Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus

Figure 1

CXL PLUS in the right eye; (a) marking the corneal center when the patient is fixating at flashing light, (b) suction ring application onto the cornea, (c) corneal tunnel creation using the femtosecond laser, (d) checking the patency of the tunnel by passing a spatula through the limbs of the tunnel, (e) implantation of the temporal Keraring segment, (f) implantation of the nasal Keraring segment, (g) riboflavin dropping onto the cornea, and (h) accelerated epithelium-on CXL.

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