Eye surgeon creates a thin channel within the cornea to insert Intacs with the help of high-speed Femtosecond Laser beam.

2.  What is Intacs ?
 Intacs and Corneal Collagen.
 Post-operative care.
 Intacs and CK- the combined surgery.
 Corneal Collagen Cross-linking procedure or
CXL.
 The procedure.
 Conclusion.

3.  Intacs is the trademark name for micro-thin
prescription insertswhich were previously used as a
form of refractive surgery in the treatment of low
levels of myopia or nearsightedness, but has
recently received FDA approval for keratoconus.

4.  Keratoconus Intacs is a single day procedure performed in
the OPD section. Eyes are numbed by putting anesthetic
drops, and lid holder is applied to the eye to prevent
blinking.
 Surgeon creates a thin channel within the cornea to insert
Intacs with the help of high-speed Femtosecond Laser beam.
Then, one or two Intacs, are inserted as per requirement.

5.  Then, one or two Intacs, are inserted as per requirement.
Individual shape of the cornea decides the requirement of
one or more intacs.
 Surgeons insert intacs into the outermost edge of the cornea
keeping the center portion untouched.
 As the procedure ends, surgeon places a contact lens
bandage, puts drops on the eyes and uses a plastic shield to
keep the eye safe.

6.  Intacs are made from a contact lens-like material, and the
shape is like two small crescents.
 Insertion of intacs makes the cornea flat, and it reduces the
irregular astigmatism and asymmetries of cornea caused by
Keratoconus.
 Surgeons have found it useful for cross- linking of corneal
collagen and vision improvement as well.The procedure also
corrects without glasses or contact lenses.

7.  Vision improvement happens immediately after the
procedure, but there may be fluctuations initially. Patients
can resume work within one or two days with a few
restrictions.
 Doctors look at the improvement during the follow-up
period and perform additional procedures if required.
 It can be changing size and position of intacs, adding
supplementary procedures like Conductive Keratoscopy
or CK.

8.  Cornea improves in a majority of cases, but there can be a
need of contact lenses or spectacles.
 In rare cases, there are secondary problems like insertion of
intacs or infection during corneal healing.
 Surgeons take the decision of removing intacs in some
extreme cases. All these complications are discussed with
patients before surgery.

9.  Eye specialists are always in search of innovative procedures
for treating eye problems. It has been observed that in a few
cases, it is possible to combine Conductive Keratoplasty
with Intacs procedure.
 It can be performed in a single session or back-to-back
depending on the situation. It is a revolutionary approach to
correct Keratoconus.

10.  Since CK is a procedure of correcting the shape of the cornea
by shrinking the collagen, it allows excellent reshaping of a
keratoconus cornea when combined with Intacs procedure.
 It can be done along with Intacs or when the sutures get
removed.
 It is not a recognized procedure by FDA and the clinic has to
take approval for it.

11. Intacs And Corneal Collagen Cross-linking

12.  Since CK is not an approved procedure for correcting
Keratoconus (though it is approved for correcting
farsightedness), patients have to select it as an offline
procedure.
 In a few cases, Intacs may act as a supplementary procedure
for correcting severe nearsightedness through LASIK or
LASEK/PRK procedures.
 So far, clinical trials have shown quite satisfactory and
enthusiastic results.

13.  CXL is a relatively new and experimental procedure
performed in a few countries of Europe.
 It is still under observation and research is being done to
assess its effectiveness and safety in correcting problems like
Keratoconus or Corneal Ectasia after LASIK surgery.

14.  It is a procedure performed with the primary goal of
strengthening and stiffening the corneal fibers so that
progression of Keratoconus can be prevented.
 It also decreases the cone steepness in some cases.Though
the safety and effectiveness are still points of research, initial
results show that it is quite effective.

15.  Surgeons put anesthesia drops to prevent pain and
discomfort. A lid retainer is installed to prevent blinking.
 The surgical procedure starts with removing of surface
epithelial cells of the cornea.
 Riboflavin drops put for 30 minutes so that cross-linking
effect gets enhanced and the rest of the eye from exposure
to Ultraviolet exposure.

16.  Patients are told to look at a source of UV light (365 microns
of wavelength and 3mW/cm2 power) for half an hour.A soft
contact lens bandage is applied.
 Anti-inflammatory drops and antibiotic drugs are prescribed
for two weeks. Contact lenses are placed for a week so that
the healing process can be improved.

17.  Intacs procedure is one of the prominent and important
procedures for correcting Keratoconus.
 It is equally effective in making the eyes tolerant of contact
lenses. It avoids the possibility of corneal transplant up to a
large extent.
 It avoids the possibility of corneal transplant up to a large
extent.

18.  Improving vision correction with glasses or contact lenses is
other applications.
 Some patients achieve a fantastic correction while some
need additional corrections.
 Many specialty hospitals and eye treatment centers offer it,
but it is very important to check the proficiency and
expertise of the doctors.

19. Cure Sight Laser Centre
Contact Us:
3rd Floor, Dev Complex,
Parimal Garden Cross Road,
Ahmedabad, Gujarat
Timing : 10.00 AM to 5.00 PM
Contact No. : +91 9825 00 7494
Email Id : info@curesight.com
Website : http://www.curesight.com