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All four authors have no relevant financial disclosures. Sudi Patel is an Advisory Board member of <i>Ophthalmology and Therapy<\/i>. Sudi Patel was not involved in the selection of peer reviewers for the manuscript nor any of the subsequent editorial decisions.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The Ethics Committees at the hospitals Sistina Oftalmologija in Skopje and Svjetlost in Zagreb, and the University of Zagreb\u2019s School of Medicine approved the study. The study was conducted in accordance with the Helsinki Declaration of 1964 and its later amendments. All patients were fully informed about the procedures, risks, and benefits and provided signed informed consent. All patients and subjects were examined, operated where appropriate, and followed up by the same clinical team. The criteria for selecting cases for cross-linking were set by the overseeing Ethics Committee of the University of Zagreb, School of Medicine (reference \u201cDR.SC.-01A,\u201d titled \u201cImpact of the postoperative corneal density on the shape of the cornea after corneal cross linking procedure\u201d). The study was registered with Clinical Trials Protocol Registration and Results System (ref: NCT06522789).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}