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Ophthalmology · Cornea: keratoconus management
Sample itemWhich procedure is used to halt progression of early keratoconus?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Corneal collagen cross-linking with riboflavin and UV-A
Cross-linking increases collagen bonding and corneal rigidity and stops ectasia. LASIK and PRK weaken the cornea and are contraindicated in keratoconus.
Option by option
A. Radial keratotomy
Radial keratotomy weakens the cornea and is obsolete.
B. Corneal collagen cross-linking with riboflavin and UV-A (correct)
Correct. It stabilises the cornea.
C. Photorefractive keratectomy
PRK removes tissue and may worsen ectasia.
D. LASIK
LASIK is contraindicated in keratoconus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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