How to Offer CXL Successfully

Keratoconus is a relatively rare corneal condition that is underdiagnosed.1 Visual symptoms of keratoconus were traditionally managed by primary care optometrists with rigid gas permeable and scleral lenses. Patients were referred to a cornea specialist when the disease reached an advanced stage. Despite the 2016 FDA approval of the first CXL system to treat patients with progressive keratoconus (now known as iLink, Glaukos), some ophthalmologists have refrained from offering the procedure because of episodic payor denials, a lack of practice resources required to file reimbursable claims, and other practice management issues.

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