Slit-lamp based assessment of peripheral versus central regions of the human corneal endothelium. 2020

Silvia Tavazzi, and Federica Cozza, and Sara Colciago, and Fabrizio Zeri
Materials Science Department, University of Milano Bicocca, Milan, Italy; COMiB Research Centre, University of Milano Bicocca, Milan, Italy. Electronic address: silvia.tavazzi@unimib.it.

To compare the central and peripheral (< 2 mm from the limbus) endothelial regions of the human cornea of young contact lens (CL) neophytes, in terms of endothelial cell density (ECD), polymorphism through cell hexagonality (HEX), and polymegethism through the coefficient of variation of cell areas (CoV). In vivo, central, temporal, and nasal ECDs, HEXs, and CoVs were determined for thirty healthy right eyes (age: 22-30 years) using a Takagi 700 G L LED slit-lamp biomicroscope equipped with the centre-dot EndoKer© for the analysis of endothelium images. The mean central ECD (2586 ± 233 mm-2) was lower than peripheral ECDs (nasal 2733 ± 225 mm-2, temporal 2674 ± 260 mm-2) (p = 0.03 and p = 0.02, respectively). The mean central HEX (53.0 ± 4.6%) was lower than peripheral HEXs (nasal 57.2 ± 4.3%, temporal 57.1 ± 4.5%) (both p < 0.005), while the mean central CoV (28.2 ± 2.5%) was higher than peripheral CoVs (nasal 25.8 ± 2.2%, temporal 26.1 ± 2.2%) (both p ≤ 0.001). In young healthy non-CL wearers, the peripheral corneal endothelium displays a higher ECD and significantly better cell regularity (higher HEX and lower CoV) compared to the central cornea. A clinical evaluation of the corneal endothelium requires, therefore, a full characterization of the different areas.

UI MeSH Term Description Entries
D008297 Male Males
D002452 Cell Count The number of CELLS of a specific kind, usually measured per unit volume or area of sample. Cell Density,Cell Number,Cell Counts,Cell Densities,Cell Numbers,Count, Cell,Counts, Cell,Densities, Cell,Density, Cell,Number, Cell,Numbers, Cell
D004728 Endothelium, Corneal Single layer of large flattened cells covering the surface of the cornea. Anterior Chamber Epithelium,Corneal Endothelium,Endothelium, Anterior Chamber,Epithelium, Anterior Chamber,Anterior Chamber Endothelium
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072776 Slit Lamp Microscopy A procedure that uses a SLIT LAMP to examine structures in the front of the EYE, such as the CONJUNCTIVA; CORNEA; IRIS; and AQUEOUS HUMOR. Slit Lamp Examination,Examination, Slit Lamp,Examinations, Slit Lamp,Microscopy, Slit Lamp,Slit Lamp Examinations
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D048429 Cell Size The quantity of volume or surface area of CELLS. Cell Volume,Cell Sizes,Cell Volumes,Size, Cell,Sizes, Cell,Volume, Cell,Volumes, Cell
D048430 Cell Shape The quality of surface form or outline of CELLS. Cell Shapes,Shape, Cell,Shapes, Cell
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults

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