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Corneal ectatic disorders, such as keratoconus, progressively weaken corneal integrity, leading to thinning, irregular astigmatism and visual deterioration.1 Typically progressive in nature, these ectasias result in increasingly thinner corneas, causing the cornea to protrude forward into a cone shape. This leads to increasing amounts of myopia and astigmatism – both regular and irregular – as the disease […]

World Keratoconus Congress (WKC) 2026 highlights precision care, innovation and global leadership

Emilio A Torres-Netto, Jorge L Alió
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Published Online: May 12th 2026

World Keratoconus Congress (WKC) 2026 brought the global keratoconus community together to showcase clinical innovation, celebrate scientific leadership and explore the next generation of patient care


The 3rd World Keratoconus Congress (WKC 2026), held in Florence, brought together leading corneal specialists from around the world to discuss the latest advances in keratoconus diagnosis, treatment and long-term management. Across three days of scientific exchange, several clear themes emerged: the growing role of earlier, more precise diagnosis, continued innovation in personalised treatment strategies, and an increasing focus on functional and patient-centred outcomes.

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Early diagnosis and precision staging take centre stage

One of the core scientific pillars at WKC 2026 focused on multimodal diagnosis, reflecting the growing importance of identifying keratoconus earlier and characterising disease with greater precision. Across sessions, international experts explored how advances in corneal imaging, tomography and biomechanical assessment are helping clinicians move beyond traditional topographic diagnosis toward a more nuanced understanding of disease phenotype, progression risk and treatment timing.

Particular attention was given to pediatric keratoconus, where early progression can be especially aggressive. In a dedicated session, Laura Buzzonetti presented emerging European perspectives on the diagnosis and management of keratoconus in younger patients, highlighting the importance of timely detection and intervention in this population.

Recognising leadership in keratoconus: Prof. Jorge Alió

The theme of increasingly personalised disease assessment was further reflected in the Gold Medal lecture from Prof. Jorge L Alió, MD, PhD, FEBO, FWCRS, who was presented with the International Keratoconus Society Gold Medal in recognition of his longstanding contributions to the field. In his lecture, Vision, Shape and Volume in Keratoconus Evolution, Prof. Alió explored how more sophisticated structural and volumetric analysis may help refine disease classification and support increasingly individualised treatment planning.

For me, receiving this gold medal has been one of the greatest honors in my career. Keratoconus has become an important topic due to the interest that has been given to this relevant and more frequent disease than formerly considered which is the best support that we have to our dedication and publications on the topic. The World Keratoconus Congress has promoted the study on keratoconus and in doing so the knowledge about the cornea and the development of new surgical and therapeutic tools for the benefit of many patients not only suffering keratoconus but other corneal diseases. I feel very honoured and touched by this award that will be held in my heart as one of the important recognitions to my professional career.

The Keratoconus Society and this meeting have promoted not only ideas but facts and now it has created a very important group of professionals working together with the same ideas to promote knowledge and treatment of this not infrequent disease.

Expanding treatment possibilities in advanced keratoconus

Among the presentations attracting particular attention were updates from ELZA Institute, where Dr Emilio Torres-Netto and colleagues shared new perspectives on the evolving management of advanced keratoconus and ultrathin corneas.

The presentations highlighted growing international confidence in treating increasingly challenging corneas, alongside continued refinement of personalised cross-linking strategies designed to safely expand treatment options for patients who historically had limited alternatives.

We asked Dr Emilio Torres-Netto to share his highlights from the meeting:

A highlight from the congress was the presentation of 5-year outcomes for the ELZA-sub400 protocol — our approach to corneal cross-linking (CXL) in corneas thinner than 400 µm. This patient population has historically been excluded from standard CXL, so these results carry real clinical significance.
At five years, approximately 83% of treated ultrathin corneas remained stable — a meaningful outcome considering how advanced and fragile these cases are. Confocal microscopy also confirmed endothelial safety, which had never previously been demonstrated in corneas of this thickness.
Alongside this, we presented early results from our second-generation protocol, which delivers higher fluence in a shorter treatment time, and our third-generation epi-on sub400 approach — an epithelium-preserving option for patients where surface removal is not ideal.
Perhaps most telling was the 2026 global consensus data shown at the meeting: 87% of corneal experts now treat corneas below 400 µm with CXL. The field has shifted. The question is no longer whether to treat these corneas, but how to do it safely and effectively — and that is exactly what the sub400 protocol addresses.

Putting the patient journey at the centre

Beyond diagnostics and surgical innovation, WKC 2026 also highlighted the importance of viewing keratoconus as a lifelong patient journey. Dedicated sessions explored visual rehabilitation, specialty contact lenses, ocular surface management and the broader quality-of-life challenges faced by patients living with progressive corneal disease.

This growing focus on patient experience reflects an important shift within the field—recognising that successful keratoconus management is measured not only by corneal stability, but by the ability to preserve functional vision, independence and long-term quality of life.

Key takeaway

From earlier diagnosis and personalised intervention to visual rehabilitation and patient-centred care, WKC 2026 highlighted a field that continues to evolve rapidly. As new technologies and treatment strategies move from specialist centres into wider clinical practice, the focus will increasingly turn to how these advances can be translated into meaningful, long-term benefits for patients worldwide.

Cite: World Keratoconus Congress (WKC) 2026 highlights precision care, innovation and global leadership. touchOPHTHALMOLOGY. 12 May 2026.

Editor: Nicola Cartridge, Head of Content

Acknowledgments: This content has been developed independently by Touch Medical Media for touchOPHTHALMOLOGY. It is not affiliated with the International Keratoconus Society of WKC.  This article was created by the touchOPHTHALMOLOGY team utilizing AI as an editorial tool (ChatGPT (GPT-5.4) [Large language model]. https://chat.openai.com/chat.) The content was developed and edited by human editors. No funding was received in the publication of this article.

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