purpose : to present the clinical features, biomechanical properties and management of a patient who developed unilateral corneal ectasia after photorefractive keratectomy (prk) case report : the patient was a 24-year-old man without any obvious preoperative risk factor for ectasia who underwent bilateral prk. four years after keratorefractive surgery, the patient presented with loss of visual ...

OBJECTIVES To describe the visual outcome of keratoconus managed with Intacs implantation (Addition Technology Inc, Fremont, Calif) and to define criteria that predict good outcome. METHODS This retrospective, nonrandomized, comparative, consecutive case series studied 58 eyes of 43 patients with keratoconus managed by Intacs implantation. The outcome measures were analyzed pre-Intacs and 1 y...

K eratoconus is a bilateral, asymmetric, chronic, initially progressive ectasia of the cornea characterized by steepening, distortion, and thinning of the apical cornea as well as corneal scarring. Intrastromal corneal ring segments (Intacs; Addition Technology Inc, Sunnyvale, California) is 1 treatment option available for patients with keratoconus, especially those with contact lens intoleran...

OBJECTIVE To prospectively study the effects of the use of Intacs microthin prescription inserts (Addition Technology Inc, Fremont, Calif) for the postoperative management of corneal ectasia resulting from laser in situ keratomileusis (LASIK). METHODS In this prospective nonrandomized clinical trial, 10 eyes of 7 patients with post-LASIK corneal ectasia (2 men and 5 women) aged 33 to 46 years...

PURPOSE To report deep corneal vascularization noted 3 years after intrastromal corneal ringsegments (Intacs) implantation for the treatment of keratoconus. METHODS A 33-year-old male keratoconus patient intolerant to rigid gas permeable contact lens in the right eye underwent Intacs implantation. At 2 years postoperatively, slit-lamp examination of the right eye revealed superficial corneal ...

IS IT REALLY REVERSIBLE? In the January/February 2001 issue of the Journal of Refractive Surgery, Asbell and colleagues reported the reversible effect of the intrastromal corneal ring segments (Intacs). 1 They presented compelling evidence to suggest that Intacs can be removed with full reversibility of refractive effect. This is the first corneal refractive surgical procedure to claim reversib...

PURPOSE To evaluate the safety and efficacy of intrastromal corneal ring segments (ICRS, INTACS, Keravision) for the correction of corneal ectasia after laser in situ keratomileusis (LASIK). METHODS In this prospective, noncomparative case series, INTACS were implanted in three eyes (two patients) that were ectatic after LASIK. Mean follow-up was 8.7 months (range, 8 to 10 mo). RESULTS No i...

OBJECTIVE To evaluate the use of INTACS micro-thin prescription inserts (Kera Vision, Inc., Fremont, CA) for the treatment of keratoconus. DESIGN Prospective, nonrandomized (self-controlled) comparative trial. PARTICIPANTS/INTERVENTION Ten patients from our prospective clinical study who had completed 12 months of follow-up were evaluated. All patients had keratoconus with clear central cor...

This case report describes the clinical and histopathologic features, including molecular confirmation, of fungal keratitis after intrastromal corneal ring segments placement for keratoconus. A 52-year-old woman underwent insertion of Intacs(®) corneal implants for treatment of keratoconus. Extrusion of the implants was noted 5 months post insertion and replaced. Three months later, monocular i...

PURPOSE To present a case of nine- year bilateral Intacs (Addition Technology, Inc, Fremont, California, USA) implantation for early stage keratoconus. METHODS A 25-year-old male underwent bilateral Intacs implantation for the management of keratoconus and hardcontact-lens intolerance (stage 1) in 1999. RESULTS Nine years postoperatively, spherical equivalent refraction changed from preoper...