The revised and correct definition of FLACIK in the treatment of keratoconus (invented by Dr. Mehrdad Mohammadpour)

FLACIK is a corneal stroma strengthening technique (stromal additive & reinforcing) in which:

🔹 Surgical technique
• Intrastromal pocket is created with femtolaser
• No flap is created
• A complete 360 degree ring of human corneal tissue (Allogenic)
is placed inside this pocket

⸻

🔹 key differentiating feature

Donor tissue:
• Already cross-linked
• Personalized based on:
• Kmax
• Cone location
• Corneal thickness
• Patient topography pattern

📌 So this method:
• ❌ not tissue-removing
• ❌ not biomechanically weakening
• ✅ stromal reinforcement is real and targeted

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• Intrastromal pocket is created with femtolaser
• No flap is created
• A complete 360 degree ring of human corneal tissue (Allogenic)
is placed inside this pocket

⸻

🔹 key differentiating feature

Donor tissue:
• Already cross-linked
• Personalized based on:
• Kmax
• Cone location
• Corneal thickness
• Patient topography pattern

📌 So this method:
• ❌ not tissue-removing
• ❌ not biomechanically weakening
• ✅ stromal reinforcement is real and targeted

Scientific position (fair expression)

✔ Biomechanical rationale: very strong
✔ Compatible with tissue-adding philosophy
⚠ Current evidence:
• case series
• Needs multicenter data
• Lacks large RCT (similar to all new stromal techniques)

⸻

Final summary (publishable standard definition)

FLACIK is an intrastromal pocket-based technique in which a 360-degree ring of cross-linked and personalized human corneal tissue is implanted into the stroma for biomechanical reinforcement and reconstruction of the cornea affected by keratoconus.