Corneal Cross-Linking (CXL) in Orange County

Q: What is corneal cross-linking?

Corneal cross-linking is a minimally invasive procedure that strengthens the cornea using riboflavin drops and UV light. It creates new bonds between collagen fibers, halting the progression of keratoconus.

Q: Does cross-linking cure keratoconus?

Cross-linking does not cure keratoconus, but it halts progression in most patients. After CXL, you may still need glasses, contact lenses, or scleral lenses for optimal vision, but your prescription should remain more stable.

Q: Is cross-linking painful?

The procedure itself is not painful due to numbing drops. Some patients experience discomfort, light sensitivity, and tearing for 2-3 days after. Pain medication and lubricating drops help manage symptoms.

Q: How long does cross-linking last?

Cross-linking provides long-lasting results. Studies show the strengthening effect persists for many years. Most patients only need one treatment per eye.

Q: Can I have cross-linking if I wear scleral lenses?

Yes! Many of our scleral lens patients have also had cross-linking. CXL stabilizes the cornea while scleral lenses provide clear vision. The two treatments work well together.

FDA-approved treatment to halt the progression of keratoconus by strengthening the cornea with riboflavin and UV light.

Medically reviewed by Dr. Alexander Bonakdar, O.D.

Last updated: November 26, 2025

(949) 364-0008 Book Consultation

Understanding Cross-Linking

Corneal cross-linking (CXL) is an FDA-approved treatment that strengthens the cornea to halt the progression of keratoconus. The procedure uses riboflavin (vitamin B2) eye drops and controlled UV light to create new bonds between collagen fibers in the cornea, making it stronger and more stable.

At EyeCare Center of Orange County, we provide comprehensive evaluation for cross-linking candidacy and coordinate care with top corneal surgeons who perform the procedure. We manage your pre-operative assessment and post-operative care locally for your convenience.

Benefits of Cross-Linking Treatment

FDA-approved to halt keratoconus progression
Prevents need for corneal transplant in many cases
Minimally invasive outpatient procedure
One-time treatment with long-lasting results
Can be combined with other treatments
Preserves your natural cornea

The Cross-Linking Process

Comprehensive Evaluation

Advanced corneal imaging (Pentacam) to assess keratoconus severity, progression, and corneal thickness for CXL candidacy.

60-90 minutes

Surgeon Referral

If you are a candidate, we refer you to one of our trusted corneal surgeons who specialize in cross-linking.

Varies

CXL Procedure

Outpatient procedure performed by the corneal surgeon. Riboflavin drops are applied, followed by controlled UV light exposure.

60-90 minutes

Post-Operative Care

We provide your follow-up care locally, monitoring healing and visual recovery at regular intervals.

15-30 minutes per visit

Is Cross-Linking Right for You?

Good Candidates

✓Diagnosed progressive keratoconus
✓Corneal ectasia after LASIK or PRK
✓Adequate corneal thickness (>400 microns)
✓No active corneal infections
✓Age typically under 35-40 (when progression is common)

May Need Evaluation

!Very thin corneas (<400 microns)
!Severe corneal scarring
!Active eye infections or inflammation
!Pregnancy or nursing

Common Questions About Cross-Linking

Corneal cross-linking is a minimally invasive procedure that strengthens the cornea using riboflavin drops and UV light. It creates new bonds between collagen fibers, halting the progression of keratoconus.

Cross-linking does not cure keratoconus, but it halts progression in most patients. After CXL, you may still need glasses, contact lenses, or scleral lenses for optimal vision, but your prescription should remain more stable.

The procedure itself is not painful due to numbing drops. Some patients experience discomfort, light sensitivity, and tearing for 2-3 days after. Pain medication and lubricating drops help manage symptoms.

Cross-linking provides long-lasting results. Studies show the strengthening effect persists for many years. Most patients only need one treatment per eye.

Yes! Many of our scleral lens patients have also had cross-linking. CXL stabilizes the cornea while scleral lenses provide clear vision. The two treatments work well together.

Schedule Your Consultation

Get expert cross-linking care from Dr. Alexander Bonakdar

(949) 364-0008 Book Online

Cost & Insurance

Typical Cost Range

$2,500 - $4,000

Insurance Coverage

Many insurance plans now cover FDA-approved cross-linking. We can verify your benefits and provide documentation for prior authorization.

Financing Available

CareCredit accepted. Surgeon financing options also available.

*Costs vary based on individual needs. Contact us for a personalized quote.

Related Services

Last reviewed: November 26, 2025

Medical content is reviewed regularly to ensure accuracy and reflect current best practices.

Schedule your corneal cross-linking (cxl) consultation

Conveniently located in Orange County

Same-Day Appointments

Often available

Convenient Location

Santa Ana, CA

(949) 364-0008 Book Appointment

Most insurance plans accepted • Flexible financing available

Medical Disclaimer

The information provided on this page is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment.

Always seek the advice of your eye care professional or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Individual results may vary. The information on this site does not establish a doctor-patient relationship.