ESCRS - P127 - RARE FEMTOSECOND LASER INTRASTROMAL CORNEAL RING SEGMENTS (ICRS) CHANNEL INFLAMMATION IN A PATIENT WITH KERATOCONUS

RARE FEMTOSECOND LASER INTRASTROMAL CORNEAL RING SEGMENTS (ICRS) CHANNEL INFLAMMATION IN A PATIENT WITH KERATOCONUS

Published 2022 - 26th ESCRS Winter Meeting

Reference: P127 | Type: Abstracts | DOI: 10.82333/wa46-qq60

Authors: Ana Boned Murillo* 1 , Maria Dolores Diaz Barreda 1 , Ismael Bakkali ElBakkali 1 , Pablo Cisneros Arias 1 , Maria Angeles del Buey 1 , Guillermo Pérez Rivases 1

1Ophthalmology,HCU Lozano Blesa,ZARAGOZA,Spain

Purpose

To present a rare complicarion after intrastromal corneal ring segments (ICRS) creation using femtosecond laser

Setting

Intrastromal corneal ring segments (ICRS) in keratoconus flattens the central cornea curvature while maintaining clarity in the central optical zone and preserving corneal tissue. Channel may be created by mechanical dissection or use of a femto-second laser. Intraoperative complications (as segment decentration or superficial channel dissection with anterior Bowman layer perforation) as well as postoperative complications (for explample ring segment extrusion or infectious keratitis) have been described.

Methods

We present tha case of a 25-years-old Man who presents a rare channel ICRD inflammation 3 months after femto-second laser implantation. 

Results

Inflammation persisted after intense topical antibiotic and cycloplegia treatment, ICRD were explanted and channel sample were obtained to perform cultures, which were negative. 

Conclusion

Intrastromal corneal ring segments channel inflamation must be taken in consideration as a rare postoperative complication after femtosecond laser surgery