The Athens Protocol: Perform a Partial Topography-Guided Normalization Treatment Separate or Together with Corneal Cross-Linking? Cross-Linking and PRK: Sequential Versus Combined Strategy
Corneal cross-linking (CXL) has established a new paradigm for the treatment of progressive ectasia and keratoconus [1–3]. The visual rehabilitation of patients who achieve stability after CXL can be challenging if they were intolerant of rigid gas permeable contact lenses or if they had poor vision with glasses and/or soft contact lenses prior to treatment. The problem led my colleagues and me to introduce the topography-guided normalization of corneas that remain highly irregular despite some flattening effect from CXL [4, 5].
Consultant for Alcon, Avedro, Allergan, i-Optics, Keramed, Zeiss, ISP Surgical.
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