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Post Info TOPIC: Intacs


Ophthalmologist

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Posts: 8
Date: Tue Jul 31 11:22 AM, 2007
RE: Intacs
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Hi Yarsky and CSU
You are right about the cone not being too far gone. Alio showed that once Kreadings get close to 60 then they don't work well. The SK model seems to work better overall up to the mid 60s. The topography should show a blue flattened ring where the Intacs are at the edge and you should see a before and after change when you look at comparative images.
One reassuring message:if you do have the Intacs removed, post graft studies show that the eye does fully return to normal. That should at least reduce the multiple ghost images which are there.
I know for many people with keratoconus the price  for C3R seems high, but with the treatment and follow up for a year or more, it's really as low as I can make it for this many hours work. I'm really sorry about that.
David


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London Centre for Refractive Surgery, 15 Harley St
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csu


Member

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Posts: 3
Date: Mon Aug 13 6:33 PM, 2007
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Just an update. I got my Izon glasses, and while they don't completely eliminate the multible vision, it is very much diminished - at least I don't notice it and I can read again with my right eye.

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Newbie

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Posts: 1
Date: Sun Feb 3 9:54 AM, 2008
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I had an intac placed in my left eye 8 months ago. 2 days ago I had to have it removed leaving one intac in the superior part of my left cornea. I then drove 120 miles home half blind and in severe pain! Anyways, be carefull with the intacs. Mine coroded through my cornea, however, it did not result in any permanant damage to the eye. My vision has dropped dramatically after the removal but not to it's pre intac state. I guess I will need to go back to RGP's and wait for corneal graft, which sucks. Also remember to have plenty of STRONG pain killers with you after right after surgery, just in case you suffer severe pain. Also ask your surgeon for Oxybuprocain Hydrochloride for potential sever eye pain. Just precautionary measurements to take which I wish I had after surgery.

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Ross

Date: Tue May 13 7:58 PM, 2008
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I had Intacs done on my right eye 1 year ago. There was little visual change. The implant itself has done well with no residual pain after the first few days. I recently got a SynergEyes contact fitted over the intacts. So far (1 week) it feels wonderful. It took many tries to find a fit, but it can be done. I can now see maybe 20/40 or so in that eye and 20/20 in the left eye with a normal soft lense. SynergEyes now has some new designs for Intacs users that I have not yet tried.

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Pam


Newbie

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Posts: 1
Date: Wed Apr 21 7:23 PM, 2010
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Hi,
I just joined this site to learn more about Intacs from people who have them. I have learned so much from reading all of the posts - thanks! But it seems to me I should NOT even inquire about them, as they can cause multiple vision, intolerance of contact lenses, and make night vision worse! Most of you claimed not to have improved vision, either, which is what I am looking for.

I have had a corneal transplant in my left eye, but my right eye has stabilized and I don't need a transplant. I cannot see with glasses - not just the K problem - but also the huge difference in vision between both eyes. I get good vision with Gas Perm lenses (are they what you all call RGP?), BUT I can't tolerate them during allergy season (NOW!) so I spend months in the midwest not being able to see!

I have tried a sclera lens - it was dreadful! Soft perm lenses formed a suction-cup type thing on my eye after 2 months or so that wasn't healthy. My transplanted eye is too flat for a piggyback lens (also tried that once, pre-surgery and liked it).

So....any suggestions for what I should look into next? Help, please? I would just like to be able to correct my vision with glasses (spectacles) during allergy season when I can't wear my contacts.
Thanks for ANY help!



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Executive

Status: Offline
Posts: 155
Date: Wed Apr 21 9:13 PM, 2010
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Welcome Pam,

Its dificult very much so, no one thing working just as you wish it would until you find something and your clinical/medical team works towards that goal also, but I was thinking if anyone in the states have discussed - Relaxing Incisions - which is quite commenly done if needed after a graft. Do a google search about it.

Have you tried the - flex lens - its a soft lens for Kc over in the states. Not sure on its success post graft but the company behind them also do - plasma coated lenses - which helps to give good wettabilty and so comfort whilst wearing them, the company is called - Walman Opticial (the largest glasses and contact lens company of America)

Best wishes

Wayne

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Member

Status: Offline
Posts: 6
Date: Thu Aug 4 3:42 PM, 2011
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I have had KC in both my eyes for about 6 years. My left eye was at 20/200 and my right eye was at 20/25 (not nearly as advanced but it used to be 20/15). Anyways, I had intacs put in my left eye and the day after surgery I was 20/30. I have not had any of the problems with multiple vision that others have described nor did I have any light sensitivity after the first days (though I was given drops to combat that). I am now 2 weeks out and my vision has been fairly steady at 20/30.

A week after the intacs, I had cross linking done on my right eye. To restate what everyone has said above me, the point of cross linking is not to improve your vision but rather to stop the progression of the disease! With that said, the following day I my vision was 20/20 in my right eye. I had no light sensitivity in my right eye after the first day.

The pain with cross linking was far more than that of the intacs placement. In fact, I had absolutely no pain with the intacs. The first day it felt like I had a small pebble in my eye. I was able to sleep fine and the next morning the feeling was much better and completely diminished later that day. The cross linking was one of the most uncomfortable recoveries I have ever had and I have had a multitude of surgeries. The sheer discomfort was awful. It felt like a cat had clawed my eye. My eye hurt and nothing I did made it any better. After tossing and turning in bed for hours however I was finally able to fall asleep and when I awoke the next morning my eye felt great, like nothing had ever happened.

It is my understanding that the current trend in opthamology in establishing a standard of care for KC is leaning towards the placement of intacs to reduce the severity of the cone followed by crosslinking to prevent further progression and strengthen the cornea in its new position. Some opthamologists are even talking about potentially being able to remove the intacs after the cross linking.

All that aside, I would highly recommend both of these procedures. I plan on having the cross linking done to my left eye in 6 months. I just have to wait right now as it is only in clinical trials here in the states and the study protocol requires me to do so. Hope that helps.

Aaron

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