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Ophthalmology and Therapy
Published in: Ophthalmology and Therapy 1/2019

Open Access 01-10-2019 | Review

Intracorneal Ring Segment Implantation in the Management of Keratoconus: An Evidence-Based Approach

Authors: Dimitris Sakellaris, Miltos Balidis, Olga Gorou, Nora Szentmary, Antonios Alexoudis, Matthias C. Grieshaber, Despoina Sagri, Hendrik Scholl, Zisis Gatzioufas

Published in: Ophthalmology and Therapy | Special Issue 1/2019

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Abstract

Intracorneal ring segment (ICRS) implantation represents a modern, minimally invasive, surgical option for visual improvement in patients with keratoconus. ICRS modify the corneal geometry in a manner that enhances its refractive properties and thereby, they improve visual acuity. It is well-documented that implantation of ICRS decreases the keratometric readings, spherical equivalent and cylinder, reduces high-order aberrations and improves uncorrected distance visual acuity (UDVA) and best-corrected distance visual acuity (BCDVA) in patients with keratoconus. Success rate after ICRS implantation is high, depending on appropriate patient selection and adherence to suitable implantation nomograms, and most important, the overall complication rate is very low. This review is summarizing current indications/contra-indications for ICRS implantation, implantation techniques, clinical outcomes and potential complications, shedding light on myths and realities related to this innovative surgical option.
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Metadata
Title
Intracorneal Ring Segment Implantation in the Management of Keratoconus: An Evidence-Based Approach
Authors
Dimitris Sakellaris
Miltos Balidis
Olga Gorou
Nora Szentmary
Antonios Alexoudis
Matthias C. Grieshaber
Despoina Sagri
Hendrik Scholl
Zisis Gatzioufas
Publication date
01-10-2019
Publisher
Springer Healthcare
Published in
Ophthalmology and Therapy / Issue Special Issue 1/2019
Print ISSN: 2193-8245
Electronic ISSN: 2193-6528
DOI
https://doi.org/10.1007/s40123-019-00211-2
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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