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Comparative analysis shows T-CXL with supplemental oxygen improves visual recovery in keratoconus, suggesting it is a safer alternative.
Transepithelial cross-linking (T-CXL) is associated with a lower incidence of corneal haze, faster visual recovery-especially in terms of uncorrected distance visual acuity-and reduced postoperative pain. These benefits make T-CXL with supplemental oxygen a safe and effective alternative to the standard epithelium-off cross-linking procedure.
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Sachdev et al. (2026) studied this question.
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