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Cross-linking is an early surgical intervention which decreases the chance of needing invasive corneal surgeries in the future to prevent the eye from being at risk of blindness.
Keratoconus Glasses and Contact Lenses are used to help you see once your keratoconus has affected your vision. However, keratoconus glasses and contact lenses do not prevent the condition of keratoconus from getting worse.
Cross-linking is a minimally invasive surgery which means your eye health is better protected against other future corneal procedures which require larger incisions.
Invasive surgeries can cause more complications with a longer recovery period whereas a minimally invasive surgery is easier and safer with a shorter recovery period.
Your natural vision will be better protected. Keratoconus is a condition that worsens overtime and can cause a risk of blindness in the future.
You may achieve a visual improvement in your sight, although visual improvements are not the success of corneal cross-linking surgery.
EXCELLENT Based on 187 reviews Posted on Google Mark GoldTrustindex verifies that the original source of the review is Google. I had cataract surgery on both eyes at the same time a number of months ago. It was all very easy and I am very happy with the results. Mr Bolger and his team were wonderful professionally and very friendly. I highly recommend My-iClinic - they really look after you.Posted on Google Mary BeechTrustindex verifies that the original source of the review is Google. Another visit to the clinic and again faultless service from all the staff. Efficient and informative and I have great confidence that Charlie is being treated here.Posted on Google Magnus GustafssonTrustindex verifies that the original source of the review is Google. I had a cataract removed and iStents put in to reduce the pressure in my eye due to scaring from an accident as a child. Sheila Luk and all the other staff were very professional. They discussed all aspects of the procedure with me which helped me deal with some worries I had about having the procedures done to the eye that had been damaged in the accident. I was given phone numbers to use after the operation if I had any queries or worries which felt reassuring as there is always something you will have forgotten to ask or worry about. Thank you very much to Sheila Luk and all the staff for making this a wonderful experience.Posted on Google Matt Tamayo-MyersonTrustindex verifies that the original source of the review is Google. Look no further! I researched for over a year to find the best laser eye clinic for my complex astigmatic eyes to see if laser surgery would benefit me and this clinic is it! Great service from all the team, especially optician Bharvi and John himself. Lovely comfortable practice, super modern equipment with some incredible machines! The superb surgeon John Bolger has been practicing for decades, is top of his field and lectures all over the world. To top it all off there is tea and coffee on tap! There are chepaer surgeons out there but these are your eyes so you want the best! And its worth it!Posted on Google Camila NoronhaTrustindex verifies that the original source of the review is Google. Miss Bola Odufuwa-Bolger was extremely reassuring and really put me at ease throughout my treatment. She really listened to my concerns and provided the best treatment in light of my circumstances. There was a really quick turn around from booking my first appointment to resolving the issue within 48 hours. The other clinic staff were equally friendly and patient. I would highly recommend her and the clinic!Posted on Google Steve WaldronTrustindex verifies that the original source of the review is Google. I recently had cataract surgery for both of my eyes. From my very first appointment with the My-iClinic team led by the brilliant consultant and surgeon Bola Odufuwa on the High Road in North London to my final follow up, my whole experience has been wonderful and stress free. The cataract surgery was so easy, Bola and her experienced team really do put you at ease before and during the surgery. They talk you through the whole process step by step, pre and post the surgery and will answer any questions you have with patience and understanding. Having the cataract surgery on my eyes has changed my life for the better. I would highly recommend visiting the My-iClinic in North London, and you are 100% in safe hands with the consultant surgeon Bola Odufuwa. Top class service and top-class experience. Big thanks from me to Bola and the whole team.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Keratoconus changes the cornea’s shape, causing ghosting and blur but with the right plan we can stabilise the cornea and optimise vision. Use the table below to compare options by stage: when to consider cross-linking, which contact lenses work best, where rings or surface smoothing fit, and when graft surgery is considered. It also outlines key tests, follow-up timing, and red-flag symptoms that need urgent review.
Compare stages, goals, tests, optical options, procedures, follow-up and when it’s urgent.
