Intacs Corneal Inserts for the Treatment of Keratoconus
Individuals that are experiencing visual distortion stemming from the corneal disease known as keratoconus have several available treatment options. Dr. Samer Khosrof evaluates every keratoconus patient — noting their medical history, current condition and visual needs — before recommending the treatment best suited to that person. One of the most effective treatment options is corneal crosslinking, a procedure in which a combination of riboflavin drops and ultraviolet light is used to strengthen the structure of the cornea. Another safe and effective option is the placement of corneal inserts called Intacs for long-term vision correction.
Understanding Intacs Corneal Inserts
Intacs corneal inserts are designed to help re-shape the bulging, conical-shaped cornea affected by keratoconus. The devices have been cleared by the FDA for safe use in individuals with keratoconus. They are typically recommended when contact lenses and eyeglasses fail to provide the visual improvement needed. Intacs are surgically placed just beneath the surface of the eye, in the cornea’s periphery, and flatten the cornea to give it a more normal shape. By remodeling and reinforcing the cornea, it is better able to focus light on the retina.
Intacs are made from the same plastic material as the intraocular lenses used in cataract surgery. They are very thin and have a semi-circular shape. Once placed in the eye, they cannot be seen or felt.
If Intacs do not provide the desired visual correction, or they cause a (rare) problem, the inserts can be removed and exchanged by Dr. Khosrof. If Intacs are removed, vision returns to its pre-Intacs condition within three months.
The Surgical Placement Process
The procedure to place Intacs takes about 10 to 20 minutes. It is minimally invasive and typically performed on an outpatient basis in Dr. Khosrof’s Brooklyn office. Prior to placing the Intacs, numbing eye drops are administered. A special instrument holds the eye open to prevent blinking.
Dr. Khosrof selects the specific Intacs based on the amount of vision correction needed. A thicker ring offers greater flattening correction and a thinner ring offers more mild improvement.
To begin, Dr. Khosrof makes a tiny incision on the surface of the cornea. He may use a laser or a traditional surgical instrument to create the incision. He uses a centering guide to stabilize the eye and plan the alignment of the corneal insert. Dr. Khosrof also creates a path through the layers of the corneal tissue to reach the central layer. The Intacs device is inserted through the incision and carefully placed in the central layer. Finally, Dr. Khosrof closes the incision with a small suture.
Some patients experience sharper vision as soon as the day after their Intacs placement surgery. Others need additional days to recover and notice an improvement.
Glasses or contact lenses may or may not be needed after the placement of Intacs. It depends on the degree of keratoconus and severity of visual distortion. Dr. Khosrof can provide more information during an evaluation and consultation with interested candidates.
Learn More about Intacs for Keratoconus
If you have been diagnosed with keratoconus and would like more information about correcting the condition with Intacs, please contact Leading Lasik at 718-630-1070 and request a consultation with Dr. Khosrof.
Please fill our appointment form, and one of our team members will contact you to schedule an appointment time.
We offer our patients the latest, most effective and virtually painless procedure with rapid results for your eye care needs .