Case reportIntrastromal corneal ring segments for post-LASIK ectasia complicated by persistent painNeuffer, Marcus C. MD∗; Panday, Vasudha MD; Reilly, Charles MD Author Information From the Department of Ophthalmology, Wilford Hall Medical Center, San Antonio, Texas, USA ∗Corresponding author: Marcus C. Neuffer, MD, Department of Ophthalmology, Wilford Hall Medical Center, 2200 Berquist Drive, Suite #1, San Antonio, Texas 78236, USA. E-mail: [email protected] Submitted: February 16, 2009. Final revision submitted: June 30, 2009. Accepted: July 6, 2009. All authored materials constitute the personal statements of the author and are not intended to constitute an endorsement by the U.S. Air Force or any other Federal Government entity. SymbolFirst author:Symbol: No Caption available.Marcus C. Neuffer, MD Wilford Hall Medical Center, San Antonio, Texas, USA Journal of Cataract & Refractive Surgery: February 2010 - Volume 36 - Issue 2 - p 336-339 doi: 10.1016/j.jcrs.2009.07.053 Buy Metrics Abstract A 33-year-old man who was 2 years post laser in situ keratomileusis was found to have corneal ectasia. He was intolerant of rigid gas-permeable contact lenses and eventually chose to have placement of intrastromal corneal ring segments (ICRS) (Intacs) in the right eye. Two ICRS were implanted without complication, and postoperative examination showed improved visual acuity and decreased corneal elevation on scanning-slit tomography imaging. However, over the following 2 months, he complained of persistent pain in the right eye. Confocal microscopy showed a corneal nerve touching the superonasal ICRS. The ICRS was removed, and shortly thereafter the patient's pain resolved. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned. © 2010 by Lippincott Williams & Wilkins, Inc.
