Document Detail


Effect of age on outcomes in patients with keratoconus treated by Intacs using a femtosecond laser.
MedLine Citation:
PMID:  18811111     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the response to Intacs treatment in different age groups of patients with keratoconus. METHODS: One hundred nine eyes with keratoconus treated with Intacs by using femtosecond laser were divided into three groups according to age: group 1, 13 to 19 years old (n = 20); group 2, 20 to 35 years old (n = 75), and group 3, 35 to 56 years old (n = 14). All patients had clear central corneas and were contact lens intolerant. Pre- and postoperative examination data including uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), mean refraction spherical equivalent (MRSE), and K-readings were evaluated. Pre- and postoperative corneal topographies were examined. Visual acuities were detected by Snellen chart. Postoperative follow-up was 1 year. RESULTS: The improvement in UCVA, BSCVA, MRSE, and K-readings postoperatively in each group was statistically significant. The pre- and postoperative differences in UCVA (P = .930), BSCVA (P = .470), MRSE (P = .205), and K-readings (P = .545) were similar among groups. CONCLUSIONS: Intacs treatment is safe and effective in all age groups. Therefore, it may be an alternative treatment to penetrating keratoplasty in adolescent patients with keratoconus who are intolerant of contact lenses.
Authors:
Aylin Ertan; Ersel Ozkilic
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of refractive surgery (Thorofare, N.J. : 1995)     Volume:  24     ISSN:  1081-597X     ISO Abbreviation:  J Refract Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-24     Completed Date:  2008-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505927     Medline TA:  J Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  690-5     Citation Subset:  IM    
Affiliation:
Kudret Eye Hospital, Ankara, Turkey. ertanaylin@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aging / physiology*
Corneal Stroma / surgery*
Corneal Topography
Female
Humans
Keratoconus / physiopathology,  surgery*
Lasers, Excimer / therapeutic use*
Male
Middle Aged
Polymethyl Methacrylate*
Prostheses and Implants*
Prosthesis Implantation*
Refraction, Ocular
Retrospective Studies
Treatment Outcome
Visual Acuity
Chemical
Reg. No./Substance:
9011-14-7/Polymethyl Methacrylate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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