Intacs

INTACS PROCEDURE FOR KERATOCONUS, Since 1999

 

Keratoconus is more common now than ever before.  Once thought to occur in 1 in 2000 people, Keratoconus is now 1 in 500 people.

Dr. Brian pioneered Intacs for Keratoconus and was the first surgeon in the world (except for France) to do this procedure for Keratoconus in 1999. He’ll typically perform more Intacs procedures in a single week than a number of surgeons will perform in a whole year.

Intacs placement is typically a quick, non-laser procedure that can correct mild to moderate nearsightedness and improve keratoconus. Intacs can be inserted by Dr. Brian at his Beverly Hills practice. Patients from Beverly Hills, Southern California and all over the country have visited Dr Brian’s office in Beverly Hills for his typically 10- minute Intacs procedure.

Intacs are clear inserts designed to reshape the cornea to correct vision. They are made of a material that has been safely used in contact lenses and cataract surgery for over 50 years. Intacs cannot typically be felt nor seen as they remain below the surface of the cornea. The procedure does not require any needles or shots, only numbing drops.

Intacs are now FDA-approved for keratoconus. The FDA in part adopted Dr. Brian’s procedure guidelines for the approved surgical technique which is the basis for instructional courses used to train other surgeons. Benefit of Intacs is potential for improved vision and risk potential is infection, inflammation, and glare among others. That is the reason Dr. Brian and every staff member here are all highly “detail-oriented” about every step of the process for every patient.

Surgical technique is very important as there are many different possible ways of placing Intacs along with many different sizes of Intacs to select. If Intacs are not positioned at the correct angle or the wrong type of sizes are used, it is possible to experience worse vision. For more details about this possibility, click here and read this important article.

Patients fly from all over the country for Dr. Brian to treat them. Your eyes are very precious. If another eye surgeon has offered to perform Intacs on you, you may want to ask about experience and does the surgeon know how to plan the Intacs surgery or does your surgeon have to send your information to outside consultant to be told how to do the Intacs procedure?

Specifically ask your surgeon 1) if 1 or 2 segments will be used, 2) what thickness will be used, and 3) what location will Intacs be placed? You will have an idea about level of experience with answers to those questions, especially if your surgeon needs to send your information to an outside consultant for advice.  Dr. Brian has been doing Intacs for keratoconus over 10 years, which is longer than any other eye surgeon in the world (except for France where Dr. Joseph Colin was the first).

With Dr. Brian’s custom technique, you can be certain that safety measures have been addressed.

 

EVALUATIONSPOTENTIAL BENEFIT to PATIENT
Intacs are exchangeable and removableAccommodate future vision needs
Separate sterile equipment for each eyeReduce risk of infection
Infrared pupil measuring equipmentDetermine glare and halo risk


After FDA approval in 1999, Dr. Brian was the first in the United States to publish the use of Intacs for treating a corneal degenerative condition called keratoconus. Since then, Intacs has dramatically increased in use for this condition world-wide as a result of his pioneering work. More detailed information can be found at www.KeratoconusInserts.com.

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CHART REVIEW AND CONSULTATION FOR OUT-OF-TOWN PATIENTS

Many out-of-town patients would like Dr. Brian to do a complimentary review of their medical records and make a preliminary determination of candidacy. This is useful before planning a trip to Beverly Hills. These are the easy steps:

Along with your last 2 or 3 eye exams, please be sure to include a color copy of your corneal mapping. Color corneal mapping is a very important tool, along with your exam history, to determine your candidacy. The last 2 years of your total eye history will be used to make this preliminary determination.

Inside the envelope, please be sure to include a cover sheet with your name address, phone number and email address and the words, “Keratoconus Record Review”, so that we may optimize communication with you.

Enclose with your letter a copy of your records.

Mail to:

Boxer Wachler Vision Institute
Keratoconus Record Review
465 N. Roxbury Drive, Suite 902
Beverly Hills, CA 90210

Dr. Brian will review and staff will contact you to discuss the review.

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A BRIEF NOTE ABOUT DR. BRIAN

Throughout his highly respected career, cornea specialist Dr. Brian has never wavered with his integrity and dedication to always do the best for each and every patient - even in the face of adversity and peer pressure. Case in point: when he developed a procedure to treat a cornea condition known as Keratoconus. While other eye surgeons were entrenched in performing invasive and painful cornea transplants, Dr. Brian invented a new non-invasive procedure that prevented needing cornea transplants. He was shocked by the medical establishment being unwelcoming to his innovation because, as he later found out, his new procedure was preventing other eye surgeons from performing their lucrative cornea transplants. Dr. Brian persisted, went against the grain and didn’t give up because he believed in himself and in his procedure as it was in the best interest of patients. Eventually, he crossed paths with U.S. Olympic bobsled driver Steven Holcomb who had Keratoconus and became so depressed over it that he tried to commit suicide. Luckily, he survived. The United States Olympic team and his coaches found Dr. Brian and sent Steven to see him. Dr. Brian restored his vision to 20/20 which enabled Steven later win a historic Olympic gold medal for United States in bobsled - the first in 62 years! As a result, Dr. Brian was later invited to give a prestigious TEDx talk about his integrity and dedication to patients. You can watch his moving and inspiring TEDx talk here.

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