Complications of intrastromal corneal ring segment implantation using a femtosecond laser for channel creation: a survey of 850 eyes with keratoconus.

Abstract:

PURPOSE:To report complications after the implantation of intrastromal corneal ring segments (Keraring; Mediphacos, Belo Horizonte, Brazil) in keratoconic eyes using a femtosecond laser (IntraLase; Advanced Medical Optics, Santa Ana, California, USA) for channel creation. METHODS:Retrospective chart review of 531 patients (850 eyes) who underwent Keraring insertion using a femtosecond laser for channel creation. Intraoperative and postoperative complications were recorded. RESULTS:Intraoperatively, there were 22 (2.7%) cases of incomplete channel formation. The rest of the intraoperative complications were galvo lag error (system malfunction) [five eyes (0.6%)], endothelial perforation [five eyes (0.6%)] and incorrect entry of the channel [two eyes (0.2%)]. Postoperatively, there were 11 (1.3%) cases of segment migration, two (0.2%) cases of corneal melting and one (0.1%) case of mild infection. The overall complication rate was 5.7% (49 cases out of 850 eyes). CONCLUSION:In this study, intracorneal ring segment implantation using a femtosecond laser for channel creation was related to a number of complications. The most common complications were incomplete channel creation (intraoperatively) and segment migration (postoperatively).

journal_name

Acta Ophthalmol

journal_title

Acta ophthalmologica

authors

Coskunseven E,Kymionis GD,Tsiklis NS,Atun S,Arslan E,Siganos CS,Jankov M,Pallikaris IG

doi

10.1111/j.1755-3768.2009.01605.x

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

54-7

issue

1

eissn

1755-375X

issn

1755-3768

pii

AOS1605

journal_volume

89

pub_type

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