The objective of this study is to compare the clinical effectiveness and safety of Topo-Pachymetric Customized Accelerated Epithelium-On (aCFXL) to Standard Accelerated Epithelium-Off (aCXL) Corneal Collagen Cross-Linking in the management of keratoconus. The study aims to evaluate visual and structural outcomes, to provide valuable insights into optimizing treatment strategies.
Age: 18 years or older
Corrected distance visual acuity (CDVA) of ≥ 0.3 Snellen.
Central corneal thickness (de-epithelialized) of ≥ 400 micron.
Corneal endothelial count of ≥ 2000.
Previous eye surgery
The presence of lesions other than keratoconus, central or paracentral scaring
History of Cross linking
History of viral keratitis