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Tutorial

Slides

Refractive Surgery

Femtosecond Laser and Intacs

Lav Panchal, MD · Tracy Swartz, OD, MS, FAAO · Ming Wang, MD, PhD

Click on each slide to view a larger image.

Slide 1 Slide 1. View of the cornea showing steepening of the cornea. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)

Slide 2 Slide 2. Axial map of keratoconus. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 3 Slide 3. Axial and elevation map of keratoconus. Note the elevation map shows a depression, rather than an elevation, inferiorly. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 4 Slide 4. Intacs segments (Slide courtesy of Intacs, Addition Technology, Inc., Des Plaines, Ill.)
Slide 5 Slide 5. Creation of a channel using the femtosecond laser for placement of an intrastromal corneal ring segment. (Illustration courtesy of Dan B. Tran, MD.)
Slide 6 Slide 6. Slit lamp view of a double segment implantation. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 7 Slide 7. Slit lamp view of a single segment implantation. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 8 Slide 8. Topography showing inferior steepening prior to Intacs insertion. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 9 Slide 9. Topography showing less inferior steepening following Intacs implantation. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 10 Slide 10. Edema surrounding the Intacs channel. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 11 Slide 11. Overlapping Intacs segments as seen at the slit lamp. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 12 Slide 12. Intacs in a graft. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)
Slide 13 Slide 13. Intacs in a patient who had undergone radial keratotomy with a refraction shifting >5 D. (Slide courtesy of Dr. Ming Wang, Wang Vision Institute.)

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