Comparison of Visual, Refractive and Topographic Keratometry Outcomes of Intacs and Intacs SK in Mild to Moderate Keratoconus Eyes

PURPOSE: The purpose was to evaluate and compare the visual and refractive outcomes, topographic keratometry (K) and complications of Intacs and Intacs SK for mild to moderate keratoconus. METHODS: In this retrospective study, all mild to moderate keratoconus eyes that underwent implantation of Intacs (Intacs group) or Intacs SK (Intacs SK group) with minimum follow-up of 12 months were included. Preoperative and postoperative uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction, manifest cylinder, spherical equivalent (SE), minimum topographic keratometry, maximum topographic keratometry, and average topographic keratometry were compared in both groups. RESULTS: There were 16 eyes in the Intacs group and 18 eyes in the Intacs SK group. Preoperatively, both groups were comparable for most parameters except gender and minimum K and average K. At 6 months postoperatively there were statistically significant improvements in UDVA, CDVA, manifest sphere, SE, minimum K, maximum K, and average K (P < 0.05, all comparisons). Manifest cylinder improved at 6 months, but the improvement was not statistically significant (P > 0.05). The outcomes remained stable with no statistically significant differences between the 6 and 12 months visits. There were no complications in both groups. CONCLUSION: Both models of Intacs significantly improved vision and refractive outcomes, and topographic keratometry in cases of mild to moderate keratoconus. Intacs SK provided better (not statistically significant) results.