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Implantation of intrastromal corneal ring segments for corneal ectasia (review)

Journal «MEDICINA» ¹ 2, 2017, pp.73-87 (Reviews)

Authors

Mamikonyan V. R.
Med.Sc.D., professor, director1

Osipyan G. A.
Ph.D., senior research associate1

Christein Husam
postgraduate student1

1 - Scientific Research Institute of Eye Diseases, 11a Rossolimo st., Moscow, Russian Federation, 119435

Conflicts of Interest and Source of Funding

None declared.

Abstract

One of the most common and modern methods of the treatment of early keratoconus is the implantation of intrastromal corneal ring segments (ICRS). The paper addresses published data on recent progress in methods which facilitate ICRS implantation. Femtosecond laser and ICRS of various shape and structure simplify surgical technique and provide adequate effect when correcting irregular astigmatism. Long-term randomized controlled studies in patients with obviously progressive keratoconus are required to demonstrate the stabilization of keratectasia after ICRS implantation.

Key words

corneal collagen cross-linking, femtosecond laser, intrastromal corneal ring segments, keratoconus, corneal ectasia

References

1. Avetisov, S. E., V. R. Mamikonian, and A. A. Kas'ianov. «Characteristics of calculating the optical power of IOL in patients with a history of radial keratotomy.» Ophtalmologiya, no. 4 (2004): 15-24.

2. Avetisov, S. E., V. R. Mamikonian, and A. A. Kas'ianov. «A comparative evaluation of astigmatic neutrality of 5 mm self-sealing tunnel incision of different types.» Vestnik Ophtalmologii, no. 1 (2005): 7-10.

3. Avetisov, S. E., V. R. Mamikonian, A. A. Kas'ianov, and U. K. Shirshikov. «Retrospective analysis of the accuracy of various formulas for calculating the optical strength of the IOL, evaluating the effectiveness of calculating the personified constant.» Kataraktalnaya i refrakcionnaya khirurgiya, no. 4 (2003): 21-28.

4. Avetisov, S. E., V. R. Mamikonyan, and I. A. Novikov. «The role of tear acidity and Cu-cofactor of lysyl oxidase activity in the pathogenesis of keratoconus.» Vestnik Ophtalmologii, no. 2 (2011): 3-8.

5. Avetisov, S. E., V. R. Mamikonian, S. V. Trufanov, and G. A. Osipian. «Selective principle of modern approaches in keratoplasty.» Vestnik Ophtalmologii, no. 5 (2013): 97-103.

6. Avetisov, S. E., I. N. Iusef, and V. R. Mamikonian. «The original method of extra-capsular fragmentation of the lens nucleus during phacoemulsification.» Vestnik Ophtalmologii, no. 5 (2002): 18-21.

7. Kazaryan, E. E., and V. R. Mamikonyan. «Reasons and prevention of the optical analyzer fatigue in users of computer video displays.» Vestnik Ophtalmologii, no. 3 (2003): 50-53.

8. Krasnov, M. M., A. A. Kasparov, V. R. Mamikonyan, and I. V. Filonenko. «The first experience of complete stromoplasty – cornea transplantation .» Vestnik Ophtalmologii, no. 3 (1989): 19-24.

9. Mamikonian, V. R., S. E. Avetisov, I. N. Iusef, A. S. Vvedenski, S. N. Iusef, and E. V. Reznikova. «A new method of macrofragmentation of dense nuclei by means of loop fragmentizer.» Vestnik Ophtalmologii, no. 1 (2004): 3-4.

10. Mamikonian, V. R., M. L. Balaian, M. V. Budzinskaia, M. V. Strakhovskaia, A. A. Fedorov, V. B. Loshchenov, S. A. Shevchik, V. M. Negrimovski, O. A. Iuzhakova, S. G. Kuz'min, and G. N. Vorozhtsov. «Feasibilities of photodynamic therapy in the treatment of corneal mycotic lesions: an experimental study.» Vestnik Ophtalmologii, no. 5 (2007): 25-28.

11. Mamikonian, V. R., G. A. Osipyan, and K. S. Avetisov. «New modification of complete corneal stromoplasty.» Vestnik Ophtalmologii, no. 4 (2010): 35-37.

12. Mamikonian, V. R., S. V. Trufanov, and N. V. Borodina. «The results of up-to-date techniques of automated endothelial keratoplasty.» Vestnik Ophtalmologii, no. 4 (2012): 3-11.

13. Olinevich, V. B., G. G. Ziangirova, V. R. Mamikonyan, M. A. Gruden, and V. V. Sherstnev. «Morphological features of regenerative-reparative processes in the cornea exposed to synthetic analogues of endogenous peptide fragments of protein S100b in an experiment.» Vestnik Ophtalmologii, no. 2 (2009): 3-6.

