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       XXVII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و هفتمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Intracorneal ring segment depth in keratoconus patients: a long-term follow-up study
Author(s): Saied Shahhoseini MD1, Hassan Hashemi MD2, Soheila Asgari PhD3
Presentation Type: Oral
Subject: Cornea and Anterior Segment
Others:
Presenting Author:
Name: Saeid Shahhosseini
Affiliation :(optional) Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran, Noor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran. Department of Epidemiology and Biostatist
E mail: sshahhoseini@noorvision.com
Phone: 77643720
Mobile: 09123793350
Purpose:

To compare the actual depth of the tunnel created with femtosecond laser for intracorneal ring segment (ICRS) implantation with the target depth in keratoconus patients.

Methods:

This mix design study included 30 eyes of 30 keratoconus patients who had ICRS implantation at least 6 months prior to study. Participants underwent anterior segment optical coherence tomography using Spectralis (Heidelberg Engineering GmbH, Heidelberg, Germany) for measurement of anterior corneal surface to anterior rim of the ring.

Results:

The mean age of the participants was 31.4 ± 7.9 years, and 58.6% were male. Mean follow-up time after ring implantation was 25.8 ± 10.0 (range, 7 to 41) months. Mean actual depth was 59.9% (42.4% to 86.8%) and the target depth was 85.0% (74.8% to 90.0%) (P<0.001). The ring was at a depth of less than 70% in 25 eyes of the 30 (83.3%) studied eyes.

Conclusion:

At two years after implantation, ring segments are placed at a shallower depth than originally intended. Therefore, although femtosecond laser technology is an acceptable method for the surgeon, it is necessary to revisit the depth calculator of the device. Key words: Intracorneal ring segment; Femtosecond laser; Anterior OCT; Actual depth

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