The management of keratoconus has seen a tremendous shift over the last decades from “replacing” the diseased tissue (with full i.e penetrating keratoplasty PKP or partial thickness corneal transplantation i.e Deep Anterior Lamellar Keratoplasty DALK) to “remodelling” the ectatic cornea with the use of corneal collagen cross-linking (CXL) and/or implantation of intracorneal ring segments (ICRS). The last two additions in the armamentarium of non-tissue-replacing options for keratoconus have been welcomed with much enthusiasm by the corneal community, while ongoing evolution and refinement of the relevant techniques have been keeping them in the spotlight of research and scientific talks.
