Management of corneal ectasia after laser in situ keratomileusis with INTACS.
OBJECTIVE
To evaluate the safety and efficacy of intrastromal corneal ring segments (ICRS, INTACS, Keravision) for the correction of corneal ectasia after laser in situ keratomileusis (LASIK).


METHODS
In this prospective, noncomparative case series, INTACS were implanted in three eyes (two patients) that were ectatic after LASIK. Mean follow-up was 8.7 months (range, 8 to 10 mo).


RESULTS
No intraoperative complications occurred. After INTACS implantation, uncorrected visual acuity ranged from 20/20 to 20/25 at 6 months and remained stable until 9 months. Mean postoperative spherical equivalent refraction was 0.50 D at 1 month and no significant changes appeared up to 9 months after INTACS implantation. After INTACS implantation, no eye lost any lines of Snellen spectacle-corrected visual acuity and two eyes gained from one to two lines. There was an increase in topographical regularity in all three eyes.


CONCLUSIONS
Implantation of INTACS in eyes with corneal ectasia after LASIK resulted in good refractive outcome, absence of complications, and improvement in visual acuity.
Siganos
Charalambos S
CS
Department of Ophthalmology, Vardinoyannion Eye Institute of Crete, University of Crete, Greece.
Kymionis
George D
GD
Astyrakakis
Nikos
N
Pallikaris
Ioannis G
IG
D000328:Adult; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D003319:Corneal Stroma / Q000601:surgery*; D019781:Corneal Topography; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D011446:Prospective Studies; D019736:Prostheses and Implants; D014792:Visual Acuity