Topography-guided CXL shows effective, stable outcomes in progressive keratoconus

VILAMOURA, Portugal — Topography-guided corneal cross-linking for progressive keratoconus leads to stable inferior corneal Kmax flattening and superior corneal steepening, with significant improvement of vision, according to a study.
“More energy is applied to the keratoconic cone, usually in the center-inferior cornea. The overall redistribution of biomechanical stress leads to changes in the superior part of the cornea as well,” Celso Costa, MD, said at the European Society of Cataract and Refractive Surgeons winter meeting.
The study included 27 eyes of 24 patients who