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Combined treatment and correction of keratoconus: CCL, ISCRS and ICL

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Session Details

Session Title: Phakic IOLs

Session Date/Time: Monday 09/10/2017 | 08:30-10:20

Paper Time: 09:55

Venue: Meeting Center Room I

First Author: : M.Dvali GEORGIA

Co Author(s): :    B. Sirbiladze   N. Tsintsadze   N. Sharazadishvili              

Abstract Details


To assess the efficacy of correction with phakic Visian toric implantable collamer lens (ICL, STAAR Surgical) implantation in keratoconic eyes treated with intrastromal corneal ring segments (ISCRS) or corneal cross-linking (CCL), As well as evaluation of safety, efficacy, stability, and predictability of those procedures during the follow up period (ranged from 1 month to 3 years).


Department of Ophthalmology, Tbilisi State Medical University, Eye Clinic “Akhali Mzera” Ltd, Tbilisi, Georgia


Patients’ age – 18-37 years, ICL after ISCRS – in 19, after CCL in 3 cases. Before treatment, each patient had a thorough evaluation including perfect general and ocular histories. The examination included visual acuity, refraction, tonometry, corneal topography, biometry, biomicroscopy and posterior segment evaluation by a retina specialist. The average spherical equivalent (SE) refraction ranged from +1.0 to -14.0 D, astigmatism from 1.5 to 7.5 D. UCVA 0.02-0.2;, BCVA 0.09-0.6 before operation.


At 1 month PostOp, it was observed a significant increase in UCVA,making the patients not/less dependent on glasses and contacts. At 6 months, no eyes lost any best-corrected vision. SE after ICL implantation was-0,24±0,45;UCVA 0.4-1.0; The 81% of eyes saw 20/25 or better uncorrected. All eyes were within 1.25D of the target refraction, and 76% were within ±0.75 D.2 eyes developed increase of IOP the first few days after surgery.Mild vaulting which did not affect the final visual outcomes was observed in one case.There were no other significant complications and the refractive effect remained stable during the follow-up period.


Using Toric ICL implantation for vision correction is effective, safe and predictable procedure, is an effective option for improving visual acuity in patients with keratoconus.

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