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Keratoconus Patient: same week surgery

Keratoconus Patient: same week surgery. Transplant. IN TACS. OD +8.00 (.)-2.00 X 180°. OS -0.75. No Chance of Rejection No loss of Endothelial Cells Reduces myopia and astigmatism Makes Irregular astigmatism regular Recovery 3-6 months VA functional vision Easy CL fit

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Keratoconus Patient: same week surgery

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  1. Keratoconus Patient: same week surgery Transplant INTACS OD +8.00 (.)-2.00 X 180° OS -0.75

  2. No Chance of Rejection • No loss of Endothelial Cells • Reduces myopia and astigmatism • Makes Irregular astigmatism regular • Recovery 3-6 months • VA functional vision • Easy CL fit • Defer need for transplant • 10 minute out patient procedure • Reduces refractive Error • Stabilizes cornea • Strengthens corneal architecture • Spares Optical Zone • Less medications • Follow up minimal • Minimal management of suture • 5-20% Rejection Rate • Loss of Endothelial Cells • Induces 4-6 diopters of cylinder • May create irregular astigmatism • Recovery 12-36 months • VA improvement long time • Difficult to fit CL • May need a second transplant • Invasive lengthy procedure • May reduce/increase refraction • Is cornea truly stabile? • Is cornea weaker or stronger? • Invades optical zone • Many medications needed • Lengthy involved follow up • Mgt. of many sutures

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