Intrastromal corneal ring segments for the treatment of irregular astigmatism

Abstract

Intrastromal corneal ring (ICR; INTACS; Addition Technology, Inc., IL, USA) segments were first designed to provide a refractive adjustment by flattening the central corneal curvature while maintaining a prolate aspheric shape in the central optical zone. In contrast to excimer laser refractive techniques, ICR preserves corneal tissue and does not involve the central optical zone. Owing to these tissue-conserving properties, ICR has been proposed as an interesting surgical alternative in patients with corneal ectatic disorders. The treatment options for patients with corneal ectatic diseases and abnormal astigmatism depend on the severity of the disease. In patients with spectacle correction, ICR does not improve visual acuity and rigid contact lenses are not well tolerated; ICR seems to be an interesting, minimally invasive prekeratoplastic surgical technique. There are several publications in the literature supporting the safety and efficacy of this technique in patients with corneal ectatic diseases and abnormal astigmatism. ICR is considered to be a safe, reversible and minimally invasive procedure.

Keywords::

• ectasia
• femtosecond laser
• INTACS
• intrastromal corneal ring segment
• keratoconus
• pellucid marginal degeneration

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.