EW FEATURE
90
Intracorneal inlays • March 2016
When asked how satisfied their
corneal inlay patients are with their
night vision and overall vision at
1 year, 61% of ophthalmologists
said that their patients are very or
somewhat satisfied with their night
vision, and 70% of ophthalmologists
said that their patients are very or
somewhat satisfied with their overall
vision.
According to Dr. Lindstrom,
there are some pearls for achieving
good visual outcomes with corne-
al inlays. "This procedure, like all
others, requires careful attention to
detail preoperatively, intraoperative-
ly, and postoperatively. Preoperative-
ly, a healthy ocular surface is critical.
Of course, it is important to rule
out ectasia, have adequate corneal
thickness, and the proper refractive
error with minimal astigmatism and
higher order aberrations. Intraoper-
atively, the pocket depth should be
between 200 µm and 300 µm, with a
fine raster pattern to create a smooth
bed, 6 x 6 or tighter. The inlay must
be well centered, and the AcuTarget
HD [AcuFocus] helps here. Postoper-
atively, ocular surface management
is again critical. Potential side effects
include interface haze, a decentered
inlay, diffuse lamellar keratitis, and
infection. Many patients read well
from day 1, but some require a
month or more of healing and neu-
roadaptation. I counsel patients that
their vision will continue to improve
for 3 to 6 months," he said. EW
Editors' note: Dr. Lindstrom has
financial interests with Abbott Medical
Optics (Abbott Park, Ill.), AcuFocus,
Alcon (Fort Worth, Texas), and Bausch
+ Lomb (Bridgewater, N.J.).
Contact information
Lindstrom: rllindstrom@mneye.com
Correcting continued from page 89
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"
Many patients read well from day 1, but
some require a month or more of healing and
neuroadaptation. I counsel patients that their
vision will continue to improve for 3 to 6 months.
"
–Richard Lindstrom, MD
