Yıl: 2019 Cilt: 28 Sayı: 1 Sayfa Aralığı: 16 - 22 Metin Dili: İngilizce DOI: 10.5336/ophthal.2018-60329 İndeks Tarihi: 12-05-2020

Assessment of Corneal Endothelial Cell Status in Aging Eye

Öz:
Objective: To describe the corneal endothelial cell density and morphology in normaladult eyes, and determine the influence of aging on these parameters. Material and Methods: Inthis cross-sectional study, specular microscopy was performed in 547 eyes of 547 healthy volunteersaged 20 to 85 years. Of these, 279 were female, and 268 were male. The study parameters includedendothelial cell density (ECD), cell area (CA), the coefficient of variation (CoV) and percentage ofhexagonal cells (Hex%). The influence of age and gender on these parameters were evaluated. Results: The mean ECD and mean CA in the study population were 2607±323 cells/mm2 and389.6±51.2 μm2, respectively. In the correlation analysis, there was a decrease in mean ECD (r= -0.305, p<0.001), and an increase in mean CA (r=0.295, p<0.001) with increasing age. The mean CoVin cell size and the mean Hex% were 35.7±6.06% and 56.8±9.1%, respectively. There was a weakcorrelation between increasing age and CoV in cell size (r=0.075, p=0.021), and the percentage ofhexagonal was not correlated with age (p=0.088). There were no statistically significant differencesin mean ECD, mean CoV in cell size, or hexagonality between genders (all p values>0.05). Conclusion: Our data for the corneal endothelial structure in Turkish population showed that age but notgender, has a negative impact on endothelial cell density. Age was not a determinant in the pleomorphic changes of the endothelium.
Anahtar Kelime:

Konular: Göz Hastalıkları

Yaşlanmanın Kornea Endotel Hücre Özellikleri Üzerine Etkisinin Değerlendirilmesi

Öz:
Amaç: Sağlıklı ve yetişkin gözlerde kornea endotel hücre yoğunluğunu ve morfolojisini tanımlamak ve yaşlanmanın bu parametreler üzerindeki etkisini incelemek. Gereç ve Yöntemler: Bu kesitsel çalışmada, 20-85 yaş arasındaki 547 sağlıklı olgunun 547 gözü çalışmaya dahil edildi. Olguların 279'u kadın, 268'i erkek idi. Speküler mikroskopi ile santral korneada yapılan analizlerde endotel hücre yoğunluğu (EHY), endotel hücre alanı (HA), endotel hücre varyasyon katsayısı (VK) ve altıgen hücrelerin yüzdesi (%Hex) değerlendirildi. Yaş ve cinsiyetin bu parametreler üzerindeki etkisi araştırıldı. Bulgular: Çalışma grubundaki ortalama EHY ve ortalama endotel HA, sırasıyla 2607±323 hücre/mm2 ve 389,6±51,2 μm2 idi. Korelasyon analizinde yaşın artması ile ortalama EHY'da (r=-0,305, p<0,001) ve ortalama endotel HA'nda (r=0,295, p<0,001) azalma tespit edildi. Endotel hücre varyasyon katsayısı ve altıgen hücre yüzdesi sırasıyla %35,7±6,06 ve %56,8±9,1 idi. Yaşın ilerlemesi ile endotel hücre VK arasında zayıf korelasyon bulundu (r=0,075, p=0,021). Altıgen hücrelerin yüzdesi (%Hex) yaş ile korele bulunmadı (p=0,088). Her iki cinsiyet arasında ortalama EHY, endotel hücre varyasyon katsayısı ve altıgen hücre yüzdesi açısından anlamlı fark bulunmadı (tüm parametreler için p>0,05). Sonuç: Türk popülasyonundaki kornea endotel hücre sayısı, yaşlanma ile olumsuz yönde etkilenmekle birlikte, pleomorfik değişikliklerin yaşla ilgisi bulunmamıştır. Her iki cins arasında ortalama endotel hücre yoğunluğu ve hücre morfolojisi açısından tüm yaş gruplarında bir fark saptanmamıştır.
Anahtar Kelime:

