disclosure no financial interest Intrastromal Corneal Ring Segment Implantation for Advanced Keratoconus Paulo Torres, Rita Reis, Isabel Sampaio, Mª Antonia Costa, Nuno Alves, Miguel Gomes, Luis Oliveira Cornea and External Disease Unit - Hospital St. António - Porto - PORTUGAL disclosure: no financial interest
Novidades no olho seco PURPOSE evaluate the refractive and visual results of Intacs SK (6 mm diameter) for patients with advanced keratoconus (k > 55D)
Novidades no olho seco MATERIAL/METHODS 20 eyes (20 patients) severe keratoconus (> 55D) UCVA, BSCVA, SE, Ks topical anesthesia incision: 80% deep, steepest axis 8 months minimum follow-up
Novidades no olho seco K-readings pre-oppos-op 57,5 52,9
Novidades no olho seco Spherical Equivalent pre-oppos-op -4,66 -10,35 pre-oppos-op
Novidades no olho seco UCVA pre-oppos-op 20/400 20/80 20/20 20/200
Novidades no olho seco BSCVA pre-oppos-op 20/45 20/200 20/20 20/200
Novidades no olho seco BSCVA (pre-op/pos-op) 20/20 20/25 20/40 20/200
Novidades no olho seco CASE EXAMPLE 1 pre-op BSCVA: 20/80 +0,50-3,00(60) Ks: 50,9/58,0 pos-op UCVA: 20/25 Ks: 46,3/53,4
Novidades no olho seco CASE EXAMPLE 2 pre-op BSCVA: 20/400 -3,50-4,00(20) Ks: 49,7/58,7 pos-op UCVA: 20/40 BSCVA: 20/25 -0,25-3,00(30) Ks: 46,0/51,6
Novidades no olho seco BSCVA (pre-op/pos-op) 20/20 20/25 20/40 20/200 K>55D Intacs SK (n = 20) K<55D 7 mm Intacs (n = 223) K>55D 7 mm Intacs (n = 18) advanced keratoconus (K>55D) 7 mm Intacs vs Intacs SK
Novidades no olho seco CONCLUSIONS safe and effective delay/avoid keratoplasty no lost BSCVA better then 7 mm Intacs for advanced keratoconus long term stability ? max. Ks (60-62D)