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Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure

PURPOSE: To assess the long-term outcomes of implanting intrastromal corneal ring segments (ICRS) in paracentral keratoconic eyes. METHODS: 58 eyes with paracentral keratoconus with coincident refractive, keratometric, and comatic axes were evaluated. Uncorrected (UDVA) and corrected (CDVA) distance...

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Autores principales: Fernández-Vega Cueto, Luis, Lisa, Carlos, Madrid-Costa, David, Merayo-Lloves, Jesús, Alfonso, José F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602624/
https://www.ncbi.nlm.nih.gov/pubmed/28948045
http://dx.doi.org/10.1155/2017/4058026
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author Fernández-Vega Cueto, Luis
Lisa, Carlos
Madrid-Costa, David
Merayo-Lloves, Jesús
Alfonso, José F.
author_facet Fernández-Vega Cueto, Luis
Lisa, Carlos
Madrid-Costa, David
Merayo-Lloves, Jesús
Alfonso, José F.
author_sort Fernández-Vega Cueto, Luis
collection PubMed
description PURPOSE: To assess the long-term outcomes of implanting intrastromal corneal ring segments (ICRS) in paracentral keratoconic eyes. METHODS: 58 eyes with paracentral keratoconus with coincident refractive, keratometric, and comatic axes were evaluated. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity and refractive errors were recorded before and at all follow-up visits. The postoperative follow-up was 5 years. Patients were divided into two groups: group I (30 years old or younger) and group II (more than 30 years old). RESULTS: The mean UDVA (logMAR) rose from a preoperative 0.83 ± 0.31 to a five-year postoperative 0.42 ± 0.33 (P < 0.0001). The mean CDVA varied from 0.16 ± 0.17 to 0.11 ± 0.18 (P = 0.0003). Both the UDVA and CDVA were stable over the postoperative period in both groups (P > 0.05). The spherical equivalent and the refractive cylinder declined steeply after ICRS implantation in both groups (P < 0.001), and were stable over the postoperative period (P > 0.05). The keratometric values were also stable over the postoperative follow-up. CONCLUSION: Ferrara-type ICRS implantation in keratoconus that meets the characteristics of the sample under study reduces the refractive error at the same time as it improves postoperative UDVA and CDVA six months after surgery and that these results remain stable over five years of follow-up.
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spelling pubmed-56026242017-09-25 Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure Fernández-Vega Cueto, Luis Lisa, Carlos Madrid-Costa, David Merayo-Lloves, Jesús Alfonso, José F. J Ophthalmol Clinical Study PURPOSE: To assess the long-term outcomes of implanting intrastromal corneal ring segments (ICRS) in paracentral keratoconic eyes. METHODS: 58 eyes with paracentral keratoconus with coincident refractive, keratometric, and comatic axes were evaluated. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity and refractive errors were recorded before and at all follow-up visits. The postoperative follow-up was 5 years. Patients were divided into two groups: group I (30 years old or younger) and group II (more than 30 years old). RESULTS: The mean UDVA (logMAR) rose from a preoperative 0.83 ± 0.31 to a five-year postoperative 0.42 ± 0.33 (P < 0.0001). The mean CDVA varied from 0.16 ± 0.17 to 0.11 ± 0.18 (P = 0.0003). Both the UDVA and CDVA were stable over the postoperative period in both groups (P > 0.05). The spherical equivalent and the refractive cylinder declined steeply after ICRS implantation in both groups (P < 0.001), and were stable over the postoperative period (P > 0.05). The keratometric values were also stable over the postoperative follow-up. CONCLUSION: Ferrara-type ICRS implantation in keratoconus that meets the characteristics of the sample under study reduces the refractive error at the same time as it improves postoperative UDVA and CDVA six months after surgery and that these results remain stable over five years of follow-up. Hindawi 2017 2017-08-29 /pmc/articles/PMC5602624/ /pubmed/28948045 http://dx.doi.org/10.1155/2017/4058026 Text en Copyright © 2017 Luis Fernández-Vega Cueto et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Fernández-Vega Cueto, Luis
Lisa, Carlos
Madrid-Costa, David
Merayo-Lloves, Jesús
Alfonso, José F.
Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title_full Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title_fullStr Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title_full_unstemmed Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title_short Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure
title_sort long-term follow-up of intrastromal corneal ring segments in paracentral keratoconus with coincident corneal keratometric, comatic, and refractive axes: stability of the procedure
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5602624/
https://www.ncbi.nlm.nih.gov/pubmed/28948045
http://dx.doi.org/10.1155/2017/4058026
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