Corneal endothelial cell density in healthy Caucasian population

Rahmi Duman, Mediha Tok Çevik, Sadık Görkem Çevik, Reşat Duman, İrfan Perente, Rahmi Duman, Mediha Tok Çevik, Sadık Görkem Çevik, Reşat Duman, İrfan Perente

Abstract

Aim: To reveal the changes of corneal endothelial characteristics with aging among Caucasian population.

Methods: Non-contact specular microscopy was performed in 564 eyes of 282 healthy Caucasian Turkish patients. Endothelial cell density (MCD), mean cell area (MCA), coefficient of variation (CV) in cell size, percentage of hexagonal cells, and central corneal thickness (CCT) were measured.

Results: The mean age was 42 ± 17.1 (6-85) years. The MCD of the population was 2732 ± 305 cell/mm2 (range, 1904-3802 cell/mm2). The MCA was 368 ± 41 m2 (range, 263-522 m2). The mean CV in cell size was 34 ± 7 (range, 25-68), the mean percentage of hexagonal cells was 46 ± 8% (range, 25-76%), and CCT was 513 ± 39 (range, 407-623). There was statistically significantly negative correlation (p < 0.05) between age and cell density, hexagonality, and pachymetry. There was statistically significant correlation (p < 0.05) between age and MCA.

Conclusion: We report the normal values of corneal endothelial characteristics in Caucasian Turkish eyes. Over the age of 20, the MCD of Caucasian eyes is more than the Indian and Iranian eyes and less than the Chinese eyes. Caucasian population's cell density in under the age of 20 is 3101 ± 268 cell/mm2.

Keywords: Cell density; Corneal endothelium; Specular microscopy.

References

    1. Doughty M.J. Comparative anatomy and physiology of the cornea and conjunctiva. In: Martin Herranz R., Corrales R.M., editors. Ocular surface. Boca Raton; USA: 2012. pp. 32–78.
    1. Jonuscheit S., Doughty M.J., Ramaesh K. Assessment of a variable frame (polygonal) method to estimate corneal endothelial cell counts after corneal transplantation. Eye. 2012;26:803–809.
    1. Qazi Y., Wong G., Monson B., Stringham J., Ambati B.K. Corneal transparency: genesis, maintenance and dysfunction. Brain Res Bull. 2010;81:198–210.
    1. Bourne W.M. Corneal endothelium–past, present, and future. Eye Contact Lens. 2010;36(5):310–314.
    1. Chen W., Li Z.W., Zhao X.M., Xu W.W., Mu G.Y. Evaluation of corneal endothelium after UVA/riboflavin cross-linking in thin keratoconic corneas. Int J Ophthalmol. 2016;9(2):321–322.
    1. Pérez-Rico C., Germain F., Castro-Rebollo M., Moreno-Salgueiro A., Teus M.Á. Effect of topical 0.05% cyclosporine A on corneal endothelium in patients with dry eye disease. Int J Ophthalmol. 2013;6(4):471–474.
    1. Joyce Nancy C. Proliferative capacity of corneal endothelial cells. Exp Eye Res. 2012;95(1):16–23.
    1. Rao S.K., Ranjan Sen P.R., Fogla R., Gangadraharan S., Padmanabhan P., Badrinath S.S. Corneal endothelial cell density and morphology in normal Indian eyes. Cornea. 2000;19:820–823.
    1. Padilla M.D., Sibayan S.A., Gonzales C.S. Corneal endothelial cell density and morphology in normal Filipino eyes. Cornea. 2004;23:129–135.
    1. Yunliang S., Yuqiang H., Ying-Peng L., Ming-shi Z., Lam D.S., Rao S. Corneal endothelial cell density and morphology in healthy Chinese eyes. Cornea. 2007;26:130–132.
    1. Galgauskas S., Krasauskaite D., Pajaujis M., Juodkaite G., Asoklis R.S. Central corneal thickness and corneal endothelial characteristics in healthy, cataract, and glaucoma patients. Clin Ophthalmol (Auckland, NZ) 2012;6:1195–1199.
    1. Hashemian M.N., Moghimi S., Fard M.A., Fallah M.R., Mansouri M.R. Corneal endothelial cell density and morphology in normal Iranian eyes. BMC Ophthalmol. 2006;6(1):9.
    1. Yunliang S., Yuqiang H., Ying-Peng L., Ming-Zhi Z., Lam D.S., Rao S.K. Corneal endothelial cell density and morphology in healthy Chinese eyes. Cornea. 2007;26(2):130–132.
    1. Ceyhun A., Arslan O.S., Dikkaya F. Corneal endothelial cell density and morphology in healthy Turkish eyes. J Ophthalmol. 2014
    1. Liang H., Zuo H.-Y., Chen J.-M., Cai J., Qin Y.-Z., Huang Y.-P. Corneal endothelial cell density and morphology and central corneal thickness in Guangxi Maonan and Han adolescent students of China. Int J Ophthalmol. 2015;8(3):608–611.
    1. Farhan A.H., Albaow W., Masoud W. Normal corneal endothelial morphology of healthy Saudi children aged 7–12 years. J Egypt Ophthalmol Soc. 2014;107(2):63–66.
    1. Matsuda M., Yee R.W., Edelhauser H.F. Comparison of the corneal endothelium in an American and a Japanese population. Arch Ophthalmol. 1985;103(1):68–70.
    1. De Sanctis U., Machetta F., Razzano L., Dalmasso P., Grignolo F.M. Corneal endothelium evaluation with 2 noncontact specular microscopes and their semiautomated methods of analysis. Cornea. 2006;25:501–506.
    1. Landesz M., Siertsema J.V., Van Rij G. Comparative study of three semiautomated specular microscopes. J Cataract Refract Surg. 1995;521:409–416.
    1. Gasser L., Reinhard T., Böhringer D. Comparison of corneal endothelial cell measurements by two non-contact specular microscopes. BMC Ophthalmol. 2015;15:87.

Source: PubMed

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