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Journal of Ophthalmology
Volume 2017, Article ID 4058026, 9 pages
Clinical Study

Long-Term Follow-Up of Intrastromal Corneal Ring Segments in Paracentral Keratoconus with Coincident Corneal Keratometric, Comatic, and Refractive Axes: Stability of the Procedure

1Fernández-Vega Ophthalmological Institute, Oviedo, Spain
2Optics II Department, Optics and Optometry Faculty, Complutense University of Madrid, Madrid, Spain
3Surgery Department, School of Medicine, University of Oviedo, Asturias, Spain

Correspondence should be addressed to José F. Alfonso; moc.agev-zednanref@osnofla.j

Received 20 December 2016; Revised 3 April 2017; Accepted 27 July 2017; Published 29 August 2017

Academic Editor: Felipe Soria

Copyright © 2017 Luis Fernández-Vega Cueto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To assess the long-term outcomes of implanting intrastromal corneal ring segments (ICRS) in paracentral keratoconic eyes. Methods. 58 eyes with paracentral keratoconus with coincident refractive, keratometric, and comatic axes were evaluated. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity and refractive errors were recorded before and at all follow-up visits. The postoperative follow-up was 5 years. Patients were divided into two groups: group I (30 years old or younger) and group II (more than 30 years old). Results. The mean UDVA (logMAR) rose from a preoperative 0.83 ± 0.31 to a five-year postoperative 0.42 ± 0.33 (). The mean CDVA varied from 0.16 ± 0.17 to 0.11 ± 0.18 (). Both the UDVA and CDVA were stable over the postoperative period in both groups (). The spherical equivalent and the refractive cylinder declined steeply after ICRS implantation in both groups (), and were stable over the postoperative period (). The keratometric values were also stable over the postoperative follow-up. Conclusion. Ferrara-type ICRS implantation in keratoconus that meets the characteristics of the sample under study reduces the refractive error at the same time as it improves postoperative UDVA and CDVA six months after surgery and that these results remain stable over five years of follow-up.