14. Alfonso, José F., Carlos Lisa, Luis Fernández-Vega, David Madrid-Costa, and Robert Montés-Micó. «Intrastromal corneal ring segment implantation in 219 keratoconic eyes at different stages.» Graefes Archive for Clinical and Experimental Ophthalmology 249, no. 11 (2011): 1705-712. doi:10.1007/s00417-011-1759-9.

15. Brenner, Luis F., Jorge L. Alió, Alfredo Vega-Estrada, Julio Baviera, Jaime Beltrán, and Rosario Cobo-Soriano. «Indications for intrastromal corneal ring segments in ectasia after laser in situ keratomileusis.» Journal of Cataract & Refractive Surgery 38, no. 12 (2012): 2117-124. doi:10.1016/j.jcrs.2012.07.036.

16. Bromley, Jennifer G., and J. Bradley Randleman. «Treatment strategies for corneal ectasia.» Current Opinion in Ophthalmology, 2010, 1. doi:10.1097/icu.0b013e32833a8bfe.

17. Burris, Terry E. «Intrastromal corneal ring technology: results and indications.» Current Opinion in Ophthalmology 9, no. 4 (1998): 9-14. doi:10.1097/00055735-199808000-00003.

18. Cheema, A. S., A. Mozayan, and P. Channa. «Corneal collagen crosslinking in refractive surgery.» Current opinion in ophthalmology 23, no. 4, 251-56.

19. Choi, Jin A., and Man-Soo Kim. «Progression of Keratoconus by Longitudinal Assessment with Corneal Topography.» Investigative Opthalmology & Visual Science 53, no. 2 (2012): 927. doi:10.1167/iovs.11-8118.

20. Colin, Joseph, Béatrice Cochener, Gwenaelle Savary, and Florence Malet. «Correcting keratoconus with intracorneal rings.» Journal of Cataract & Refractive Surgery 26, no. 8 (2000): 1117-122. doi:10.1016/s0886-3350(00)00451-x.

21. Coscarelli, Sandro, Guilherme Ferrara, Jose F. Alfonso, Paulo Ferrara, Jesús Merayo-Lloves, Luana P.n. Araújo, Aydano P. Machado, João Marcelo Lyra, and Leonardo Torquetti. «Intrastromal corneal ring segment implantation to correct astigmatism after penetrating keratoplasty.» Journal of Cataract & Refractive Surgery 38, no. 6 (2012): 1006-013. doi:10.1016/j.jcrs.2011.12.037.

22. Coskunseven, Efekan, Mirko R. Jankov, Farhad Hafezi, Serife Atun, Ebru Arslan, and George D. Kymionis. «Effect of treatment sequence in combined intrastromal corneal rings and corneal collagen crosslinking for keratoconus.» Journal of Cataract & Refractive Surgery 35, no. 12 (2009): 2084-091. doi:10.1016/j.jcrs.2009.07.008.

23. Dauwe, Caroline, David Touboul, Cynthia J. Roberts, Ashraf M. Mahmoud, Julien Kérautret, Pierre Fournier, François Malecaze, and Joseph Colin. «Biomechanical and morphological corneal response to placement of intrastromal corneal ring segments for keratoconus.» Journal of Cataract & Refractive Surgery 35, no. 10 (2009): 1761-767. doi:10.1016/j.jcrs.2009.05.033.

24. Fahd, Daoud C., Nada S. Jabbur, and Shady T. Awwad. «Intrastromal Corneal Ring Segment SK for Moderate to Severe Keratoconus: A Case Series.» Journal of Refractive Surgery 28, no. 10 (2012): 701-05. doi:10.3928/1081597x-20120921-05.

25. Gorgun, Ebru, Raciha Beril Kucumen, and Nursal Melda Yenerel. «Influence of intrastromal corneal ring segment implantation on corneal biomechanical parameters in keratoconic eyes.» Japanese Journal of Ophthalmology 55, no. 5 (2011): 467-71. doi:10.1007/s10384-011-0057-8.

26. Greenstein, Steven A., Kristen L. Fry, and Peter S. Hersh. «In Vivo Biomechanical Changes After Corneal Collagen Cross-linking for Keratoconus and Corneal Ectasia: 1-Year Analysis of a Randomized, Controlled, Clinical Trial.» Cornea 31, no. 1 (2012): 21-25. doi:10.1097/ico.0b013e31821eea66.

27. Haddad, Walid, Ali Fadlallah, Ali Dirani, Hala El Rami, Daoud Fahd, Dana Khanafer, and Sharbel Fahed. «Comparison of 2 types of intrastromal corneal ring segments for keratoconus.» Journal of Cataract & Refractive Surgery 38, no. 7 (2012): 1214-221. doi:10.1016/j.jcrs.2012.02.039.

