{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T20:55:21Z","timestamp":1770324921291,"version":"3.49.0"},"reference-count":15,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Refract Surg"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE:<\/jats:title>\n            <jats:p>No theory or method currently exists to preoperatively predict the optimal position of an intracorneal implant for the treatment of keratoconus, or a surgical system or technique to adjust and optimize the position of the implant after its implantation. A surgical technique for adjusting the position of the implant inside the cornea is presented, and by adjusting the position of the implant after its insertion into a corneal pocket, the surgical results in keratoconus treatment may be improved.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>After the formation of a closed pocket of 9 mm in diameter and 300 \u00b5m in depth within the corneal stroma, a flexible full-ring implant is inserted into the corneal pocket via a narrow incision tunnel. After insertion and evaluation of the clinical data, the implant position can be adjusted inside the pocket to achieve an optimal treatment result.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>The procedure is quick and easy to perform. An adjustment of the implant position of only 0.5 mm towards the apex of the cone may dramatically improve the surgical result.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>\n              The presented technique enables the surgeon to access all three degrees of freedom possible in theory, which are associated with intracorneal implants in a corneal stroma, including implant diameter, implant thickness, and implant position. This is of particular importance for the treatment of irregularly shaped corneas such as in keratoconus. [\n              <jats:italic>J Refract Surg<\/jats:italic>\n              . 2010;26:217\u2013221.]\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.3928\/1081597x-20100224-08","type":"journal-article","created":{"date-parts":[[2010,3,15]],"date-time":"2010-03-15T18:30:32Z","timestamp":1268677832000},"page":"217-221","source":"Crossref","is-referenced-by-count":37,"title":["Adjustable Intracorneal Ring in a Lamellar Pocket for Keratoconus"],"prefix":"10.3928","volume":"26","author":[{"given":"Albert","family":"Daxer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(84)90094-8"},{"key":"e_1_3_1_3_2","first-page":"121","article-title":"Collagen fibril orientation in the human corneal stroma and its implication in keratoconus","volume":"38","author":"Daxer A","year":"1997","unstructured":"Daxer A, Fratzl P. 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