Combined Corneal Cross-Linking and Photoablation for KC-Risks of

  • Joseph Frucht-PeryEmail author
  • Denise Wajnsztajn


Traditionally, keratoconus (KC) with a pre-existing structural weakness is a contraindication for photoablative procedures. At the present time, corneal collagen crosslinking (CXL) is an accepted treatment to stop progression of KC. It is well documented that CXL significantly increases the rigidity of the KC cornea [1]. The idea of combined CXL and photoablation is based on the ability of CXL to increase the corneal rigidity, while photoablation of limited amount of tissue in KC cornea can safely improve the visual function and comfort. This assumption is correct if a standardized CXL procedure can produce predictable corneal biomechanical changes with constant and permanent biomechanical stability of the KC eye.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Ophthalmology Department, Cornea and Refractive Surgery ServiceHadassah Medical Center, Hebrew University HospitalJerusalemIsrael

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