28. Henriquez, Maria A., Luis Izquierdo, Cesar Bernilla, and Martin Mccarthy. «Corneal Collagen Cross-Linking Before Ferrara Intrastromal Corneal Ring Implantation for the Treatment of Progressive Keratoconus.» Cornea 31, no. 7 (2012): 740-45. doi:10.1097/ico.0b013e318219aa7a.

29. Iovieno, Alfonso, Marie Eve Légaré, Daniel B. Rootman, Sonia N. Yeung, Peter Kim, and David S. Rootman. «Intracorneal Ring Segments Implantation Followed By Same-day Photorefractive Keratectomy and Corneal Collagen Cross-linking in Keratoconus.» Journal of Refractive Surgery 27, no. 12 (2011): 915-18. doi:10.3928/1081597x-20111103-03.

30. Kaya, Vedat, Canan Asli Utine, Sezen Harmanci Karakus, Isilay Kavadarli, and Ömer Faruk Yilmaz. «Refractive and Visual Outcomes After Intacs vs Ferrara Intrastromal Corneal Ring Segment Implantation for Keratoconus: A Comparative Study.» Journal of Refractive Surgery 27, no. 12 (2011): 907-12. doi:10.3928/1081597x-20110906-03.

31. Khan, Mohammad I., Anas Injarie, and Mohammed Muhtaseb. «Intrastromal corneal ring segments for advanced keratoconus and cases with high keratometric asymmetry.» Journal of Cataract & Refractive Surgery 38, no. 1 (2012): 129-36. doi:10.1016/j.jcrs.2011.07.031.

32. Kılıç, Aylin, Gunhal Kamburoglu, and Arsen Akıncı. «Riboflavin injection into the corneal channel for combined collagen crosslinking and intrastromal corneal ring segment implantation.» Journal of Cataract & Refractive Surgery 38, no. 5 (2012): 878-83. doi:10.1016/j.jcrs.2011.11.041.

33. Kremer, Israel, Isaac Aizenman, Henia Lichter, Sagit Shayer, and Samuel Levinger. «Simultaneous wavefront-guided photorefractive keratectomy and corneal collagen crosslinking after intrastromal corneal ring segment implantation for keratoconus.» Journal of Cataract & Refractive Surgery 38, no. 10 (2012): 1802-807. doi:10.1016/j.jcrs.2012.05.033.

34. Kubaloglu A., Cinar Y., Sari E.S., Koytak A., et al. Comparison of 2 intrastromal corneal ring segment models in the management of keratoconus // Journal of cataract and refractive surgery. 2010. Vol. 36. N 6. P. 978-985

35. Kubaloglu, Anil, Yasin Cinar, Esin Sogutlu Sari, Arif Koytak, Burak Ozdemir, and Yusuf Ozertürk. «Comparison of 2 intrastromal corneal ring segment models in the management of keratoconus.» Journal of Cataract & Refractive Surgery 36, no. 6 (2010): 978-85. doi:10.1016/j.jcrs.2009.12.031.

36. Kubaloglu, Anl, Esin Sogutlu Sari, Yasin Cinar, Arif Koytak, Ekrem Kurnaz, and Yusuf Özertürk. «Intrastromal Corneal Ring Segment Implantation for the Treatment of Keratoconus.» Cornea 30, no. 1 (2011): 11-17. doi:10.1097/ico.0b013e3181e2cf57.

37. Kymionis, George D., Dimitrios I. Bouzoukis, Dimitra M. Portaliou, and Ioannis G. Pallikaris. «New INTACS SK Implantation in Patients With Post–Laser In Situ Keratomileusis Corneal Ectasia.» Cornea 29, no. 2 (2010): 214-16. doi:10.1097/ico.0b013e3181a26b72.

38. Kymionis, George D., Vardhaman P. Kankariya, Argyro D. Plaka, and Dan Z. Reinstein. «Femtosecond Laser Technology in Corneal Refractive Surgery: A Review.» Journal of Refractive Surgery 28, no. 12 (2012): 912-20. doi:10.3928/1081597x-20121116-01.

39. Peña-García, Pablo, Alfredo Vega-Estrada, Rafael I. Barraquer, Neus Burguera-Giménez, and Jorge L. Alio. «Intracorneal Ring Segment in Keratoconus: A Model to Predict Visual Changes Induced by the Surgery.» Investigative Opthalmology & Visual Science 53, no. 13 (2012): 8447. doi:10.1167/iovs.12-10639.

40. Piñero, David P., and Jorge L. Alio. «Intracorneal ring segments in ectatic corneal disease – a review.» Clinical & Experimental Ophthalmology 38, no. 2 (2010): 154-67. doi:10.1111/j.1442-9071.2010.02197.x.

