International Journal of Keratoconus and Ectatic Corneal Diseases

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VOLUME 9 , ISSUE 2 ( July-December, 2020 ) > List of Articles


Intracorneal Ring Segments for the Treatment of Keratoconus: Where are We Going?

Adel Barbara

Citation Information :

DOI: 10.5005/ijkecd-9-2-iv

License: CC BY-NC 4.0

Published Online: 15-11-2023

Copyright Statement:  Copyright © 2020; The Author(s).


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  1. Alio JL, et al. Intrastromal corneal ring segments: how successful is the surgical treatment of keratoconus? Middle East Afr J Ophthalmol 2014;21:3–9.
  2. Torquetti L, Fabri Berbel R, Ferrara P. Long-term follow-up of intrastromal corneal ring segments in keratoconus 2009;35(10):1768–73. doi:10.1016/j. jcrs.2009.05.036.
  3. Vega-Estrada A, Alió JL, Plaza-Puche AB. Keratoconus progression after intrastromal corneal ring segment implantation in young patients: Fiveyear follow-up. J Cataract Refract Surg 2015;41:1145–52.
  4. Barbara A, Barbara R. Long-term Follow-up of Ferrara Rings Segments for the Treatment of Keratoconus. Int J Kerat Ect Cor Dis 2013;2:34–39.
  5. Kang M-J, Byun Y-S, Yoo Y-S, Whang W-J, Joo C-K. Long-term outcome of intrastromal corneal ring segments in keratoconus: Five-year follow up. doi:10.1038/s41598-018-36668-7.
  6. Caporossi A, Mazzotta C, Baiocchi S, Caporossi T. Long-term results of riboflavin ultraviolet a corneal collagen cross-linking for keratoconus in Italy: the Siena eye cross study. Am J Ophthalmol. 2010;149:585–593.
  7. Spoerl E, Mrochen M, Sliney D, Trokel S, Seiler T. Safety of UVA-riboflavin cross-linking of the cornea. Cornea 2007;26; 385–389.
  8. Wollensak G, Spoerl E, Seiler T. Riboflavin/ultraviolet-A-induced collagen crosslinking for the treatment of keratoconus. Am J Ophthalmol 2003;135;620–627.
  9. Ramez Barbara, Joseph Pikkel, Hanna Garzozi AB. Collagen cross-linking and keratoconus in pediatric patients. Int J Keratoconus Ectatic Corneal Dis. 2012;1:57–60.
  10. Coskunseven E, Jankov MR 2nd, Hafezi F, Atun S, Arslan E, Kymionis GD. Effect of treatment sequence in combined intrastromal corneal rings and corneal collagen crosslinking for keratoconus. J Cataract Refract Surg. 2009;35:2084–2091.
  11. El-Raggal TM. Sequential versus concurrent KERARINGS insertion and corneal collagen cross-linking for keratoconus. Br J Ophthalmol 2011;95:37–41.
  12. Kamburoglu G, Ertan A. Intacs implantation with sequential collagen cross-linking treatment in postoperative LASIK ectasia. J Refract Surg 2008;24:726.
  13. Chan CC, Sharma M, WB. Effect of inferior-segment Intacs with and without C3-R on keatoconus. J Cataract Refract Surg 2007;33:75–80.
  14. Coskunseven E, et al. Four-stage procedure for keratoconus: ICRS implantation, corneal cross-linking, toric phakic intraocular lens implantation, and topography-guided photorefractive keratectomy. J Refract Surg 2017;33:683–689.
  15. Ferreira iTB, Güell JL, Manero F. Combined intracorneal ring segments and iris-fixated phakic intraocular lens for keratoconus refractive and visual improvement. J Refract Surg. 2014;30:336–341.
  16. Poulsen DM, Kang JJ. Recent advances in the treatment of corneal ectasia with intrastromal corneal ring segments. Current Opinion in Ophthalmology 2015;26.
  17. Fernández-Vega Cueto L, Lisa C, Madrid-Costa D, Merayo-Lloves J, Alfonso JF. Long-term follow-up of intrastromal corneal ring segments in paracentral keratoconus with coincident corneal keratometric, comatic, and refractive axes: Stability of the procedure. J Ophthalmol 2017;4058026.
  18. Prisant O, Pottier E, Guedj T, Xuan TH. Clinical outcomes of an asymmetric model of intrastromal corneal ring segments for the correction of keratoconus. Cornea 2020;39:155–160.
  19. Cuiña Sardiña Ricardo, Arango A, Alfonso JF, Álvarez de Toledo J, Piñero DP. Clinical evaluation of the effectiveness of asymmetric intracorneal ring with variable thickness and width for the management of keratoconus. JCRS 2021;47:722–730.
  20. Fariselli C, Vega-Estrada A, Arnalich-Montiel F, Alio JA. Artificial neural network to guide intracorneal ring segments implantation for keratoconus treatment: a pilot study. Eye and Vision 2020;7:20. doi: 10.1186/s40662-020-00184-5. eCollection 2020
  21. Soosan Jacob, Shaila R Patel, Amar Agarwal, Arvind Ramalingam, Boptom AI Saijimol, John Michael Raj. Corneal allogenic intrastromal ring segments (CAIRS) combined with corneal cross-linking for keratoconus. JRS 2018;34:296–303.
  22. Avetisov SÉ, Osipian GA, Mitichkina TS, Doguzov VA, Mamikonian VR, EG. Intralamellar bandage keratoplasty for the treatment of progressive keratoconus. Vestn Oftalmol. 2015;131:18–23. In Russian Language.
  23. Osipyan GA, Sheludchenko VM, Youssef NY, KK. Bandage therapeutic-optical keratoplasty in keratoconus patients after intrastromal corneal segments implantation. Ophthalmol Russ. 2019;16:283–288. In Russian Language.
  24. Rafat M, et al. Bioengineered corneal tissue for minimally invasive vision restoration in advanced keratoconus in two clinical cohorts. 2023;41(1): 70-81. doi:10.1038/s41587-022-01408-w.
  25. Abby Wilson, Jones J, Marshall J. Biomechanical evaluation of decellularized and crosslinked corneal implants manufactured from porcine corneas as a treatment option for advanced keratoconus. Front Bioeng Biotechnol. 2022;10:862969. doi: 10.3389/fbioe.2022.862969. eCollection 2022.
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