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. 2026 Feb 3;18(2):e102911. doi: 10.7759/cureus.102911

Table 8. Summary of corneal haze rates across corneal collagen cross-linking protocols in progressive keratoconus.

A-CXL: accelerated corneal cross-linking; CXL: corneal collagen cross-linking; I-CXL: transepithelial corneal collagen crosslinking using iontophoresis (riboflavin delivery via iontophoresis); NR: not reported

Study CXL Protocol Haze Rate  Severity Resolution
Kortuem et al., 2017 [81] Dresden 70.5%  Variable Progressive improvement
Kortuem et al., 2017 [81] A-CXL 46.9%  Variable Progressive improvement
Bhattacharyya et al., 2019 [15] Dresden All patients  Transient Resolved by 3 months
Ferdi et al. (Registry), 2023 [2] Dresden 15.1% at 1 year Variable NR
Ferdi et al. (Registry), 2023 [2] Dresden 1.9% at 5 years  Variable NR
Kandel et al. (Registry), 2024 [24] Dresden 3% at 5 years  Variable Resolution in 77%
Kandel et al. (Registry), 2024 [24] A-CXL 2% at 5 years  Variable Resolution in 88%
Alqudah et al., 2025 [14] I-CXL  7%  Mild NR
Alqudah et al., 2025 [14] Dresden 54% mild  Mild NR