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2898: Mastering CAIRS for keratoconus

Close-up view of an eye showing corneal reflex before the implantation of corneal allogenic intrastromal ring segments for keratoconus treatment. The image highlights improved corneal reflex, with annotations describing the procedure and the operating surgeon.

The Corneal Allogenic Intrastromal Ring Segments (CAIRS) technique represents a significant leap forward in the surgical management of keratoconus. Unlike traditional synthetic implants, CAIRS utilizes donor corneal tissue, processed into semi-circular segments, which is then inserted into mid-peripheral stromal channels created by a femtosecond laser. By using allogenic tissue, we achieve excellent biocompatibility and a reduced risk of long-term complications like melting or extrusion. The primary goal is to provide a “molding” effect that flattens the cone and regularizes the corneal curvature. This structural reinforcement significantly improves topometric indices and enhances best-corrected visual acuity for our patients. It is an elegant, tissue-based solution for stabilizing the ectatic cornea. In this video, our podcast guest from yesterday, Dr David Gunn, shows his technique and does the narration.

video link here

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