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Intacs for the Treatment of Keratoconus

Intacs for the Treatment of Keratoconus. Ying Qian, MD Bennie H. Jeng, MD Cole Eye Institute Cleveland Clinic Foundation Cleveland, Ohio. Financial disclosure: none. Introduction.

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Intacs for the Treatment of Keratoconus

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  1. Intacs for the Treatment of Keratoconus Ying Qian, MD Bennie H. Jeng, MD Cole Eye Institute Cleveland Clinic Foundation Cleveland, Ohio Financial disclosure: none

  2. Introduction • Intacs (Addition Technology, Inc, Sunnyvale, CA) are FDA-approved intrastromal corneal ring segments indicated for the treatment for mild to moderate keratoconus with clear central corneas • Indicated in patients with contact lens intolerance • May delay the need for penetrating keratoplasty • Flattens the center of the cornea • Reversible

  3. Purpose • To evaluate the efficacy of the placement of Intacs using the manual dissection technique in eyes with keratoconus

  4. Method • Retrospective review • Eleven eyes of 11 patients with keratoconus • Intacs placement with manual dissection technique • One surgeon (BHJ)

  5. Results

  6. Mean Values

  7. Intacs – Post-Op Day 1 of Patient 1

  8. Corneal Topography of Patient 10 Pre-op Post-op

  9. Conclusions • Placement of Intacs using manual dissection technique appears to be efficacious treatment modality for keratoconus • Most patients achieve better spectacle corrected visual acuity with concurrent decrease in astigmatism

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