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    Thinking outside the cone: Over, above standard approach

    Scenarios of keratoconus, management highlight ways to devise treatment ‘recipes’


    Figure 2

    In such cases, even following placement of the Intacs segments, laser advanced surface ablation (ASA) can be performed to fine tune the refractive error to safely bring the patient to emmetropia.

    Figure 3

    In these patients with ectasia, the refractive error was controlled by asymmetric placement of the Intacs segments in a directional fashion to facilitate manipulation of the cornea.

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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