What has been the most important innovation in corneal cross-linking?

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Cross-linking has been a major advance ever since I started doing it 10 to 15 years ago.
Hands down, the greatest innovation is something that has not been commercially realized, but I am hoping it becomes available in the next few years. That is the development of a true epithelium-on cross-linking.
Right now, the only cross-linking that is available in the United States is epithelium-off, in which the removal of the epithelium is critical to the success (Read more...)