Sérgio Kwitko1, Nórton Souto Severo. 1. Department of Ophthalmology, Hospital de Clínicas de Porto Alegre, Avenida Nilo Peçanha, 7241-401 Porto Alegre-RS, Brazil. Kwitko@ez-poa.com.br
Abstract
PURPOSE: To assess the outcome of Ferrara intracorneal ring segments for keratoconus. SETTING: Private practice and university hospital, Porto Alegre, Brazil. METHODS: In this retrospective noncomparative interventional case series, 51 keratoconus eyes of 47 patients that had Ferrara intracorneal ring segment implantation were reviewed. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), central corneal curvature, corneal astigmatism, surface regularity index, surface asymmetry index, and complications were analyzed. RESULTS: At a mean follow-up of 13.0 months +/- 8.7 (SD), the BSCVA improved in 86.4% of eyes, was unchanged in 1.9%, and worsened in 11.7%. The UCVA improved in 86.4% of eyes, was unchanged in 7.8%, and worsened in 5.8%. The mean spherical equivalent (SE) was reduced from -6.08 +/- 5.01 diopters (D) to -4.55 +/- 5.71 D and the mean refractive astigmatism, from -3.82 +/- 2.13 D to -2.16 +/- 2.07 D. The mean central corneal curvature was reduced from 48.76 +/- 3.97 D to 43.17 +/- 4.79 D. Eyes with central keratoconus had statistically significantly better results than eyes with inferior keratoconus in topographic astigmatism, SE, and refraction cylinder. Penetrating keratoplasty was avoided in 38 eyes (74.5%) during the follow-up. Intracorneal ring segment decentration occurred in 2 eyes (3.9%), segment extrusion in 10 eyes (19.6%), bacterial keratitis in 1 eye (1.9%) with segment extrusion, and a disciform keratitis in 1 eye (1.9%). CONCLUSION: Implantation of Ferrara intracorneal ring segments in patients with keratoconus was a safe and reversible procedure that led to stable results and avoided or delayed PKP in many cases.
PURPOSE: To assess the outcome of Ferrara intracorneal ring segments for keratoconus. SETTING: Private practice and university hospital, Porto Alegre, Brazil. METHODS: In this retrospective noncomparative interventional case series, 51 keratoconus eyes of 47 patients that had Ferrara intracorneal ring segment implantation were reviewed. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), central corneal curvature, corneal astigmatism, surface regularity index, surface asymmetry index, and complications were analyzed. RESULTS: At a mean follow-up of 13.0 months +/- 8.7 (SD), the BSCVA improved in 86.4% of eyes, was unchanged in 1.9%, and worsened in 11.7%. The UCVA improved in 86.4% of eyes, was unchanged in 7.8%, and worsened in 5.8%. The mean spherical equivalent (SE) was reduced from -6.08 +/- 5.01 diopters (D) to -4.55 +/- 5.71 D and the mean refractive astigmatism, from -3.82 +/- 2.13 D to -2.16 +/- 2.07 D. The mean central corneal curvature was reduced from 48.76 +/- 3.97 D to 43.17 +/- 4.79 D. Eyes with central keratoconus had statistically significantly better results than eyes with inferior keratoconus in topographic astigmatism, SE, and refraction cylinder. Penetrating keratoplasty was avoided in 38 eyes (74.5%) during the follow-up. Intracorneal ring segment decentration occurred in 2 eyes (3.9%), segment extrusion in 10 eyes (19.6%), bacterial keratitis in 1 eye (1.9%) with segment extrusion, and a disciform keratitis in 1 eye (1.9%). CONCLUSION: Implantation of Ferrara intracorneal ring segments in patients with keratoconus was a safe and reversible procedure that led to stable results and avoided or delayed PKP in many cases.
Authors: Mohammed Ali Abu Ameerh; Ghada Ismail Hamad; Osama H Ababneh; Almutez M Gharaibeh; Rola M Al Refai; Muawyah D Al Bdour Journal: Int J Ophthalmol Date: 2012-10-18 Impact factor: 1.779
Authors: José F Alfonso; Carlos Lisa; Luis Fernández-Vega; David Madrid-Costa; Robert Montés-Micó Journal: Graefes Arch Clin Exp Ophthalmol Date: 2011-08-13 Impact factor: 3.117