41. Piñero, David P., Jorge L. Alio, Rafael I. Barraquer, and Ralph Michael. «Corneal Biomechanical Changes After Intracorneal Ring Segment Implantation in Keratoconus.» Cornea 31, no. 5 (2012): 491-99. doi:10.1097/ico.0b013e31821ee9f4.

42. Piñero, David P., Jorge L. Alio, Bassam El Kady, Efekan Coskunseven, Hector Morbelli, Antonio Uceda-Montanes, Miguel J. Maldonado, Diego Cuevas, and Inmaculada Pascual. «Refractive and Aberrometric Outcomes of Intracorneal Ring Segments for Keratoconus: Mechanical versus Femtosecond-assisted Procedures.» Ophthalmology 116, no. 9 (2009): 1675-687. doi:10.1016/j.ophtha.2009.05.016.

43. Piñero, David P., Jorge L. Alió, Bassam El Kady, and Inmaculada Pascual. «Corneal aberrometric and refractive performance of 2 intrastromal corneal ring segment models in early and moderate ectatic disease.» Journal of Cataract & Refractive Surgery 36, no. 1 (2010): 102-09. doi:10.1016/j.jcrs.2009.07.030.

44. Piñero, David P., Jorge L. Alio, Antonio Uceda-Montanes, Bassam El Kady, and Inmaculada Pascual. «Intracorneal Ring Segment Implantation in Corneas with Post-Laser In Situ Keratomileusis Keratectasia.» Ophthalmology 116, no. 9 (2009): 1665-674. doi:10.1016/j.ophtha.2009.05.030.

45. Prazeres, Tatiana Moura Bastos, Allan Cezar Da Luz Souza, Nicolas Cesário Pereira, Fábio Ursulino, Leon Grupenmacher, and Luciene Barbosa De Souza. «Intrastromal Corneal Ring Segment Implantation by Femtosecond Laser for the Correction of Residual Astigmatism After Penetrating Keratoplasty.» Cornea 30, no. 12 (2011): 1293-297. doi:10.1097/ico.0b013e31821821e1.

46. Rabinowitz Y.S. Ectasia after laser in situ keratomileusis // Current opinion in ophthalmology. 2006. Vol. 17. N 5. P. 421-426

47. Rabinowitz, Y. S. «Intacs for keratoconus.» Current opinion in ophthalmology 18, no. 4 (2006): 421-26.

48. Rabinowitz, Y. S., T. S. Ignacio, and E. Maguen. «INTACS inserts using the femtosecond laser compared to the mechanical spreader in the treatment of keratoconus .» Journal of refractive surgery 22, no. 8 (2006): 764-71.

49. Renesto, Adimara Da Candelaria, Luiz Alberto S. Melo, Marta De Filippi Sartori, and Mauro Campos. «Sequential Topical Riboflavin With or Without Ultraviolet A Radiation With Delayed Intracorneal Ring Segment Insertion for Keratoconus.» American Journal of Ophthalmology 153, no. 5 (2012). doi:10.1016/j.ajo.2011.10.014.

50. Romero-Jimenez , M., J. Santodomingo-Rubido, and J. S. Wolffsohn. «Keratoconus: a review .» Contact lens & anterior eye: the journal of the British Contact Lens Association 33, no. 4 (2010): 157-66.

51. Saelens, Isabelle E Y, Marjolijn C. Bartels, Isabel Bleyen, and Gabriel Van Rij. «Refractive, Topographic, and Visual Outcomes of Same-Day Corneal Cross-Linking With Ferrara Intracorneal Ring Segments in Patients With Progressive Keratoconus.» Cornea 30, no. 12 (2011): 1406-408. doi:10.1097/ico.0b013e3182151ffc.

52. Schanzlin, David J., Penny A. Asbell, Terry E. Burris, and Daniel S. Durrie. «The Intrastromal Corneal Ring Segments.» Ophthalmology 104, no. 7 (1997): 1067-078. doi:10.1016/s0161-6420(97)30183-3.

53. Söğütlü, Esin, David P. Piñero, Anil Kubaloglu, Jorge L. Alio, and Yasin Cinar. «Elevation Changes of Central Posterior Corneal Surface After Intracorneal Ring Segment Implantation in Keratoconus.» Cornea 31, no. 4 (2012): 387-95. doi:10.1097/ico.0b013e31822481df.

54. Vega-Estrada, Alfredo, Jorge L. Alio, Luis F. Brenner, Jaime Javaloy, Ana Belen Plaza Puche, Rafael I. Barraquer, Miguel A. Teus, Joaquim Murta, Jorge Henriques, and Antonio Uceda-Montanes. «Outcome Analysis of Intracorneal Ring Segments for the Treatment of Keratoconus Based on Visual, Refractive, and Aberrometric Impairment.» American Journal of Ophthalmology 155, no. 3 (2013). doi:10.1016/j.ajo.2012.08.020.