Official ESCRS | European Society of Cataract & Refractive Surgeons


Partial topography-guided ablation combined with additional CXL (Athens Protocol) in eyes following previous failed CXL

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Session Details

Session Title: Presented Poster Session: Corneal Cross-Linking

Venue: Poster Village: Pod 3

First Author: : F.Tzani GREECE

Co Author(s): :    A. Kanellopoulos                       

Abstract Details


To evaluate the efficacy and safety of applying the Athens Protocol (AP) after failed CXL in keratoconus

Setting: Clinical and Research Eye Institute, Athens, Greece


In this prospective, non-comparative, consecutive case series, 17 keratoconic eyes underwent the Athens Protocol after failed Dresden-protocol or epithelium-on CXL. Perioperative evaluation included UDVA, CDVA, refraction, keratometry, topography and tomography by Scheimpflug and anterior segment OCT


Mean values at 2 years: UDVA improved 4 lines, CDVA 5 lines, keratometry improved from 53.5 to 46.2 Diopters, CXL line visualized in OCT cross-sections at an average 70% stromal depth. None of the cases showed signs of ectasia progression.


AP offers a safe and effective option when conventional or epithelium-on CXL fails.

Financial Disclosure:


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