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Later reviews done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection of the cornea","urgency":"contact_clinic","general":false,"source":{"url":"https://www.dgft.nhs.uk/pil/corneal-cross-linking-cxl/","host":"dgft.nhs.uk","quote":"Infection of the cornea, which can lead to scarring.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Melting of corneal tissue","urgency":"contact_clinic","general":false,"source":{"url":"https://www.dgft.nhs.uk/pil/corneal-cross-linking-cxl/","host":"dgft.nhs.uk","quote":"Melting of the corneal tissue, which may develop into a hole.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Corneal burn or significant scarring","urgency":"contact_clinic","general":false,"source":{"url":"https://www.dgft.nhs.uk/pil/corneal-cross-linking-cxl/","host":"dgft.nhs.uk","quote":"Corneal burn or significant 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carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your keratoconus has already progressed and lenses suit you","name":"Rigid gas permeable lenses","source":{"url":"https://www.cuh.nhs.uk/patient-information/corneal-cross-linking-for-keratoconus/","host":"cuh.nhs.uk","quote":"Treatments for Keratoconus which has already progressed include rigid (gas permeable) or scleral contact lenses, corneal surgery such as Intacs implants, or to have a conventional deep anterior lamellar or a full-thickness corneal transplant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your keratoconus has already progressed and scleral lenses suit you","name":"Scleral contact 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stage.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":623}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"epithelium-off-cross-linking","name":"Epithelium-off (Dresden-type) cross-linking","how_it_works":{"text":"Surface cells are removed before riboflavin drops and UV light are applied","source":{"url":"https://www.cuh.nhs.uk/patient-information/corneal-cross-linking-for-keratoconus/","host":"cuh.nhs.uk","quote":"The surgery involves removing the surface cells (epithelium) from the cornea in the area to be treated followed by regular instillation of riboflavin eye drops until your surgeon achieves sufficient saturation in the cornea (15-30 minutes).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 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