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By Joseph F. Fleming, M.D.
Whether for keratoconus, for problems after LASIK, or simply for nearsightedness,
Intacs™ is a modern surgical procedure deserving your consideration.
Intacs™, also known as intracorneal ring segments, can usually be done in the office
using only eyedrops for anesthesia. The procedure involves implantation of two small
arcs of special plastic in the eye's cornea (the clear front window of the eye). The
presence of the ring segments slightly alters corneal shape allowing the correction
of nearsightedness or smoothing of eyes with keratoconus. Intacs™ has been
FDA approved for treatment of nearsightedness since 1999, and it has been used
"off-label" to treat keratoconus and for treatment of problems experienced by some after
LASIK.
Keratoconus is an eye disease that results in an irregular shape of the eye's cornea. The
irregularity degrades the optical properties of the eye and can make good vision difficult
even with contact lenses or glasses. The Intacs™ procedure has been widely accepted in
in the field of eye surgery as an effective treatment for keratoconus. The Intacs™
segments usually help smooth the irregular corneal surface resulting from keratoconus.
Many insurance companies now pay for Intacs™ in keratonconus.
After Lasik, some patients have problems. Intacs™ may be helpful in the treatment
of these problems in some instances. Ectasia is a problem that occurs in rare instances
after LASIK. The cornea can become irregular and misshapen. Intacs™ can be used to
help smooth the cornea and improve visual function in patients with ectasia. A more
common problem after LASIK is undercorrection or residual nearsightedness.
This happens if the laser procedure leaves some nearsightedness behind. Often this
residual nearsightedness can be corrected with a second laser treatment, but in some
cases this may not be possible. If a laser retreatment cannot be done, Intacs™ may be
used to correct the residual nearsightedness in hopes of fully eliminating the need for
glasses.
Intacs™ has been used extensively for treatment of nearsightedness. The goal is to free
the nearsighted individual from dependence on glasses or contact lenses. The success
rate is similar to that of LASIK, and the FDA has determined that Intacs™ surgery is
safe and effective for treatment of nearsightedness. The Intacs™ procedure has a
unique advantage over the laser procedure (which creates a permanent change in corneal
shape). While Intacs™ provides a permanent visual correction, the Intacs™ segments
may be removed if desired (with reversal of the refractive effect).
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