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Not all contact lens specialists favor the use of intracorneal rings for keratoconus
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PARIS — Not all contact lens specialists favor the use of intracorneal rings in the management of keratoconus.
"There are patients who come to us after implantation of ICRs and are extremely unhappy, with a lot of complications and decreased visual acuity," Christine Brodaty, MD, said at the meeting of the French Society of Ophthalmology.
Once the rings have been implanted, a new fitting of contact lenses can be a problem. In many cases, the rings have to be explanted, and then the patient has to go through a long process of re-adaptation, she said.
Intracorneal rings are normally implanted in patients who are intolerant to contact lenses. In most cases, however, intolerance is not the problem, she said.
"There are so many different solutions we can propose with contact lenses, that it is almost impossible that none of them will work. Patients with [contact lens] intolerance should first of all go to a good center for keratoconus, and it is most likely that the solution will be found and surgery avoided," Dr. Brodaty said.
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