Corneal Cross-Linking (CXL): A Proven Treatment to Halt Keratoconus Progression

At Azure Eye Center, we understand the life-changing impact of keratoconus—a progressive condition that causes the cornea to thin and bulge outward, distorting vision. For patients in Fort Worth and Colleyville, TX, we offer FDA-approved Corneal Cross-Linking (CXL), a minimally invasive treatment that can stop keratoconus from getting worse and preserve long-term vision.

What Is Corneal Cross-Linking?

Corneal Cross-Linking is a cutting-edge procedure designed to strengthen the corneal structure by creating new collagen bonds. These collagen fibers are the supportive scaffolding of the cornea, and when they weaken—as in keratoconus—the cornea loses its shape and clarity. CXL works by reinforcing these fibers and halting further deformation. The treatment uses a combination of riboflavin (vitamin B2) eye drops and ultraviolet A (UVA) light to activate a chemical reaction in the cornea that increases the number of cross-links between collagen fibers. This makes the cornea stiffer and more stable.

Expertise You Can Trust: Dr. David Truong, Cornea-Trained Specialist

At Azure Eye Center, corneal cross-linking is performed by Dr. David Truong, a board-certified ophthalmologist and fellowship-trained cornea and refractive surgery specialist. With advanced training in the diagnosis and treatment of complex corneal diseases, Dr. Truong offers expert care using the latest technology and surgical techniques.

His subspecialty training allows him to customize each CXL procedure to the patient’s specific corneal anatomy and disease progression, ensuring optimal safety and outcomes for patients in Fort Worth and Colleyville, TX.

Who Is a Candidate for CXL?

CXL is typically recommended for patients diagnosed with progressive keratoconus or post-LASIK ectasia—a rare complication following LASIK surgery that mimics keratoconus.

You may be a candidate if:

You are over 14 years of age
Your corneal thickness meets safety guidelines

Your keratoconus has been worsening, as shown on diagnostic testing
You have not yet reached the point where a corneal transplant is necessary

At Azure Eye Center, we use advanced corneal imaging—including topography and tomography—to track progression and tailor treatment.

Benefits of Corneal Cross-Linking

Stops progression of keratoconus and ectasia
Preserves vision and prevents the need for corneal transplant
Minimally invasive and in-office with low risk
FDA-approved and clinically proven
Often improves corneal shape and vision stability

The Procedure: What to Expect

CXL is performed as an outpatient procedure and usually takes about 60 to 90 minutes.

Step-by-Step Overview:

Numbing the Eye: Anesthetic eye drops ensure a comfortable experience.
Epithelium Removal: The outermost layer of the cornea is gently removed to allow riboflavin absorption.
Riboflavin Application: Vitamin B2 drops are applied for about 30 minutes.
UV Light Exposure: The cornea is exposed to UVA light for another 30 minutes, activating the cross-linking reaction.

The entire procedure is safe, effective, and performed by a highly trained surgeon, Dr. Truong, right here in Fort Worth or Colleyville.

Recovery After CXL

Following treatment, a soft bandage contact lens is placed on the eye to aid healing. Patients typically experience:

Light sensitivity
Mild discomfort or foreign body sensation
Blurred vision for several days

Post-operative care includes antibiotics, anti-inflammatory eye drops, and follow-up exams to ensure proper healing.

Long-Term Results and Vision Improvement

The primary goal of CXL is to stabilize the cornea, preventing further distortion. While it is not a vision correction procedure in itself, many patients report improved clarity and reduced need for corrective lenses over time—especially when combined with scleral or rigid contact lenses

With Dr. Truong’s expertise in corneal disease and advanced refractive surgery, you’ll receive comprehensive care tailored to your unique needs.

Why Choose Azure Eye Center?

Cornea fellowship-trained surgeon: Dr. David Truong brings advanced subspecialty training to every CXL procedure.
Two convenient locations: Serving patients in Fort Worth and Colleyville, TX.

State-of-the-art technology: We use the most advanced imaging and surgical tools available.
Patient-first care: We guide you through diagnosis, treatment, and long-term follow-up with compassion and clarity.

Schedule Your Consultation

If you or a loved one has been diagnosed with keratoconus, don’t wait to take action. The earlier CXL is performed, the greater the chance of preserving your vision for years to come.

Call Azure Eye Center in Fort Worth or Colleyville today to schedule your personalized consultation with Dr. David Truong, and take the first step toward stronger, more stable vision.

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