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Updated: Feb 12, 2026

Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
Published on: November 12, 2015
Corneal Cross-Linking for Pediatric Keratcoconus Review
Claudia Perez-Straziota1,2, Ronald N Gaster2,3, Yaron S Rabinowitz2,4,5
1Department of Ophthalmology, University of Southern California, Los Angeles, CA.
Pediatric cross-linking halts keratoconus progression, offering cost-effective early treatment. However, long-term data and regression rates for pediatric keratoconus require further investigation.
Area of Science:
- Ophthalmology
- Pediatric eye care
Background:
- Keratoconus is a progressive eye condition affecting the cornea.
- Pediatric keratoconus management requires specific considerations due to growth and development.
Purpose of the Study:
- To conduct a comprehensive literature review on corneal cross-linking (CXL) in pediatric patients.
- To evaluate the efficacy and safety of CXL for pediatric keratoconus.
Main Methods:
- Systematic review of English-language publications.
- Literature search conducted using the PubMed database.
Main Results:
- A total of 210 publications were initially identified.
- 115 publications were deemed relevant for inclusion in the review.
- Existing studies are limited by small sample sizes and short follow-up durations.
Conclusions:
- Corneal cross-linking effectively halts keratoconus progression in pediatric patients.
- Early CXL treatment appears more cost-effective than later corneal transplantation.
- Long-term outcomes and potential regression rates of CXL in children warrant further research.
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