# Femtosecond laser-assisted intracorneal MyoRing explantation - A novel rescue technique

## TL;DR

A new technique using a femtosecond laser is introduced to remove corneal implants when traditional methods fail, offering a less invasive solution for patients with complications.

## Contribution

A novel femtosecond laser-assisted method for explanting intracorneal implants is presented.

## Key findings

- The technique successfully removed a MyoRing implant in a keratoconus patient.
- The method is minimally invasive and could be applied to other intracorneal devices.
- It provides a rescue option when original surgical approaches are not feasible.

## Abstract

We describe a case of a keratoconus patient with decreased uncorrected visual acuity after MyoRing implantation, where explantation was indicated.

A 25-year-old male patient was referred to our institution for evaluation after being deemed unfit for service as a police officer for six months. He had received a MyoRing ring implant in his right eye due to keratoconus. Following the procedure, he experienced decreased uncorrected visual acuity, intolerance to contact lenses, and unsatisfactory visual acuity with glasses. Consequently, a femtosecond laser-assisted removal of the ring implant was performed.

We present a novel femtosecond laser-based “rescue” technique for the removal of continuous corneal ring implants that cannot be extracted via the original intrastromal pocket. The minimal-invasive FS-approach might also be useful for the explantation of other intracorneal implants (e.g. ICRS) or devices that cannot be removed via the original surgical approach.