Skip to main content

Intrakorneale Implantate

  • Chapter
Refraktive Chirurgie

Zusammenfassung

Barraquer [2], Choyce [5], McCarey [31], Kaufmann und Mitarbeiter [32] haben vor etwa einem halben Jahrhundert erstmals vorgeschlagen, Implantate aus verschiedenen Materialien zur Korrektur einer Fehlsichtigkeit in das Hornhautstroma zu platzieren, wobei zwei prinzipiell differierende Verfahren sowohl experimentell als auch klinisch zur Anwendung kamen:

  • Nicht permeable Implantate mit hohem Brechungsindex (Polysulfon) im sehr tiefen Stroma mit dem Ziel einer Änderung des refraktiven Index der Hornhaut

  • Permeable Inlays (meist Hydrogel) in den oberflächlicheren Schichten zur gezielten Modifizierung der Hornhautvorderfläche (»alloplastische Keratophakie«).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Alió JL, Shabayek MH, Artola A (2006) Intracorneal ring segments for keratoconus correction: long–term follow–up. J Cataract Refract Surg 32(6):978–85

    Article  PubMed  Google Scholar 

  2. Barraquer JI (1966) Modification of refraction by means of intracorneal inclusion. Int Ophthalmol Clin 6: 53–78

    PubMed  CAS  Google Scholar 

  3. Bethke W (2006) What ever happened to the Presbylens? Rev Ophthalmol 16;3, editorial

    Google Scholar 

  4. Carrasquillo KG, Rand J, Talamo JH (2007) Intacs for keratoconus and post–LASIK ectasia: mechanical versus femtosecond laser–assisted channel creation. Cornea 26(8):956–62

    Article  PubMed  Google Scholar 

  5. Choyce P (1985) The correction of refractive error with polysulfone corneal inlays. A new frontier to be explored. Trans Ophthalmol Soc UK 104: 332–342

    PubMed  Google Scholar 

  6. Colin J, Cochner B, Savary G et al. (2000) Correcting keratoconus with intracorneal rings. J. Cataract. Refract Surg 26: 1117–1122

    Article  PubMed  CAS  Google Scholar 

  7. Colin J, Cochener B, Savary G, Malet F, Holmes-Higgin D (2001) INTACS inserts for treating keratoconus: one–year results. Ophthalmology 108(8):1409–14

    Article  PubMed  CAS  Google Scholar 

  8. Colin J, Velou S (2003) Implantation of Intacs and a refractive intraocular lens to correct keratoconus. J Cataract Refract Surg 29(4):832–4

    Article  PubMed  Google Scholar 

  9. Colin J (2006) The European clinical evaluation: use of Intacs prescription inserts for the treatment of keratoconus. J Cataract Refract Surg 32: 747–55

    Article  PubMed  Google Scholar 

  10. Colin J, Malet F (2007) Intacs for the correction of keratoconus: two year follow–up. J Cataract Refract Surg 33:69–74

    Article  PubMed  Google Scholar 

  11. Coskunseven E, Onder M, Kymionis GD, Diakonis VF, Arslan E, Tsiklis N, Bouzoukis DI, Pallikaris I (2007) Combined Intacs and posterior chamber toric implantable Collamer lens implantation for keratoconic patients with extreme myopia. Am J Ophthalmol 144(3): 387–389

    Article  PubMed  Google Scholar 

  12. Coskunseven E, Kymionis GD, Tsiklis NS, Atun S, Arslan E, Siganos CS, Jankov M, Pallikaris IG (2009) Complications of intrastromal corneal ring segment implantation using a femtosecond laser for channel creation: a survey of 850 eyes with keratoconus. Acta Ophthalmol 2011 Feb; 89(1): 54–7

    Google Scholar 

  13. Coskunseven E, Kymionis G, Tsiklis N, Atun S, Arslan E, Jankov M, Pallikaris I (2008) One—Year results of intrastromal corneal ring segment implantation (KeraRing) using femtosecond laser in patients with keratoconus. Amer J Ophthalmol 145: 775–779

