5 Key Takeaways

• 1

  Patients with moderate to advanced progressive keratoconus often require both collagen corneal cross-linking and rigid contact lenses.

• 2

  The choice of whether to perform CXL or fit contact lenses first depends on patient history, visual function, and insurance requirements.

• 3

  New patients with vision worse than 20/40 should be fitted with scleral lenses first while initiating the CXL authorization process.

• 4

  Current lens wearers with minimal vision loss should ideally undergo CXL promptly to preserve their best vision.

• 5

  Financial considerations are crucial for young adults with high-deductible insurance plans, impacting the timing of CXL and lens fitting.