I believe that most eye physicians would not recommend intraocular contact lens in a patient with K-conus unless: The residual glasses RX was greater than-10.0 and the person unable to wear contact lens and the person understood the significant risks associated with intraocular contact lens and the les being used was: –the Verisyse and the Visian ICL.
JCH MD
Hi sir,
1 year before i planed for the lasik treatment due to my corneal damage doctor kept me under observation and now he suggested to take ICL, prior to that he asked me to get done with C3R surgery. Now i little worried about the C3R please suggest me how safe is C3Rr before ICL.
ICL is NOT for keratoconus. The treatment of choice is the C3R procedure.
JCH MD
I was curious what C3R is, I didn't remember that abbreviation before, though I'd heard of the treatment once I saw what it stood for. I see descriptions like the one on this page:
http://www.bhargavaeyecentre.com/WebPages/Glaucoma_Servies.aspx
that explain it is used to try to stabilize the eyes of people with keratoconus to prevent further changes.
Implanting an ICL is merely an alternative to wearing contacts or glasses and serves a different purpose. The first step is to stabilize the cornea. If someone gets an ICL without stabilizing their eye first, and their cornea keeps changing, then they will need to start wearing correction again to keep up with the changes (since you don't want to be having surgery all the time to change the ICL out after the cornea changes). It is true that after getting an ICL the correction needed for any changes afterwards will be less since the ICL corrects most of it, but it seems more useful to first stabilize the cornea.
The American Keratoconus Association explains:
http://www.amkca.org/treatments/insertable-contact-lenses-icl
"Corneal rehabilitation procedures (Intacs®, Corneal Collagen Crosslinking with Riboflavin, and CK) are considered "Part 1". For patients who desire further improvement in vision without constantly using glasses or contact lenses, the Visian ICL is considered "Part 2." Three months after "Part 1", patients can consider the Visian ICL to further improve their vision."
For instance here is an abstract from a conference paper for eye surgeons that reports on:
http://www.escrs.org/amsterdam2013/programme/free-papers-details.asp?id=15808&day=0
" IMPLANTABLE COLLAMER LENSES (ICLS) IN KERATOCONUS: A DEFINITIVE TREATMENT ...
Conclusions:
Implantation of ICL following stabilization of keratoconus with C3R or Keraring is a safe and effective option. Hence ICL is a much awaited definitive and rewarding form of treatment in patients with keratoconus."