International Journal of Keratoconus and Ectatic Corneal Diseases

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VOLUME 3 , ISSUE 2 ( May-August, 2014 ) > List of Articles

RESEARCH ARTICLE

Complications of Intrastromal Corneal Ring Implantation (Keraring 355°) using a Femtosecond Laser for Channel Creation

Khosrow Jadidi, Seyed Aliasghar Mosavi, Farhad Nejat, Aliagha Alishiri

Citation Information : Jadidi K, Mosavi SA, Nejat F, Alishiri A. Complications of Intrastromal Corneal Ring Implantation (Keraring 355°) using a Femtosecond Laser for Channel Creation. Int J Kerat Ect Cor Dis 2014; 3 (2):53-56.

DOI: 10.5005/jp-journals-10025-1079

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Purpose

To report complications after the implantation of Keraring 355° intrastromal corneal ring (ICR; Mediphacos, Belo Horizonte, Brazil) in keratoconic eyes using a Ziemer LDV femto- second laser (Ziemer AG, Switzerland) for channel creation.

Materials and methods

Five eyes suffering from keratoconus underwent Keraring 355° insertion using Ziemer LDV for corneal pocket creation. Intraoperative and postoperative complications were recorded.

Results

While intraoperatively there were no complication, postoperatively all cases showed severe side effects.

Conclusion

In this small case series, intracorneal ring (Keraring 355°) implantation using a femtosecond laser for channel creation was related to a number of significant postoperative problems in all cases. The most common complication was corneal melting (postoperatively).

How to cite this article

Jadidi K, Mosavi SA, Nejat F, Alishiri A. Complications of Intrastromal Corneal Ring Implantation (Kera- ring 355°) using a Femtosecond Laser for Channel Creation. Int J Kerat Ect Cor Dis 2014;3(2):53-56.


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  1. Intracorneal rings to correct corneal ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2002;28(9):1568-1574.
  2. Intrastromal inserts in keratoconus and ectatic corneal conditions. In: Lovisolo CF, Fleming JF, Pesando PM, editors. Intrastromal Corneal Ring Segments. Canelli AT, Italy: Fabiano Editore; 2000. p. 95-163.
  3. Long-term follow-up of Intacs for post-LASIK corneal ectasia. Ophthalmology 2006;113(11):1909-1917.
  4. Intracorneal rings for keratoconus and keratectasia. J Cataract Refract Surg 2007;33(7):1303-1314.
  5. Modified intracorneal ring segment implantations (INTACS) for the management of moderate to advanced keratoconus: efficacy and complications. Cornea 2006;25(1):29-33.
  6. The Multicenter European Corneal Correction Assessment Study Group. One year results of European Multicenter Study of intrastromal corneal ring segments. Part 2: complications, visual symptoms, and patient satisfaction. J Cataract Refract Surg 2001;27(2):287-296.
  7. Intracorneal ring segment implantation for the management of keratoconus: safety and efficacy. J Cataract Refract Surg 2007;33(11):1886-1891.
  8. Intacs for keratoconus and post-LASIK ectasia. Mechanical versus femtosecond laser- assisted channel creation. Cornea 2007;26(8):956-962.
  9. One-year results of intrastromal corneal ring segment implantation (KeraRing) using femtosecond laser in patients with keratoconus. Am J Ophthalmol 2008;145(5):775-779.
  10. Topography-guided vertical implantation of Intacs using a femtosecond laser for the treatment of keratoconus. J Cataract Refract Surg 2007;33(1):148-151.
  11. Intacs insertion with the femtosecond laser for the management of keratoconus. One-year results. J Cataract Refract Surg 2006;32(12):2039-2042.
  12. Comparison of outcomes of 2 channel sizes for intrastromal ring segment implantation with a femtosecond laser in eyes with keratoconus. J Cataract Refract Surg 2007;33(4):648-653.
  13. First clinical results with the femtosecond neodymium glass laser in refractive surgery. J Refract Surg 2003;19(2):94-103.
  14. Intrastromal corneal ring segment implantation by femtosecond laser for keratoconus correction. Ophthalmology 2007;114(9):1643-1652.
  15. Evaluation of intrastromal corneal ring segments for treatment of keratoconus with a mechanical implantation technique. Indian J Ophthalmol 2013; 61(5):218-225.
  16. Intracorneal ring segments in ectatic corneal disease — a review. 2010;38(2):154-116.
  17. INTACS inserts using the femtosecond laser compared to the mechanical spreader in the treatment of keratoconus. J Refract Surg 2006;22(8): 764-771.
  18. Intracorneal ring segments for keratoconus corrections: long term follow-up. J Cataract Refract Surg 2006;32(6):978-985.
  19. Correcting keratoconus with intracorneal rings. J Cataract Refract Surg 2000;26(8):1117-1122.
  20. Complications of intrastromal corneal ring segment implantation using a femto- second laser for channel creation: a survey of 850 eyes with keratoconus. Acta Ophthalmologica 2009;89(1):54-57.
  21. INTACS inserts for treating keratoconus; one-year results. Ophthalmology 2001;108(8):1409-1414.
  22. Clinical characteristics of lamellar channel deposits after implantation of Intacs. J Cataract Refract Surg 2000;26(10):1473-1479.
  23. Ophthalmology times. 2010. Available at: http://ophthalmologytimes.modernmedicine.com/ophthalmologytimes/news/modernmedicine/modern-medicine-news/risk-cornea- http://ophthalmologytimes.modernmedicine.com/ophthalmologytimes/news/modernmedicine/modern-medicine-news/risk-cornea- melt-reviewed.
  24. Causes of intrastromal corneal ring segment explantation: clinicopathologic correlation analysis. J Cataract Refract Surg 2010;36(6):970-977.
  25. Long-term follow- up of intacs in keratoconus. Am J Ophthalmol 2007;143(2): 236-244.
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