Welcome to EMAGine

CXL UNBOUND

Redefining Corneal Cross-Linking

The C-Eye platform brings the full spectrum of corneal cross-linking together in one versatile system—from keratoconus, keratoglobus, PMD and ultrathin corneas to PACK-CXL, refractive procedures, and ECO-CAIRS. Designed for seamless treatment at the slit lamp, in the operating room, or under the excimer laser.

Testimonials

Ophthalmologists on the C-Eye Device

Prof. Boris Knyazer

Ben-Gurion University of the Negev, Israel

The C-eye device is effective in many ocular conditions as keratoconus, iatrogenic ectasia, infectious keratitis and others. The device [represents an] elegant and very useful technology.

Prof. Paolo Vinciguerra

Humanitas University Milano, Italy

The C-eye device is the only device that allows the surgeon to view through the system, so that we have full control of the cornea of the patient during the treatment.

Prof. Shady Awwad

American University of Beirut

The C-eye is truly a disruptive and innovative device that opens new avenues in therapeutic refractive surgery, as well as in the treatment of Keratoconus and keratitis. I’m incredibly excited about all these possibilities.

Prof. Cosimo Mazzotta

University of Siena, Italy

It’s a beautiful device. It’s portable, it’s light, it’s easy to use customizable and provide a wide range of intensities, so you can do the custom cross-linking, any way, perfect….we have the opportunity to use the slit lamp technology in outpatients without the use of an operating theater performing epi-on [CXL] techniques.

Prof. Robert Wisse

The Netherlands

The device is a bliss. I love every aspect of it. Well designed, robust, practical.

Prof. Frederik Raiskup

University Eye Hospital Dresden, Germany

…what’s great is that you can completely control the whole treatment.  …you diagnose … a suspected infectious keratitis, you do the scraping, and you can immediately treat them in one session

UNLOCK THE C-EYE DEVICE

New

Use the C-eye technology with the riboflavin of your choice. The C-eye now is available in a locked and unlocked version.

The unlocked version lets you use any type of riboflavin.*

Uncertain which version to choose? You can always start with the locked device and unlock it at a later stage.

Check out the pros and cons here.

* please note: the use of non CE-marked riboflavin in countries of the European Community is illegal.

Advantages

The New Standard in Corneal Cross-Linling

Innovative

EMAGine’s C-eye device has speerheaded innovation in corneal cross-linking since its inception in 2020.

Versatile

Bring CXL to the most remote areas with the C-eye device, Ribo-Ker, and a slit lamp. Use the same device for high-tech customized CXL under the excimer laser.

Portable

Work in different places? Take the C-eye device wherever you go. No operating room available? Any modern slit lamp and a reclining chair will do.

Economical

Reduce time and costs related to CXL, perform epi-on CXL at the slit lamp in any procedure room.

Pulsed & Continuous Light

To cover all modern CXL protocols

Thickness-adjusted Profile

Beam profile delivers more energy in the corneal periphery

Wheelchair Accessible

Conveniently treat wheelchair users.

Slit Lamp Mount

For modern CXL: fits on most slit lamps.

Table Mount

For classic CXL: table mount accessory available.

Integrated Protocols

Choose from a number of preset clinical protocols.

Range of Intensities

Delivers 3, 9, 15, 18 and 30 mW/cm².

The C-eye device is CE marked for the following indications: keratoconus, ectasia after LASIK/PRK, pellucid marginal degeneration, infectious keratitis, sterile corneal melting, bullous keratopathy. The C-eye is not available for sale in the United States.

Our Partners

Clinical Applications

Modern Cross-Linking

CXL at the slit lamp

Classic Cross-Linking

CXL Laying down

Cross-Linking under the Excimer Laser

Perform CXL Plus, ELZA-PACE and more 

The Indications

CXL

Cross-linking for keratoconus

PACK-CXL

Cross-linking for infectious keratitis

Frequent Questions

Can I Perform CXL at the Slit Lamp?

What about the infection risk?

Use a minor procedure room and remember that every CXL procedure not only enhances biomechanics, but also “sterilizes” the cornea by killing microorganisms. Plus, millions of office-based intravitreal injections have shown no increased infection risk.

Isn’t treatment time too long for the slit lamp?

Irradiation time is not too long. Current modern protocols are integrated in the C-eye device and treat in as little as 10 minutes (CXL) and 4 minutes (PACK-CXL).

Does CXL work in the sitting position?

We need 3 elements for successful cross-linking: UV light, oxygen and riboflavin. Both UV light and oxygen do not “care” whether the patient is laying down or sitting. As for riboflavin, published research shows that riboflavin concentration is stable in the upright position for up to 60 minutes - much longer than we need for a CXL treatment.

Is the patient comfortable?

Offer the patient the comfortable surgeon’s chair with an armrest, and take the time to ensure they are well-adjusted. This ensures maximum comfort for the patient.

What about the patient's fixation?

Fixation is simple. Use the fixation target on most slit lamps (for retinal exams), and the patient will maintain a steady gaze, as shown here.

Still not convinced?

See slit lamp CXL step-by-step here or simply use the C-eye for classic CXL in the laying position.

Compatibility

Compatible Slit-Lamps

The C-eye device fits to most modern slit lamps. Find here the complete list of compatible slit lamps

             Zeiss Type         Haag-Streit Type

Branded supplies

C-EYE Procedure Kit

EMAGine is proud to offer Ribo-Ker, our own CE-marked riboflavin. No more confusion with different types of riboflavin: we developed the one-fits-all solution.

Ribo-Ker, our CE-marked riboflavin, is designed as a versatile, all-in-one solution, suitable for all CXL* and PACK-CXL techniques.
 


* epi-on CXL requires additional penetration enhancers

Videos

The Science Behind the C-eye

Blog & News

EMAGine Blog

ELZA-sub400 cross-linking for corneas too thin for standard CXL

ELZA-sub400 cross-linking for corneas too thin for standard CXL

A new Die Ophthalmologie review explains ELZA-sub400 cross-linking, an individualised protocol that fits the…

Second-generation sub400 cross-linking for ultra-thin keratoconus corneas published

Second-generation sub400 cross-linking for ultra-thin keratoconus corneas published

ELZA researchers report 12-month outcomes for a second-generation sub400 cross-linking protocol that extends CXL…

ELZA researchers publish practical review of PACK-CXL for infectious keratitis

ELZA researchers publish practical review of PACK-CXL for infectious keratitis

A new ELZA review in Die Ophthalmologie examines the mechanisms, clinical evidence, protocol selection,…

EMAGine’s CXL technology can be found at CSO Italia (B5.416) and Schwind eye-tech solutions (C3.071)

     

Backed by science, click here.