Manual Procedure

Step 1: Pre-Op Prep 
(Speculum)

Step 2: Mark Center 
(11 mm Zone Marker)

Step 2Mark Center 
(Sinskey Hook)

Step 3: Mark Incision & Placement of  Intacs® Inserts
(Incision & Placement Marker – IPM)

Step 3: Mark Incision & Placement of  Intacs® Inserts
 (Take Pachymeter Reading)

Step 4: Make Incision
 (D&K Diamond Knife)

Step 5: Create Pockets at incision
(Pocketing Hook)

Step 6: Evaluate Pockets
 (Symmetric Glide)

Step 7: Position VCG
(Vacuum Centering Guide – VCG)

Step 8: Create Intrastromal Tunnels
(Vacuum Centering Guide – VCG)

Step 8: Create Intrastromal Tunnels
(Symmetric Glide)

Step 8: Create Intrastromal Tunnels
(Dissectors CCW and CW)

Step 9: Place Intacs® Inserts
(Intacs® Inserts Forceps/Carrier)

Step 9: Place Intacs® Inserts
(Forceps Inserting Intacs® into Eye)

Step 9: Place Intacs® Inserts
(Sinskey Hook)

Step 10: Asses Wound Closure
(10-0 or 11-0 Nylon Ophthalmic Sutures)

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