    Article  Google Scholar 

  14. Daxer A (2008) Corneal stromal implantation surgery for the treatment of moderate and high myopia. J Cat Refract Surg 34: 194–198

    Article  Google Scholar 

  15. Daxer A, Mahmoud H, Venkateswaran RS (2010) Corneal intrastromal implantation surgery (CISIS) for keratoconus. One–year follow–up. J Cat Refract Surg 36(8): 1296–302

    Article  Google Scholar 

  16. Daxer A (2010) Adjustable Intracorneal Ring in a Lamellar Pocket for Keratoconus. J Refract Surg 26(3): 217–221

    Article  PubMed  Google Scholar 

  17. Ertan A, Kamburoglu G, Bahadir M (2006) Intacs insertion with the femtosecond laser for the management of keratoconus: oneyear results. J Cataract Refract Surg 32: 2039–2042

    Article  PubMed  Google Scholar 

  18. Ertan A, Colin J (2007) Intracorneal rings for keratoconus and keratectasia. J Cataract Refract Surg 33: 1303–1314

    Article  PubMed  Google Scholar 

  19. Ertan A, Kamburoðlu G, Akgün U (2007) Comparison of outcomes of 2 channel sizes for intrastromal ring segment implantation with a femtosecond laser in eyes with keratoconus. J Cataract Refract Surg 33(4):648–53

    Article  PubMed  Google Scholar 

  20. Ertan A, Kamburoðlu G (2008) Intacs implantation using a femtosecond laser for management of keratoconus: Comparison of 306 cases in different stages. J Cataract Refract Surg 34(9): 1521–6

    Article  PubMed  Google Scholar 

  21. Ferrara de A, Cunha P (1995) Technica cirurgica para correcao de myopia; anel corneano intra–estromal. Rev Bras Oftalmol 54: 577–588

    Google Scholar 

  22. Ferrara P, Torquetti L (2009) Clinical outcomes after implantation of a new intrastromal corneal ring with a 210–degree arc length. J Cataract Refract Surg 35(9):1604–1608

    Article  PubMed  Google Scholar 

  23. Ibrahim TA (2006) After 5 years follow–up: do Intacs help in keratoconus? Cataract Refract Surg Today Europe 1:45–48

    Google Scholar 

  24. Kanellopoulos AJ, Pe LH, Perry HD, Donnenfeld ED (2006) Modified intracorneal ring segment implantations (INTACS) for the management of moderate to advanced keratoconus: efficacy and complications. Cornea 25(1):29–33

    Article  PubMed  Google Scholar 

  25. Kwitko S, Severo NS (2004) Ferrara intracorneal ring segments for keratoconus. J Cataract Refract Surg 30(4):812–20

    Article  PubMed  Google Scholar 

  26. Kymionis GD, Bouzoukis DI, Pallikaris IG (2007) Corneal inlays: a surgical correction of presbyopia. Cat Refr Surg Today 9: 53–54

    Google Scholar 

  27. Kymionis GD, Siganos CS, Tsiklis NS, Anastasakis A, Yoo SH, Pallikaris AI, Astyrakakis N, Pallikaris IG (2007) Long–term followup of Intacs in keratoconus. Am J Ophthalmol 143(2):236–244

    Article  PubMed  Google Scholar 

  28. Kymionis GD, Grentzelos MA, Diakonis VF, Pallikaris AI, Pallikaris IG (2009) Nine–year follow–up of intacs implantation for keratoconus. Open Ophthalmol J 8;3:77–81

    Article  Google Scholar 

  29. Kymionis GD, Tsiklis NS, Pallikaris AI, Kounis G, Diakonis VF, Astyrakakis N, Siganos CS (2006) Long–term follow–up of Intacs for post–LASIK corneal ectasia. Ophthalmology 113(11):1909–17

    Article  PubMed  Google Scholar 

  30. Kymionis GD, Bouzoukis DI, Portaliou DM, Pallikaris IG (2010) New INTACS SK implantation in patients with post–laser in situ keratomileusis corneal ectasia. Cornea 29(2):214–6

