American Journal of Ophthalmology
Volume 145, Issue 5 , Pages 775-779.e1 , May 2008

One-Year Results of Intrastromal Corneal Ring Segment Implantation (KeraRing) using Femtosecond Laser in Patients with Keratoconus

  • Efekan Coskunseven

      Affiliations

    • Dunya Eye Hospital, Istanbul, Turkey
    • ,
  • George D. Kymionis

      Affiliations

    • Department of Ophthalmology, University of Crete, Heraklion, Crete, Greece.
    • ,
  • Nikolaos S. Tsiklis

      Affiliations

    • Department of Ophthalmology, University of Crete, Heraklion, Crete, Greece.
    • Corresponding Author InformationInquiries to Nikolaos S. Tsiklis, Institute of Vision and Optics, University of Crete Medical School, Department of Ophthalmology, 71110 Heraklion, Crete, Greece
    • ,
  • Serife Atun

      Affiliations

    • Dunya Eye Hospital, Istanbul, Turkey
    • ,
  • Ebru Arslan

      Affiliations

    • Dunya Eye Hospital, Istanbul, Turkey
    • ,
  • Mirko R. Jankov

      Affiliations

    • Department of Ophthalmology, University of Crete, Heraklion, Crete, Greece.
    • ,
  • Ioannis G. Pallikaris

      Affiliations

    • Department of Ophthalmology, University of Crete, Heraklion, Crete, Greece.

,Accepted 14 December 2007.

References 

  1. Kymionis GD, Siganos CS, Tsiklis NS, et al. Long-term follow-up of Intacs in keratoconus. Am J Ophthalmol. 2007;143:236–244
  2. Kymionis GD, Tsiklis NS, Pallikaris AI, et al. Long-term follow-up of Intacs for post-LASIK corneal ectasia. Ophthalmology. 2006;113:1909–1917
  3. Schanzlin DJ, Abbott RL, Asbell PA, et al. Two-year outcomes of intrastromal corneal ring segments for the correction of myopia. Ophthalmology. 2001;108:1688–1694
  4. Nosé W, Neves RA, Schanzlin DJ, Belfort R. Intrastromal corneal ring: one-year results of first implants in humans: a preliminary nonfunctional eye study. Refract Corneal Surg. 1993;9:452–458
  5. Alió JL, Shabayek MH, Artola A. Intracorneal ring segments for keratoconus correction: long-term follow-up. J Cataract Refract Surg. 2006;32:978–985
  6. Boxer Wachler BS, Christie JP, Chandra NS, et al. Intacs for keratoconus. Ophthalmology. 2003;110:1031–1040
  7. Ruckhofer J, Stoiber J, Alzner E, Grabner G The Multicenter European Corneal Correction Assessment Study Group. One-year results of European multicenter study of intrastromal corneal ring segments (Part 2: complications, visual symptoms, and patient satisfaction). J Cataract Refract Surg. 2001;27:287–296
  8. Kanellopoulos AJ, Lawrence H, Perry HD, Donnenfeld ED. Modified intracorneal ring segment implantations (Intacs) for the management of moderate to advanced keratoconus: efficacy and complications. Cornea. 2006;25:29–33
  9. Bourcier T, Borderie V, Laroche L. Late bacterial keratitis after implantation of intrastromal corneal ring segments. J Cataract Refract Surg. 2003;29:407–409
  10. Siganos D, Ferrara P, Chatzinikolas K, et al. Ferrara intrastromal corneal rings for the correction of keratoconus. J Cataract Refract Surg. 2002;28:1947–1951
  11. Kwitko S, Severo NS. Ferrara intracorneal ring segments for keratoconus. J Cataract Refract Surg. 2004;30:812–820
  12. Rabinowitz YS, Li X, Ignacio TS, Maguen E. Intacs inserts using the femtosecond laser compared to the mechanical spreader in the treatment of keratoconus. J Refract Surg. 2006;22:764–771
  13. Sugar A. Ultra-fast (femtosecond) laser refractive surgery. Curr Opin Ophthalmol. 2002;13:246–249
  14. Ertan A, Kamburoglu G, Bahadir M. Intacs insertion with the femtosecond laser for the management of keratoconus: one-year results. J Cataract Refract Surg. 2006;32:2039–2042
  15. Ertan A, Bahadir M. Topography-guided vertical implantation of Intacs using a femtosecond laser for the treatment of keratoconus. J Cataract Refract Surg. 2007;33:148–151
  16. Shabayek MH, Alió JL. Intrastromal corneal ring segment implantation by femtosecond laser for keratoconus correction. Ophthalmology. 2007;114:1643–1652
  17. Colin J, Cochener B, Savary G, Malet F. Correcting keratoconus with intracorneal rings. J Cataract Refract Surg. 2000;26:1117–1122
  18. Colin J, Cochener B, Savary G, et al. Intacs inserts for treating keratoconus: one-year results. Ophthalmology. 2001;108:1409–1414
  19. Siganos CS, Kymionis GD, Kartakis N, et al. Management of keratoconus with Intacs. Am J Ophthalmol. 2003;135:64–70
  20. Hellstedt T, Makela J, Uusitalo R, Emre S, Uusitalo R. Treating keratoconus with Intacs corneal ring segments. J Refract Surg. 2005;21:236–246
  21. Levinger S, Pokroy R. Keratoconus managed with Intacs: one-year results. Arch Ophthalmol. 2005;123:1308–1314
  22. Alió JL, Artola A, Hassanein A, Haroun H, Galal A. One or two Intacs segments for the correction of keratoconus. J Cataract Refract Surg. 2005;31:943–953

PII: S0002-9394(07)01075-6

doi: 10.1016/j.ajo.2007.12.022

American Journal of Ophthalmology
Volume 145, Issue 5 , Pages 775-779.e1 , May 2008

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