Visual outcome after implantation of intracorneal ring segments for pellucid marginal degeneration

Mahmood Jabbarvand, Kazem Amanzadeh, Firoozeh Rahimi, Ahmad Kheirkhah, Hassan Hashemi

Research output: Contribution to journalArticle

Abstract

Purpose: To assess the results of intracorneal ring (ICR) segments for treatment of patients with pellucid marginal degeneration (PMD). Methods: In this prospective interventional case series study, eight eyes of 5 patients with PMD who were contact lens intolerant received one or two Intacs (Intacs, Addition Technology) segments. Preoperative and postoperative evaluations included slit-lamp examination, uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA) and keratometry by Pentacam scheimpflug camera (oculas opticigerate GmbH). Patients were followed for 3 months and all parameters were reviewed at the end of follow-up time. Results: Three months postoperatively, UCVA significantly improved from preoperative values after Intacs implantation (mean 1.07±0.27 [SD] and 0.5±0.27 respectively). The BCVA also improved from preoperative state compared to 3 months after surgery (Mean 0.40±31 and 0.18±0.17 respectively). The BCVA was 5/10 or more in all 8 eyes. Spherical equivalent (SE) and refractive cylinder decreased significantly compared to preoperative values (Mean -9.40±4.98 to -6.53±5.00 and mean -6.93±3.79 to -3.06±2.07 respectively). Topographic cylinder decreased postoperatively, but this decrement was not statistically significant (mean -5.42±3.47 [SD] to -5.08±3.20). Conclusion: In our series of patients, ICR implantation proved to be a safe and effective method for correction of PMD and improving the vision in these patients.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalIranian Journal of Ophthalmology
Volume22
Issue number1
StatePublished - Jan 1 2010
Externally publishedYes

Keywords

  • Intracorneal ring
  • Pellucid marginal degeneration
  • Visual acuity

ASJC Scopus subject areas

  • Ophthalmology

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