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Vision correction · Corneal strengthening

Corneal Cross-linking (CXL)

Corneal cross-linking strengthens the collagen bonds of the cornea using riboflavin and UVA light on the Avedro KXL. Added to LASIK, LASEK or SMILE - often called "LASIK Xtra" - it helps prevent corneal ectasia and curb myopic regression, and it is also used to treat keratoconus.

What it does

Why strengthen a cornea?

A firmer cornea holds its shape - which matters both for treating corneal disease and for protecting the result of laser vision correction.

Treat & enable

Keratoconus care

Strengthening the corneal tissue treats keratoconus - and patients once refused laser surgery on suspicion of keratoconus may become eligible after cross-linking.

Extend eligibility

Thin corneas, high myopia

Gives patients with thin corneas (450μm or less) or high myopia a route to laser correction that would otherwise be closed to them.

Protect the result

Ectasia and regression prevention

Reinforcing the cornea helps prevent post-surgical corneal ectasia and reduces the likelihood of myopic regression after correction.

The procedure

How does cross-linking work?

Performed on the Avedro KXL immediately after laser vision correction - a short, non-incisional add-on.

Step 01Riboflavin absorption

VibeX (riboflavin) solution is absorbed into the corneal stroma right after LASIK, LASEK or SMILE.

Step 02Rinse

The solution is washed from the surface.

Step 03UVA illumination

The KXL's corneal strengthening program applies UVA light, cross-linking the collagen fibers.

3–5 minTreatment time as an add-on procedure
55Countries where the procedure is performed
100,000+Procedures performed across Europe, North America and beyond
4 unitsAvedro KXL systems at GS Eye Center

The technique has been reviewed and cleared in the U.S., Europe, Japan and Singapore, and by Korea's KFDA.

Candidates

Who should consider cross-linking?

Family history of keratoconus Higher risk or worry of myopic regression Thin corneas or hyperopia Prior flap-related complications High myopia requiring deep ablation Long-term contact lens wearers
FAQ

Cross-linking questions

As "LASIK Xtra" it is an add-on performed together with refractive surgery - SMILE, LASIK or LASEK. It cannot be combined with implantable lens surgery (ICL), since that method does not ablate the cornea.

Yes - patients who had vision correction in the past can undergo cross-linking to help hold back myopic regression.

The clinic points to heavy daily screen use as a factor raising the risk of myopic regression in modern life; cross-linking is its preventive answer for higher-risk eyes.

The add-on itself takes about 3 to 5 minutes within the same session: riboflavin absorption, a rinse, then UVA illumination. Your overall recovery plan follows the primary procedure it accompanies.

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