Recent advances in the treatment of corneal ectasia with intrastromal corneal ring segments

@article{Poulsen2015RecentAI,
  title={Recent advances in the treatment of corneal ectasia with intrastromal corneal ring segments},
  author={David M. Poulsen and Joann J. Kang},
  journal={Current Opinion in Ophthalmology},
  year={2015},
  volume={26},
  pages={273–277}
}
Purpose of review To review the recent advances and reported outcomes in the use of intrastromal corneal ring segments (ICRS) for the treatment of corneal ectasia. Recent findings ICRS are a well-tolerated and effective treatment for patients with corneal ectasia, particularly keratoconus, offering long-term improvement in visual, refractive, and keratometric measures. ICRS do not consistently decrease corneal aberrations. Patients with mild-to-moderate keratoconus, known to have less… Expand
Intracorneal Ring Segments Implantation for Corneal Ectasia.
TLDR
An overview of the predictability, safety, and efficacy of intrastromal corneal ring segment (ICRS) implantation as a tool to improve visual acuity and its association with other techniques, addressing biomechanical outcomes, models, surgical planning and technique, indications, contraindications, and complications in ectatic cornes. Expand
Adjustment of Intrastromal Corneal Ring Segments After Unsuccessful Implantation in Keratoconic Eyes
TLDR
ICRS implantation has been shown to be a reversible and adjustable surgical procedure for keratoconus treatment and good outcomes can be obtained after ICRSs are exchanged. Expand
One-Year Efficacy and Safety of Combined Photorefractive Keratectomy and Accelerated Corneal Collagen Cross-Linking after Intacs SK Intracorneal Ring Segment Implantation in Moderate Keratoconus
TLDR
This modified version of two-stage multimodal surgical protocol for moderate keratoconus appeared to be effective and safe through 1 year of follow-up and may allow patients with moderate ker atoconus to obtain satisfactory vision without the need for contact lens wear. Expand
Comparison of clinical outcomes between manual and femtosecond laser techniques for intrastromal corneal ring segment implantation
TLDR
Although both surgical techniques provide comparable visual, refractive and aberrometric outcomes, it should be noted that the femtosecond laser is a safer surgical procedure, with no complications reported. Expand
Evaluation of anterior and posterior surfaces of the cornea using a dual Scheimpflug analyzer in keratoconus patients implanted with intrastromal corneal ring segments.
TLDR
The implantation of Ferrara ICRS induces changes in both anterior and posterior surfaces of the cornea, which were statistically significant except the elevation posterior at the apex of the Cornea and posterior asphericity. Expand
Predictability of Tunnel Depth for Intrastromal Corneal Ring Segments Implantation Between Manual and Femtosecond Laser Techniques.
TLDR
ICRS implantation assisted by a femtosecond laser provides a more precise procedure considering dissection depth when compared with the manual dissection technique, and may provide more predictable clinical results and safer procedures with the femtosescond laser. Expand
Femtosecond Laser-Assisted Stromal Lenticule Addition Keratoplasty for the Treatment of Advanced Keratoconus: A Preliminary Study.
TLDR
The stromal lenticule addition keratoplasty procedure was clinically efficient in improving the corneal shape and vision in patients with keratoconus and showed significant improvements in UDVA and CDVA. Expand
Corneal collagen cross-linking with and without simultaneous intrastromal corneal ring segment implantation: One-year pilot study
TLDR
One-year follow-up results suggest that collagen cross-linking with simultaneously combined intrastromal corneal ring segment implantation could yield an additive visual and refractive outcome. Expand
[Comparative analysis of corneal aberrations after intrastromal segments and MyoRing implantation using femtosecond laser in patients with keratoconus].
TLDR
Implantation of intrastromal MyoRings leads to a greater reduction in the total corneal aberration, higher-order aberrations underPhotopic and mesopic conditions, and spherical aberration under photopic conditions as compared to ICS in patients with stage III KC. Expand
Fitting Gas Permeable Contact Lens in Keratoconus; Still a Challenge?
Gas permeable (GP) contact lenses (CL) are of paramount importance in keratoconus patient management1 to rehabilitate vision and improve patients’ quality of life (QoL).2 Different surgical andExpand
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TLDR
ICRS variably improve visual acuity and has been successfully combined with treatments such as corneal collagen cross-linking (CXL), penetrating keratoplasty, and photorefractive keratectomy. Expand
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Intrastromal corneal ring segment implantation in keratoconus patients provided long‐term improvement of the refractive and topographic status. Expand
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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