Comparison of 2 types of intrastromal corneal ring segments for keratoconus.

Abstract:

PURPOSE:To assess the effectiveness and safety of 2 types of 6.0 mm intrastromal corneal ring segments (ICRS) in patients with mild to severe keratoconus. SETTING:Lebanese American University, Beirut, Lebanon. DESIGN:Retrospective comparative case series. METHODS:Eyes had implantation of Intacs SK ICRS (Group 1) or Keraring SI6 ICRS (Group 2). Visual acuity (logMAR), refraction, keratometry, and higher-order aberrations were compared 6 months and 1 year postoperatively. RESULTS:Group 1 comprised 66 eyes and Group 2, 107 eyes. The groups were comparable preoperatively. One-year postoperatively, the mean uncorrected distance visual acuity improved by 0.62 logMAR ± 0.19 (SD) in Group 1 and by 0.67 ± 0.17 logMAR in Group 2 (P=.211). The mean corrected distance visual acuity improved by 0.12 ± 0.11 logMAR and by 0.08 ± 0.13, respectively (P=.301). The spherical equivalent decreased by a mean of 2.80 ± 2.87 D and 2.65 ± 3.00 D, respectively (P=.572). Keratometry (K) flat and K steep decreased by a mean of 1.51 ± 1.57 D and 2.24 ± 1.61 D, respectively, in Group 1 and by 1.10 ± 2.00 D and 1.44 ± 1.64 D, respectively, in Group 2 (P=.667 and P=.184, respectively). Primary coma root mean square decreased by a mean of 1.09 ± 0.66 μm in Group 1 and 0.99 ± 0.72 μm in Group 2 (P=.716). CONCLUSION:Both ICRS models significantly improved visual function in patients with keratoconus, with comparable postoperative profiles and no major complications. FINANCIAL DISCLOSURE:No author has a financial or proprietary interest in any material or method mentioned.

authors

Haddad W,Fadlallah A,Dirani A,El Rami H,Fahd D,Khanafer D,Fahed S

doi

10.1016/j.jcrs.2012.02.039

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1214-21

issue

7

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(12)00510-X

journal_volume

38

pub_type

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