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001), However there was no change in the mean maximal keratometry. The mean minimal corneal thickness (MCT) showed a significant mild reduction of 26 µm (  = 0.006). Although statistically insignificant, the mean manifest cylinder was also reduced to 2D (  = 0.15). During the follow-up period, eight untreated eyes (26.6%) deteriorated and underwent CXL, while only one treated eye (3.33%) required an additional CXL. CXL is a safe and efficient procedure in halting keratoconus progression in the pediatric population, the fellow eye needs