Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Evaluation of impact of bilateral ICRS with C3R on the quality of life of patients with severe keratoconus using vision-related quality of life (QOL) parameters

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Session Details

Session Title: Presented Poster Session: Refractive Corneal Inlays

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 15:10

Venue: Poster Village: Pod 2

First Author: : P.Bakshi INDIA

Co Author(s): :    N. Dedhia   S. Dedhia   R. Dedhia        

Abstract Details


To evaluate the impact of Intra Corneal Ring Segments (ICRS - INTACS) implantation on quality of life of patients with severe keratoconus using Vision related Quality of Life (VrQOL) questionnaire.


Ojas Laser Surgery Centre, Bandra, Mumbai, India. Single Centre Single Surgeon.


Retrospective non randomized case series in 32 eyes of 16 patients (Age 25.94 + 8.93); Male:Female ratio 13:3 done. Patients with severe keratoconus who underwent bilateral INTACS implantation who completed minimum one year follow-up were included. Postoperatively 1 week, 1 month, 3 months, 6 months, end of one year and subsequently every year; UnCorrected Visual Acuity (UCVA), Best Corrected Visual Acuity (BCVA), Manifest Refraction (MR) and Topographic Indices (TI) using pentacam; VrQOL questionnaire (pre and post wearing best correction for minimum one month at end of 1 year) were noted. Double segment INTACS using femtosecond done. No complications were noted.


There was significant improvement in all parameters (UCVA, BCVA, MR, Keratometry and TI). Binocular best corrected visual acuity improved which was statistically significant +0.5 logMAR before to +0.2 logMAR after surgery with significant decrease in keratometric (Rmin) from 5.97 + 0.67 to 6.75 + 0.66 postop and topographic indices (IHA) preop 34.56 + 13.74 to postop 14.52 + 11.45 (Paired t and Wilcoxon). Post INTACS, quantity of vision (far and near), appearance and satisfaction with correction was good; 12.5% of patients required no correction, 81.25% (13) patients were happy with correction and 6.25% were not satisfied.


INTACS significantly improved quantity and quality of vision with a positive impact on quality of life. It can be used for bilateral implantation; however a large case series is required.

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