| Stage / Scenario | Treatment Goals | Key Tests | Optical Options | In-Clinic Procedures | Follow-Up | Notes / Risks |
|---|---|---|---|---|---|---|
| Suspected / Early (no documented progression) | Confirm diagnosis, optimise vision, monitor for change | Topography/tomography, pachymetry, refraction, family/eye-rub history | Glasses; soft KC designs; consider RGP/hybrid if ghosting | — (no procedure if stable) | 6–12 monthly with repeat maps | Treat allergy; avoid eye rubbing; educate on red flags |
| Progressive Keratoconus (documented change) | Stabilise cornea; preserve vision; prevent scarring | Serial topography/tomography (Kmax, TCT), refraction change, corneal thickness | Temporary glasses/contacts until stable post-procedure | Corneal Cross-Linking (CXL) – epi-off or transepithelial (case dependent) | Post-CXL: 1 wk, 1 mo, 3–6 mo, then 6–12 monthly | Transient haze/discomfort common; most eyes stabilise after CXL |
| Post-CXL (stable) — Vision Optimisation | Maximise clarity & comfort for daily tasks | Over-refraction, topography, tear film evaluation | Scleral lenses (high comfort), RGP/hybrid, custom soft KC lenses | Select cases: Intrastromal Corneal Ring Segments (ICRS) to regularise cornea | Lens checks 1–3 mo after fit; 6–12 monthly thereafter | ICRS may reduce irregularity and lens dependence; not for very thin/scarred corneas |
| Irregular Surface with Adequate Thickness | Smooth corneal optics in carefully selected cases | Topography-guided planning, epithelial mapping, pachymetry | — (spectacles/CLs usually still needed) | Topography-guided PRK ± simultaneous CXL (“Athens protocol” in select eyes) | Close review for haze; staged approach often preferred | Niche indication; careful case selection and counselling essential |
| Advanced KC / Central Scarring or Extreme Thinning | Restore corneal clarity/shape when lenses no longer viable | OCT, pachymetry, endothelial status, contact lens tolerance | Trial scleral lenses if possible while planning surgery | DALK (lamellar) preferred if endothelium healthy; PK if full-thickness needed | Frequent post-op initially; suture plan over months; lifelong annuals | Graft rejection (PK>DALK), astigmatism, suture-related issues; excellent clarity when successful |
| Contact Lens Intolerance / Dry Eye Overlap | Improve comfort & wear time; protect surface | Tear film tests, meibomian assessment, surface staining | Refit to mini-scleral/scleral; PF lubricants; lid heat/massage; consider punctal plugs | Thermal pulsation/IPL for MGD; treat allergy/inflammation | 4–8 weeks to stabilise; then 6–12 monthly | Comfort drives success; address lids/allergy to prevent rubbing |
| Paediatric / Rapid Progression | Early stabilisation to protect lifetime vision | Frequent tomography, allergy/atopy work-up, compliance review | Temporary optical correction as needed | Prompt CXL (lower threshold); counselling for rub control | 1–3 monthly early; widen if stable | Higher progression risk; parental engagement crucial |
| Acute Corneal Hydrops (sudden pain & white cornea) | Relieve symptoms; speed resolution; prevent scarring | Slit-lamp, AS-OCT; rule out infection | Bandage contact lens; hypertonic saline; cycloplegic for comfort | Anterior chamber gas/air injection (select); manage IOP | Urgent same-day; frequent follow-up until resolved | May scar/flatten cornea; later grafting sometimes needed |
Thinking about Keratoconus ? It’s natural to have questions about what it can do for you. From vision improvements to advanced safety features, here are the key benefits and facts that will help you understand why more people than ever are choosing laser vision correction.
If you suffer from Keratoconus it means there is a lack of collagen in your cornea which causes your eye to abnormally change into the shape of a cone. Keratoconus is a progressive eye condition and overtime can cause extreme blurry vision (astigmatism), sensitivity to light and can, in some very progressive cases, lead to blindness.
There is not a definite cause of keratoconus but a combination of genetic and environmental factors may develop the condition. It is reported that 10-20% of people who have Keratoconus also have a parent with the same condition yet in other cases, Keratoconus can develop from chronic eye-rubbing, Long screen time, Eye strain or inflammation of the eye.
Our cornea specialist may consider corneal cross-linking as the most suitable treatment to treat your keratoconus. Corneal cross-linking is where we use special eye drops and ultraviolet A (UVA) light to help the damaged tissue in your cornea grow stronger. This process stops the bulge of the eye getting any worse as it adds special bonds that work like support beams to help the cornea become stable overtime.
If you have keratoconus on two eyes, we would be able to treat both with our cross-linking procedure in two separate surgeries.
In very extreme cases Keratoconus can lead to permanent vision loss. Because Keratoconus is a progressive eye condition, not treating it could cause significant visual impairment in the future. If you have a very thin cornea, it is always best to get checked by our clinic to understand your treatment options. If you do not already use glasses or contact lenses to improve the condition of your keratoconus, our corneal specialist can offer cross-linking to slow or stop your cornea from abnormally growing and affecting your vision.
When you visit your local opticians you will be told of your keratoconus condition if it is identified. Keratoconus can cause:
Whether your keratoconus is mild or severely progressing, you will need to see our Cornea specialist who can advise if our treatment is the best option for you. We only provide a surgical procedure called cross-linking and the suitability for this surgery depends on the condition of your keratoconus and if you may require cross-linking to stabilize the eyes.
Cross-linking is a minimally invasive treatment which means our specialist performs very minimal incisions to the eyes. A minimally invasive surgery is always recommended to prevent any further progression of your keratoconus condition and the likelihood of an invasive surgical procedure. For example, a corneal transplantation which requires removing the cornea completely.
We advise a 1 week recovery period after having your cross-linking surgery with us. Our corneal surgeon and nurse will also provide comprehensive aftercare instructions after your cross-linking procedure.
Glasses or contact lenses are used for people to correct the visual symptoms that occur from their Keratoconus condition whereas cross-linking is an early surgical intervention to help stop your Keratoconus from progressing even further. This surgery will not resolve blurry vision from keratoconus but will stop the blurring from getting worse in the future.
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