Keratoconus progression can be halted by corneal collagen cross linking has been established. We thank all our patients who believed and participated in the trials. Now the hot question is which is better- to remove epithelium or to leave it alone.The debate has recently become intense. Various specialists have filed trade marks, patents or invested in a particular technology. Sometimes their opinions seem biased. So where do we turn to if we want to know the true answer?
They analyzed lot of safety data. Here is what they have approved in USA
Epi off cornea cross linking
So that means so far Epi off is better than epi on or it’s variations like c3R
The epithelium interferes in the seepage of riboflavin i the cornea. It also hinders the uniform transmission of uvA . Therefore it a good idea to remove it
Some may disagree and say FDA process is tedious and hence Epi on is still stuck somewhere. We can than turn to peer reviewed journals. No published study has ever shown that Epi on crosslinking is better than Epi off.
Multiple studies have shown that Epi on Cross linking is the current Gold Stsndard.
So we rest our case
Epi off cross linking is the procedure Keratoconus specialists recommend