Video Presented by Assoc. Prof. Dr. Aylin Kilic
The Istanbul Nomogram for Keranatural CAIRS (Corneal Allogenic Intrastromal Ring Segments) treatment provides a foundational set of rules, but it also recognizes the need for tailoring based on individual corneal responses. This adaptive approach acknowledges the unique characteristics of each patient's keratoconus and allows for adjustments as the treatment
Indeed, creating a precise Nomogram for CAIRS (Corneal Allogenic Intrastromal Ring Segments) treatment in keratoconus is challenging due to the diverse and unique characteristics of each individual’s condition. The variability in cone size, location, corneal thickness, biometry, refraction, and the presence of scars makes it nearly impossible to establish a one-size-fits-all Nomogram.
The effectiveness of CAIRS treatment relies heavily on accurate preoperative diagnostics and a customized approach tailored to the specific attributes of the patient’s keratoconus. Ophthalmologists typically consider a combination of factors, such as corneal tomography, topography, and biomechanics, to determine the optimal tunnel depth and width for the placement of intrastromal ring segments. Given the complexity and variability of keratoconus cases, a personalized treatment plan, guided by a thorough preoperative assessment, allows for better outcomes. Regular advancements in diagnostic technologies may contribute to refining Nomograms in the future, offering more precise and individualized approaches for CAIRS treatment. Always consult with your ophthalmologist to determine the most appropriate course of action based on your specific condition.