In an article written in Ocular Surgery News, Dr. Alanna Nattis summarized that before recommending a corneal transplant for keratoconus patients, corneal cross-linking should often be discussed and considered as a viable treatment for keratoconus patients of all ages with keratoconus due to its ability to halt or slow the progression of the disease.
Keratoconus is a progressive disease that causes corneal thinning and distortion that can lead to vision loss if untreated. It tends to be more progressive in younger patients but slows down as patients age. If caught early, treatment can halt the progression of the disease.
Dr. Nattis indicated that if a patient has a very thin cornea, corneal scarring, a history of herpetic disease or a history of poor epithelial healing, they’re not a candidate for cross-linking would likely need to have a corneal transplant. She added that younger patients can benefit from delaying corneal transplantation and undergoing cross-linking to see if corneal remodeling is possible. Crosslinking combined with scleral contact lenses could lead to improved visual acuity for a longer period of time.
To read her entire comments, please click this link.