Laser in situ keratomileusis and intrastromal corneal ring segments for high myopia. Three-step procedure.
We describe a surgical procedure to correct relatively high myopia in patients with thin corneas. The technique combines laser in situ keratomileusis (LASIK) and intrastromal corneal ring segment (ICRS) implantation. The 3-step procedure comprises ICRS channel formation, LASIK, and segment insertion. The technique was used in 2 eyes of 2 patients with low pachymetry values and high myopia. One patient achieved an uncorrected visual acuity (UCVA) of 20/30 and a best spectacle-corrected visual acuity (BSCVA) of 20/25 with +0.50 -1.75 x 101. The other patient achieved a UCVA of 20/30 and a BSCVA of 20/20 with +0.75 -1.50 x 80.
Primack
Jonathan D
JD
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.
Azar
Dimitri T
DT
D000328:Adult; D001672:Biocompatible Materials; D003315:Cornea / Q000503:physiopathology / Q000601:surgery*; D019781:Corneal Topography; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D019904:Polymethyl Methacrylate; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D014792:Visual Acuity / Q000502:physiology
D001672:Biocompatible Materials; D019904:Polymethyl Methacrylate