Type de présentation | E-poster |
Titre | Corneal biomechanics after implantation of intracorneal ring segments (ICRS) in keratoconus |
But | To analyze changes in corneal biomechanical properties after implantation of intracorneal ring segments (ICRS) in keratoconus (KC). |
Méthodes | This retrospective single-center study included 118 patient eyes that underwent femtosecond laser ICRS implantation for KC. Biomechanical analysis was performed preoperatively and after 6 months, 1 and 2 years using Ocular Response Analyzer®, with determination of Corneal resistance factor (CRF), Corneal hysteresis (CH), as well as by Corvis ST®, with determination of stiffness parameter A1 (SP-A1), Ambrosio's relational thickness to the horizontal profile (Arth), integrated radius (IR) and deformation amplitude-ratio (DA-ratio). |
Résultats | The CRF decreased significantly postoperatively (5.8 ± 1.7 mmHg) compared to preoperatively (6.8 ± 3.7 mmHg; p < 0.001), and increased again during follow-up (6.2 ± 1.9 mmHg; p = 0.005), without regaining preoperative values. CH did not change significantly. SP-A1 (p = 0.013) and IR (p = 0.049) increased significantly after ICRS implantation. Arth decreased significantly from 190 ± 88 to 157 ± 108 (p < 0.001). However, there was no significant postoperative change for DA-ratio. |
Conclusion | Corneal biomechanical properties showed inconsistent changes after ICRS implantation. Classical corneal biomechanical parameters (using single central air-puff tonometers) do not seem to be suitable for follow-up after ICRS implantation. |
Conflit d'intérêt | Non |
Nom | HAMON |
Initiales | L |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Pfahl |
Initiales | LJ |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Flockerzi |
Initiales | E |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Berger |
Initiales | T |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Langenbucher |
Initiales | A |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Seitz |
Initiales | B |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |
Nom | Daas |
Initiales | L |
Institut | Saarland University Medical Center |
Ville | Homburg, Germany |