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How Can Corneal Collagen Cross-linking Surgery Control Keratoconus? The cornea turns thin and gets weaker over time. Resulting in it bulging into a cone shape, distorting your vision further. If the symptoms become severe, then you might need a corneal transplant. In corneal collagen cross-linking, doctors use medication and ultraviolet (UV) light from a special machine to strengthen the tissues in your eye, strengthening the cornea, so it doesn’t bulge as it expands. For example, your eyes will take on some water to put ribs in. Consequently, this liquid breaks down the collagen fibers and can weaken the eye’s support apparatus or cause fluid to leak and blur vision even more. Corneal cross-linking is one of the only ways to stop progressive Keratoconus from getting worse. It may also help you avoid a corneal transplant, which is major surgery.