Whereas the technical aspects of corneal cross-linking in children and adolescents are not different from a CXL procedure performed in adults, there are some fundamental differences that need to be respected in young patients up to the age of 20 years:

• There is ongoing controversy about the duration of the CXL effect, so whenever possible, use the protocol with the best-documented effect (= Dresden protocol, 3 mW/cm2 for 30 minutes, continuous light, epi-off
• In patients with poor compliance or even absence of compliance, the risk for a severe corneal infection following the surgery is greatly increased. Therefore, we have developed the “Light for Sight” protocol.