Mechanical dissection using the Melles hook procedure of Myoring implantation involved making an incision in the steep axis of the cornea with 0.5 mm length (smaller than MyoRing diameter) using a diamond blade. Afterward, a dissection in 300 μm depth with 3 mm (bigger than MyoRing diameter) was created using a Melles hook. Subsequently, the MyoRing was inserted into the pocket, which was mechanically created in the cornea, and its proper centration was determined using a keratoscope.
In both surgical methods, it was observed that the created pocket was capable of self-sealing and did not require any suture. Eventually, a bandage contact lens (Bausch & Lomb) was placed on the cornea and MyoRing implantation surgery was completed using chloramphenicol (Sinadaru Laboratories, Iran) eye drops. The bandage contact lens was removed 1 day after surgery. Four drops per day of chloramphenicol and betamethasone (Sinadaru Laboratories, Iran) and six drops per day of preservative-free artificial tears (Artelac Rebalance, Bausch & Lomb, Inc., USA) were prescribed postoperatively. The chloramphenicol drop was interrupted 1 week after surgery while the betamethasone dosage was tapered off during 4–6 weeks. Also, Artelac was continued 6 times a day for 1 month.
In both surgical methods, it was observed that the created pocket was capable of self-sealing and did not require any suture. Eventually, a bandage contact lens (Bausch & Lomb) was placed on the cornea and MyoRing implantation surgery was completed using chloramphenicol (Sinadaru Laboratories, Iran) eye drops. The bandage contact lens was removed 1 day after surgery. Four drops per day of chloramphenicol and betamethasone (Sinadaru Laboratories, Iran) and six drops per day of preservative-free artificial tears (Artelac Rebalance, Bausch & Lomb, Inc., USA) were prescribed postoperatively. The chloramphenicol drop was interrupted 1 week after surgery while the betamethasone dosage was tapered off during 4–6 weeks. Also, Artelac was continued 6 times a day for 1 month.