Intacs

Know the Risks of Intacs

I would like patients to know that Intacs is not necessarily the answer to their problems. There are risks involved with Intacs surgery. In a recent issue of Ophthalmology Management magazine, there was an advertisement by Intacs with the following contraindications, warnings and precautions as required by the FDA.

Contraindications: Intacs Corneal Implants for keratoconus are contraindicated:

  • 1. In patients who have abnormally thin corneas or who have a corneal thickness of 449 microns or less at the proposed incision site.
  • 2. In patients with collagen vascular, autoimmune or immunodeficiency diseases.
  • 3. In pregnant or nursing women
  • 4. In the presence of ocular conditions such as recurrent corneal erosion syndrome or corneal dystrophy, that may predispose the patient to future complications.
  • 5. In patients who are taking certain specific medications which may interfere with the eye healing following Intacs surgery.

Warnings:

  • 1. Some patients with large pupils are predisposed to low light visual symptoms post-operatively and should be appropriately advised.
  • 2. The long term effect of Intacs Corneal Implants on endothelial cell density has not been established.
  • 3. In low light conditions, patients may experience some loss of contrast sensitivity.
  • 4. The safety of Intacs Corneal Implants for keratoconus have NOT been established:
    • a. In patients with progressive myopia or astigmatism, cataracts, corneal abnormaliities, or or previous corneal surgery or trauma.
    • b. For patients under 21years of age.
    • c. For corneas with a central corneal thickness of less than 480 microns.
    • d. In long term use.
  • The images below show an eye before and after intacs removal. The third image shows an eye rejecting intacs. The last image shows GVR scleral lens over a cornea with Intacs. Note how irregular the Intacs cornea is.

Eye after Intacs Removal

Eye after Intacs Removal

intacs-after-removal

intacs-after-removal

intacs-being-rejected

intacs-being-rejected

scleral-lens-over-cornea-with-intacs

scleral-lens-over-cornea-with-intacs