Another question about Intacs...

Discussion in 'Optometry Archives' started by roxipati, Oct 23, 2003.

  1. roxipati

    roxipati Guest

    Hello, I'm new to this group. I'm interested in getting Intacs. I was
    told by someone in a clinic (where I'm interested in getting them)
    that Intacs are not offered as much anymore because they have more
    complications than LASIK. The person who told me this said LASIK was
    better and that it worked for her. I would like to know if you think
    the people at this clinic are being biased toward LASIK or if it is
    true that Intacs really do have more complications. I would really
    appreciate an answer.

    roxipati, Oct 23, 2003
  2. roxipati

    Otis Brown Guest

    Dear Roxipati,

    What are "Intacs"? Do you mean Contact lenses?

    Otis Brown, Oct 23, 2003
  3. Intacs is the trade name for the Intrastromal Corneal Ring (ICRS, implants. These are tiny curved slivers of plastic
    that are inserted into the outer edge of the cornea. The insertion of
    the material flattens the center of the cornea, providing correction
    for up to 3.00 diopters of myopia (nearsightedness).

    Intacs have fallen out of favor for two primary reasons. The company
    that developed made some tactical business errors, Intacs have a
    limited range of correction, and they require real surgical skill.
    There are many doctors who I lovingly refer to as "LASIK Jockeys" who
    can do LAISK very well, but have forgotten how to do real surgery.

    Today, the channel into which the Intacs are implanted can be created
    with the IntraLase femtosecond laser for greater accuracy and ease of
    placement. They continue to be a viable technique for myopes under
    3.00 diopters with less than 0.50 diopter astigmatism.

    I think it would be fair to say that Intacs and LASIK have about the
    same rate of complications, but that is a point that would be argued
    by both fans of Intacs and fans of LASIK.

    If you would like a referral to a surgeon who provides Intacs, let me

    Glenn Hagele
    Council for Refractive Surgery Quality Assurance

    I am not a doctor.
    Glenn Hagele - Council for Refractive Surgery Qual, Oct 25, 2003
  4. roxipati

    LarryDoc Guest

    (Glenn Hagele - Council for Refractive
    FYI, Intacs has been successful to about -6.00, but more practically for
    those with less than -4.25. Recent evaluation of Intacs for the
    treatment of keratoconus is showing some exciting results.
    The "tactical business error" made by the company was to market the
    procedure to LASIK docs who: 1. had a vested interest in NOT using
    Intacs and 2. as you noted, to doctors who had no interest in learning
    the surgical skills. Keravision "learned" of this mistake in Europe and
    followed up by doing the same thing in the USA. They got exactly what
    they deserved for their stupidity.

    Let's hope that Staar Surgical doesn't do the same with the implantable
    contact lens. The ICL does require more surgical skill, of course, than
    what "LASIK Jockeys" are into.

    And if I were in that range, a silicone hydrogel continuous wear contact
    lens would be a lot safer option!
    No point, though. Time to move on to ICL! A "famous LASIK doc" I know
    seems to think that ICL will be the standard of care for myopes above
    about -7.00 or -8.00. We'll see.



    Dr. Larry Bickford, O.D.
    Family Practice Eye Health & Vision Care

    The Eyecare Connection
    larrydoc at m a c.c o m
    LarryDoc, Oct 25, 2003
  5. roxipati

    roxipati Guest

    Dear Glenn Hagele,

    Thanks for replying to my message. I would like a referral to a
    surgeon who provides Intacs. I would really appreciate it. Thank you.

    roxipati, Oct 28, 2003
  6. I have emailed you directly. If you do not receive my email, contact
    me at .

    Glenn Hagele
    Executive Director
    Council for Refractive Surgery Quality Assurance
    glenn dot hagele at usaeyes dot org

    I am not a doctor.
    Glenn Hagele - Council for Refractive Surgery Qual, Oct 28, 2003
  7. roxipati

    Larry Bud Guest

    Sir, your usenet "handle", being so long, really screws up the Google
    postings in this forum. How about just making it Glenn Hagele for
    those of us who are limited to using google for usenet? Thanks.
    Larry Bud, Oct 29, 2003
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