To assess the causes for intrastromal corneal ring segment (Intacs; Addition Technology Inc., Lombard, IL) explantation in patients with keratoconus, and technique for explantation, long-term outcomes, and secondary procedures to correct visual acuity. METHODS: Ten eyes of 8 patients with a history of Intacs explantation between 2004 and 2012 were included in a retrospective study performed at the Bascom Palmer Eye Institute, Miami, Florida. Causes of Intacs removal, surgical technique, preoperative and postoperative corneal examination, and uncorrected and corrected distance visual acuity were documented. Additionally, corneal topography (Tomey, Nagoya, Japan) parameters such as average keratometry and corneal cylinder were assessed. RESULTS: Although the segments were well positioned, the most common cause of Intacs removal was worsening visual acuity (80%). There was no statistically significant difference between pre-Intacs placement, post-Intacs placement, and post-Intacs removal in uncorrected and corrected distance visual acuity, average keratometry, or corneal cylinder, except between 1-year post-Intacs placement corrected distance visual acuity (0.57 logMAR [20/75 Snellen]) and 1-month post-Intacs removal corrected distance visual acuity (0.25 logMAR [20/36 Snellen], P =.03). Four patients underwent penetrating keratoplasty after Intacs removal with good visual outcomes. CONCLUSION: This study demonstrates the visual and structural outcomes that returned to near baseline after Intacs explantation in keratoconic eyes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 392-397 |
| Number of pages | 6 |
| Journal | Journal of Refractive Surgery |
| Volume | 31 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2015 |
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ASJC Scopus subject areas
- Ophthalmology
- Surgery
Cite this
Intrastromal corneal ring segment explantation in patients with keratoconus : Causes, technique, and outcomes. / Chhadva, Priyanka; Yesilirmak, Nilufer; Cabot, Florence; Yoo, Sonia H.
In: Journal of Refractive Surgery, Vol. 31, No. 6, 01.06.2015, p. 392-397.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intrastromal corneal ring segment explantation in patients with keratoconus
T2 - Causes, technique, and outcomes
AU - Chhadva, Priyanka
AU - Yesilirmak, Nilufer
AU - Cabot, Florence
AU - Yoo, Sonia H
PY - 2015/6/1
Y1 - 2015/6/1
N2 - PURPOSE: To assess the causes for intrastromal corneal ring segment (Intacs; Addition Technology Inc., Lombard, IL) explantation in patients with keratoconus, and technique for explantation, long-term outcomes, and secondary procedures to correct visual acuity. METHODS: Ten eyes of 8 patients with a history of Intacs explantation between 2004 and 2012 were included in a retrospective study performed at the Bascom Palmer Eye Institute, Miami, Florida. Causes of Intacs removal, surgical technique, preoperative and postoperative corneal examination, and uncorrected and corrected distance visual acuity were documented. Additionally, corneal topography (Tomey, Nagoya, Japan) parameters such as average keratometry and corneal cylinder were assessed. RESULTS: Although the segments were well positioned, the most common cause of Intacs removal was worsening visual acuity (80%). There was no statistically significant difference between pre-Intacs placement, post-Intacs placement, and post-Intacs removal in uncorrected and corrected distance visual acuity, average keratometry, or corneal cylinder, except between 1-year post-Intacs placement corrected distance visual acuity (0.57 logMAR [20/75 Snellen]) and 1-month post-Intacs removal corrected distance visual acuity (0.25 logMAR [20/36 Snellen], P =.03). Four patients underwent penetrating keratoplasty after Intacs removal with good visual outcomes. CONCLUSION: This study demonstrates the visual and structural outcomes that returned to near baseline after Intacs explantation in keratoconic eyes.
AB - PURPOSE: To assess the causes for intrastromal corneal ring segment (Intacs; Addition Technology Inc., Lombard, IL) explantation in patients with keratoconus, and technique for explantation, long-term outcomes, and secondary procedures to correct visual acuity. METHODS: Ten eyes of 8 patients with a history of Intacs explantation between 2004 and 2012 were included in a retrospective study performed at the Bascom Palmer Eye Institute, Miami, Florida. Causes of Intacs removal, surgical technique, preoperative and postoperative corneal examination, and uncorrected and corrected distance visual acuity were documented. Additionally, corneal topography (Tomey, Nagoya, Japan) parameters such as average keratometry and corneal cylinder were assessed. RESULTS: Although the segments were well positioned, the most common cause of Intacs removal was worsening visual acuity (80%). There was no statistically significant difference between pre-Intacs placement, post-Intacs placement, and post-Intacs removal in uncorrected and corrected distance visual acuity, average keratometry, or corneal cylinder, except between 1-year post-Intacs placement corrected distance visual acuity (0.57 logMAR [20/75 Snellen]) and 1-month post-Intacs removal corrected distance visual acuity (0.25 logMAR [20/36 Snellen], P =.03). Four patients underwent penetrating keratoplasty after Intacs removal with good visual outcomes. CONCLUSION: This study demonstrates the visual and structural outcomes that returned to near baseline after Intacs explantation in keratoconic eyes.
UR - http://www.scopus.com/inward/record.url?scp=84931031370&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84931031370&partnerID=8YFLogxK
U2 - 10.3928/1081597X-20150521-05
DO - 10.3928/1081597X-20150521-05
M3 - Article
C2 - 26046706
AN - SCOPUS:84931031370
VL - 31
SP - 392
EP - 397
JO - Journal of Refractive Surgery
JF - Journal of Refractive Surgery
SN - 1081-597X
IS - 6
ER -