    Article  PubMed  Google Scholar 

  31. McCarey BE, van Rij G, Beekhuis WH, Waring GO (1986) Hydrogel keratophakia: a freehand pocket dissection in the monkey model. Brit J Ophthal 70: 187–191

    Article  PubMed  CAS  Google Scholar 

  32. McDonald MB, Koenig SB, Friedlander MH, Hamano T, Kaufmann HE (1983) Allloplastik keratophakia for the correction of aphakia. Ophthalmic Surg 14:65–69

    PubMed  CAS  Google Scholar 

  33. Pallikaris IG, Bouzoukis DI, Kymionis GD, Panagopoulou S, Pallikaris AI (2008) Intracorneal lenses for the treatment of presbyopia: visual outcomes and safety. Acta Ophthal 86: s243

    Article  Google Scholar 

  34. Piñero DP, Alio JL, Uceda-Montanes A, El Kady B, Pascual I (2009) Intracorneal ring segment implantation in corneas with post–laser in situ keratomileusis keratectasia. Ophthalmology 116(9): 1665–74

    Article  PubMed  Google Scholar 

  35. Rapuano CJ, Sugar A, Koch DD, Agapitos PJ, Culbertson WW, et al. (2001) Intrastromal corneal ring segments for low myopia: a report by the American Academy of Ophthalmology. Ophthalmology 108(10):1922–8

    Article  PubMed  CAS  Google Scholar 

  36. Ruckhofer J, Twa MD, Schanzlin DJ (2000) Clinical characteristics of lamellar channel deposits after implantation of intacs. J Cataract Refract Surg 26(10):1473–9

    Article  PubMed  CAS  Google Scholar 

  37. Ruckhofer J, Stoiber J, Alzner E, Grabner G (2001) European multicenter (MECCA) study of intrastromal corneal ring segments (ICRS®): 1–year results. Part II: complications, visual symptoms, and patient satisfaction. J Cataract Refract Surg 27(2): 287–296

    Article  PubMed  CAS  Google Scholar 

  38. Ruckhofer J (2002) Clinical and histological studies on the intrastromal corneal ring segments (ICRS(R), Intacs(R)). Klin Monatsbl Augenheilkd 219(8):557–74

    Article  PubMed  Google Scholar 

  39. Ruckhofer J, Stoiber J, Twa MD, Grabner G (2003) Correction of Astigmatism with short arc length ICRS. Preliminary Results. Ophthalmology 110:516–524

    Article  Google Scholar 

  40. Sansanayudh W, Bahar I, Kumar NL, Shehadeh-Mashour R, Ritenour R, Singal N, Rootman DS (2010) Intrastromal corneal ring segment SK implantation for moderate to severe keratoconus. J Cataract Refract Surg 36(1):110–3

    Article  PubMed  Google Scholar 

  41. Seyeddain O, Riha W, Hohensinn M, Nix G, Dexl AK, Grabner G (2010) Refractive surgical correction of presbyopia with the Acu–Focus Intracorneal Inlay (ACI 7000) — a two year follow up. J Cat Refract Surg 26(10): 707–15

    Article  Google Scholar 

  42. Siganos D, Ferrara P, Chatzinikolas K, et al. Ferrara intrastromal corneal rings for the correction of keratoconus. J Cataract Refract Surg 2002; 28:1947–1951

    Article  PubMed  Google Scholar 

  43. Torquetti L, Berbel RF, Ferrara P (2009) Long–term follow–up of intrastromal corneal ring segments in keratoconus. J Cataract Refract Surg 35(10):1768–73

    Article  PubMed  Google Scholar 

  44. Yilmaz OF, Bayraktar S, Agca A, Yilmaz B, Mcdonald MB, van de Pol C (2008) Intracorneal inlay for the surgical correction of presbyopia. J Cat Refract Surg 34:1921–1927

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg New York

About this chapter

Cite this chapter

Ruckhofer, J., Grabner, G. (2011). Intrakorneale Implantate. In: Refraktive Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05406-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-05406-8_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-05405-1

  • Online ISBN: 978-3-642-05406-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics