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Cornea rings are
round rings made of PMMA substance which can be inserted
inside and near to outer part of cornea.
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They are inserted
inside the cornea via special surgery set and techniques. In
this surgery, the ring channels can be formed by using the
own surgery set of intacs device or Femtosecond laser which
is a new system. In both systems, surgery is performed
without touching the vision area in the centre of cornea.
Rings act by applying pressure around the cornea and
smoothing this area.
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Cornea segments have
been started to use for the treatment of low myopia.
However, since there is a limited area of use in the eyes
with very low myopia and without astigmatism, and since
LASIK results are more accomplished, their use for myopia
treatment is very rare. Today’s actual and very successful
area of uses are Keratoconus patients and cornea
complications caused by unsuccesful or inaccurate laser
surgery.
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Rings are designed to
form a 150 degrees circle when inserted. Rings of different
thickness are used. These thicknesses are chosen according
to cornea structure and situation of keratoconus.
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At present, actual
indication for the use of intacs is eyes with keratoconus. |
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Rings
can be inserted vertically, horizontally or asymmetrically
depending on the chosen technique. %50 and better vision is
achieved in %97 of the patients in FDA studies. 1 degree and
lower eye numbers are obtained in the 93% of the patients in
FDA studies.
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Our studies include
over 100 patients in more than 3 years.
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According to the
study results of 3 years, patients who started with an
average of 3 degree myopia decreased to an average of 1
degree.
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The astigmatism values
decreased from 4 degrees to an average of 1.5-2 degrees in the
same study. |
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Improvement of vision is
observed in 95% of the patients with even more than 40% increase
of vision in 25% of the patients. |
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It is generally observed
that, Intacs results are better than expected in the
well-evaluated keratoconus patients and that the patients’
satisfaction is more successful than the objective results
obtained. |
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