In 5 weeks time i am due to have intacs in my left eye. I understand that this procedure will give me good vision with glasses, however I will still need to wear them due to my astigmatism.
I have read several articles regarding IOL treatment - it appears that users with thin corneas are good candidates for this option - does anyone know if it is possible to have IOL treatment with Intacs? or with Intacs and C3-r? I guess this must be fairly safe as nothing is removed from the cornea.
I am keen to find out if this is a valid option.
(I don't beleive my KC is too bad as I can still legally drive with glasses - not sure if this makes any difference)
IOLS
Moderators: Anne Klepacz, John Smith, Sweet
Hi dplees, have a read of this,
http://www.eyesite.org/corneahome-keratoconus.html
They seem to think you can have a lens implant after Intacs.
Lens Implants, are not with out problems, as you can imagine its something in your eye which is stopping the flow of oxygen for your Endo. cells to live a full life. So you must get an Endo. cell count done to see if you have enough healthy ones. Also you may have to do this test every year just to check if your implant is not effecting them. When you was a baby you would have the most Endo cells, the full set, as you age they go down slowly in number (which is quite normal)
Plus its the ones which clip on to your iris you want... so to bring round the right corneal profile back as much as possible, however all may not be corrected and glasses may very well be needed. You may want to do crosslinking to strengthen your cornea before placement of the Intacs/Lens implant.
Some of the newer Lens Implants (i saw in a presentation) had a great safety record and only one endo. cell died every year after placement, when compared to, on average, one dying every two years for the average human, is not bad at all (our Endo. cells dying as we age is "normal" as long as its not too many too quickly)
http://www.eyesite.org/corneahome-keratoconus.html
They seem to think you can have a lens implant after Intacs.
Lens Implants, are not with out problems, as you can imagine its something in your eye which is stopping the flow of oxygen for your Endo. cells to live a full life. So you must get an Endo. cell count done to see if you have enough healthy ones. Also you may have to do this test every year just to check if your implant is not effecting them. When you was a baby you would have the most Endo cells, the full set, as you age they go down slowly in number (which is quite normal)
Plus its the ones which clip on to your iris you want... so to bring round the right corneal profile back as much as possible, however all may not be corrected and glasses may very well be needed. You may want to do crosslinking to strengthen your cornea before placement of the Intacs/Lens implant.
Some of the newer Lens Implants (i saw in a presentation) had a great safety record and only one endo. cell died every year after placement, when compared to, on average, one dying every two years for the average human, is not bad at all (our Endo. cells dying as we age is "normal" as long as its not too many too quickly)
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Andrew MacLean
- Moderator
- Posts: 7703
- Joined: Thu 15 Jan 2004 8:01 pm
- Keratoconus: Yes, I have KC
- Vision: Other
- Location: Scotland
No surgery is risk free.
I was wondering what were the clinical indicators for your Intacs operation, given that you an still see well enough to dirve while wearing glasses.
After the operation you say you will still need to wear glasses, so where is the advantage of the surgery?
Andrew
I was wondering what were the clinical indicators for your Intacs operation, given that you an still see well enough to dirve while wearing glasses.
After the operation you say you will still need to wear glasses, so where is the advantage of the surgery?
Andrew
Andrew MacLean
intacs
I'm not sure how bad my Keratoconus is, i think my vision is 60% with glasses - which is good enough to drive but its not exactly ideal and reading is difficult. I am told intacs will fix this.
I just want to know if there are any options once ive had intacs and c3-r. It would be great to not have to wear glasses and I am therefore investigating the possiblity of IOLS or PRK.
I just want to know if there are any options once ive had intacs and c3-r. It would be great to not have to wear glasses and I am therefore investigating the possiblity of IOLS or PRK.
Andrew MacLean wrote:No surgery is risk free.
I was wondering what were the clinical indicators for your Intacs operation, given that you an still see well enough to dirve while wearing glasses.
After the operation you say you will still need to wear glasses, so where is the advantage of the surgery?
Andrew
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jayuk
- Ambassador
- Posts: 2148
- Joined: Sun 21 Mar 2004 1:50 pm
- Location: London / Manchester / Cheshire
One thing to bear in mind, both with Intacs and any lens implant is the effect on a thinning cornea. Bear in mind this is one of the major effects of KC - Thinning. You dont want to be in a position where your KC has progressed to a stage and thus impacting the management techinique you have adopted (be it intacts etc). Whilst Intacs are reversible, C3r isnt. Each carry there own risks, no matter how great or small
The only person who can answer your Qs would be an Optham to be honest. If your desire is to be in a position NOT to wear glasses, then this is something that you need to discuss with them. I would be surprised if anyone can offer this with certainty, unless of course you have C3R and then manipulare the surface area of the cornea...but bear in mind that you are dealing with an extremely sensitite tissue-nature....and to be able to get you glasses-free would be a challenge to anyone. But NOT impossible might I add
Jay
The only person who can answer your Qs would be an Optham to be honest. If your desire is to be in a position NOT to wear glasses, then this is something that you need to discuss with them. I would be surprised if anyone can offer this with certainty, unless of course you have C3R and then manipulare the surface area of the cornea...but bear in mind that you are dealing with an extremely sensitite tissue-nature....and to be able to get you glasses-free would be a challenge to anyone. But NOT impossible might I add
Jay
KC is about facing the challenges it creates rather than accepting the problems it generates -
(C) Copyright 2005 KP
(C) Copyright 2005 KP
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GarethB
- Ambassador
- Posts: 4916
- Joined: Sat 21 Aug 2004 3:31 pm
- Keratoconus: Yes, I have KC
- Vision: Graft(s) and contact lenses
- Location: Warwickshire
The primary goal of any corneal surgery for KC is to provide a surface where vision correction is easier. This is either with glasses or contact lenses.
The other cautionary not for surgery is that one theory to KC progression is trauma to the eye. This is why opthams are so careful when treating KC patients who have cataracts and leave catarct surgery as long as possible and some even consider doing the cataract and graft at the same time. Others prefer the cataract surgery first and let that heal to see what has happend to the KC if anything before deciding on the graft route.
The other cautionary not for surgery is that one theory to KC progression is trauma to the eye. This is why opthams are so careful when treating KC patients who have cataracts and leave catarct surgery as long as possible and some even consider doing the cataract and graft at the same time. Others prefer the cataract surgery first and let that heal to see what has happend to the KC if anything before deciding on the graft route.
Gareth
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