Comparison of Visual, Refractive and Aberrometic Outcomes of Intacs® Implant and Toric Implantable Collamer Lens (TICL) in Patients with Keratoconus: 4 Years Follow Up

Document Type : Origenal Article

Authors

1 Ophthalmologist, Negah Eye Hospital , Tehran, Iran

2 MSc Student, Depatment of Ophthalmology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Assistant Professor, Depatment of Ophthalmology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Optometrist, Cohort Studies Center, Tehran University of Medical Sciences ,Tehran, Iran

5 Assistant Professor, Department Plastic Surgery, Modares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

6 Medical Student, Modares Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

7 Assistant Professor, Department of Public Health, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran

8 Depatment of Ophthalmology, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran

Abstract

Background: To assess the efficacy and clinical outcomes following the use of toric implantable collamer lens (TICL) and Intacs® implant in patients with mild keratoconus.
Methods: This retrospective study evaluated 30 eyes of 30 patients with keratoconic and age of 25-35. These eyes were divided into group A (15 eyes), in which Visian Toric ICL™ was implanted, and group B (15 eyes), Intacs® implantation. The outcome and complications were evaluated. We assessed the visual, refractive, and aberrometric outcome in pre-operation and 6 month, and 1, 2, 3, and 4 year post-operation.
Results: There was significant difference in the mean uncorrected and best corrected distance visual acuities between the groups (P < 0.01). An uncorrected distance visual acuity of 20/30 or better was achieved in 85% of eyes in the TICL group, and 20% of eyes in the Intacs® group; visual acuity of 20/20 or better in was seen in 80% and 15%, respectively. Intacs® implant produced a significant decrease in corneal refractive spherical equivalent and coma aberration (P < 0.01).
Conclusion: Intacs® implant and TICL lens, both are useful, but it seems that the TICL is better and provides good visual and refractive outcomes; indicating that it is a more predictable procedure for refractive correction of keratoconus.

Keywords

Main Subjects

References

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Afzalipour Journal of Clinical Research
Volume 2, Issue (3-4)
October 2017
Pages 89-97

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