title: [Predictive factors for successful Ferrara intracorneal ring segment implantation in keratoconus].
abstract: OBJECTIVE
  To define predictive factors after manual implantation of intrastromal corneal ring segments (Ferrara ring) for the management of keratoconus.
  
  
  METHODS
  Twenty-five eyes of 25 patients with keratoconus were implanted with Ferrara intracorneal ring segments using a mechanical procedure. We measured corneal ring implantation depth, best spectacle-corrected visual acuity (BSCVA), as well as refractive and keratometric outcomes. Patients were separated into two groups according to the gain of at least two lines of BSCVA ("good response") or the gain of only one line of BSCVA, no change, or the loss of lines of BSCVA ("poor response").
  
  
  RESULTS
  After a 6-month follow-up, 41% patients experienced a gain of at least two lines of BSCVA, 31.8% a gain of only one line, 13.6% no change, and 13.6% a loss of BSCVA. The sphere reduced from 4.39 to 2.34D (p<0.01), the cylinder from 4.19 to 2.77D (p<0.01), and the mean keratometry from 51.44 to 48.74D (p<0.02). As successful predictive factors, we found the asymmetry of keratoconus (p<0.01) in relation to the steepest meridian and patients implanted with a single ring (p<0.02).
  
  
  CONCLUSIONS
  Defining preoperative successful predictive factors for Ferrara intracorneal ring segments is essential to enhance postoperative outcomes.
authors.affiliation: Service d'ophtalmologie, centre de référence national du kératocône (CRNK), hôpital Purpan, 1, place du Docteur-Baylac, 31059 Toulouse cedex 9, France. emilieancele@yahoo.fr
authors.forename: E
authors.initials: E
authors.lastname: Ancèle
authors.forename: F
authors.initials: F
authors.lastname: Malecaze
authors.forename: J-L
authors.initials: JL
authors.lastname: Arné
authors.forename: P
authors.initials: P
authors.lastname: Fournié
mesh_terms: D000328:Adult; D019781:Corneal Topography; D016039:Corneal Transplantation / Q000379:methods; D003941:Diagnostic Techniques, Ophthalmological; D005500:Follow-Up Studies; D006801:Humans; D007640:Keratoconus / Q000175:diagnosis* / Q000601:surgery*; D008954:Models, Biological; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011237:Predictive Value of Tests; D011379:Prognosis; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity; D055815:Young Adult