What factors should be considered when deciding whether to perform corneal crosslinking (CXL) in mild cases of keratoconus?

When deciding whether to perform corneal cross-linking (CXL) in mild cases of keratoconus, the most important factors to consider are age and evidence of progression. The presence of keratoconus in any pediatric patient is considered a high risk for progression to advanced disease. Therefore, any pediatric patient with even mild keratoconus should be recommended for cross-linking. Young adults should be monitored for progression. Ideally, progression is documented on topography or tomography as ...