Konular: Göz Hastalıkları
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Mishima S. Clinical investigations on the corneal endothelium. Ophthalmology. 1982; 89(6):525-30. [Crossref]
  • 2. Waring GO 3rd, Bourne WM, Edelhauser HF, Kenyon KR. The corneal endothelium. Normal and pathologic structure and function. Ophthalmology. 1982;89(6):531-90.
  • 3. Padilla MD, Sibayan SA, Gonzales CS. Corneal endothelial cell density and morphology in normal Filipino eyes. Cornea. 2004;23(2):129-35. [Crossref] [PubMed]
  • 4. Laing RA, Sandstrom MM, Leibowitz HM. In vivo photomicrography of the corneal endothelium. Arch Ophthalmol. 1975;93(2):143- 5. [Crossref] [PubMed]
  • 5. Laule A, Cable MK, Hoffman CE, Hanna C. Endothelial cell population changes of human cornea during life. Arch Ophthalmol. 1978;96(11):2031-5. [Crossref] [PubMed]
  • 6. Rieck PW, Gigon M, Jaroszewski J, Pleyer U, Hartmann C. Increased endothelial survival of organ-cultured corneas stored in FGF-2- supplemented serum-free medium. Invest Ophthalmol Vis Sci. 2003;44(9):3826-32. [Crossref] [PubMed]
  • 7. Rao SK, Ranjan Sen P, Fogla R, Gangadharan S, Padmanabhan P, Badrinath SS. Corneal endothelial cell density and morphology in normal Indian eyes. Cornea. 2000;19(6):820-3. [Crossref] [PubMed]
  • 8. Matsuda M, Yee RW, Edelhauser HF. Comparison of the corneal endothelium in an American and a Japanese population. Arch Ophthalmol. 1985;103(1):68-70. [Crossref] [PubMed]
  • 9. Hashemian MN, Moghimi S, Fard MA, Fallah MR, Mansouri MR. Corneal endothelial cell density and morphology in normal Iranian eyes. BMC Ophthalmol. 2006;6:9. [Crossref] [PubMed] [PMC]
  • 10. Ashraf KM, Saeed MU, Zia R. Corneal endothelial cell density in a normal Pakistani population. Eye (Lond). 2006;20(1):116-8. [Crossref] [PubMed]
  • 11. Yunliang S, Yuqiang H, Ying-Peng L, Ming-Zhi Z, Lam DS, Rao SK. Corneal endothelial cell density and morphology in healthy Chinese eyes. Cornea. 2007;26(2):130-2. [Crossref] [PubMed]
  • 12. Hoffer KJ, Kraff MC. Normal endothelial cell count range. Ophthalmology. 1980;87(9):861- 6. [Crossref]
  • 13. Yee RW, Matsuda M, Schultz RO, Edelhauser HF. Changes in the normal corneal endothelial cellular pattern as a function of age. Curr Eye Res. 1985;4(6):671-8. [Crossref] [PubMed]
  • 14. Carlson KH, Bourne WM, McLaren JW, Brubaker RF. Variations in human corneal endothelial cell morphology and permeability to fluorescein with age. Exp Eye Res. 1988;47(1):27-41. [Crossref]
  • 15. Jorge J, Queiros A, Peixoto-de-Matos SC, Ferrer-Blasco T, Gonzalez-Meijome JM. Agerelated changes of corneal endothelium in normal eyes with a non-contact specular microscope. Journal of Emmetropia. 2010;1(2):132-9.
  • 16. Arıcı C, Arslan OS, Dikkaya F. Corneal endothelial cell density and morphology in healthy Turkish eyes. J Ophthalmol. 2014;2014:852624. [Crossref]
  • 17. Duman R, Tok Çevik M, Görkem Çevik S, Duman R, Perente İ. Corneal endothelial cell density in healthy Caucasian population. Saudi J Ophthalmol. 2016;30(4):236-9. [Crossref] [PubMed] [PMC]
  • 18. Goktas A, Gumus K, Mirza GE, Crockett C, Karakucuk S, Cavanagh HD. Corneal endothelial characteristics and central corneal thickness in a population of Turkish cataract patients. Eye Contact Lens. 2012;38(3):142- 5. [Crossref] [PubMed]
  • 19. Inoue K, Tokuda Y, Inoue Y, Amano S, Oshika T, Inoue J. Corneal endothelial cell morphology in patients undergoing cataract surgery. Cornea. 2002;21(4):360-3. [Crossref] [PubMed]
  • 20. Bourne WM, Kaufman HE. Specular microscopy of human corneal endothelium in vivo. Am J Ophthalmol. 1976;81(3):319-23. [Crossref]
  • 21. Galgauskas S, Norvydaitė D, Krasauskaitė D, Stech S, Ašoklis RS. Age-related changes in corneal thickness and endothelial characteristics. Clin Interv Aging. 2013;8:1445-50. [Crossref] [PubMed] [PMC]
  • 22. Doughty MJ. Could the coefficient of variation (COV) of the corneal endothelium be overestimated when a centre-dot method is used? Clin Exp Optom. 2008;91(1):103-10. [Crossref] [PubMed]
  • 23. Patel DV, McGhee CN. Quantitative analysis of in vivo confocal microscopy images: a review. Surv Ophthalmol. 2013;58(5):466-75. [Crossref] [PubMed]
  • 24. Doughty MJ, Aakre BM. Further analysis of assessments of the coefficient of variation of corneal endothelial cell areas from specular microscopic images. Clin Exp Optom. 2008;91(5):438-46. [Crossref] [PubMed]
  • 25. Patel SV, McLaren JW, Bachman LA, Bourne WM. Comparison of flex-center, center, and cornermethods of corneal endothelial cell analysis. Cornea. 2010;29(9):1042-7. [Crossref] [PubMed]
  • 26. Doughty MJ, Müller A, Zaman ML. Assessment of the reliability of human corneal endothelial cell-density estimates using a noncontact specular microscope. Cornea. 2000;19(2):148-58. [Crossref] [PubMed]
  • 27. Scarpa F, Ruggeri A. Development of a reliable automated algorithm for the morphometric analysis of human corneal endothelium. Cornea. 2016;35(9):1222-8. [Crossref] [PubMed]
  • 28. Snellingen T, Rao GN, Shrestha JK, Huq F, Cheng H. Quantitative and morphological characteristics of the human corneal endothelium in relation to age, gender, and ethnicity in cataract populations of South Asia. Cornea. 2001;20(1):55-8. [Crossref] [PubMed]
  • 29. Rao GN, Aquavella JV, Goldberg SH, Berk SL. Pseudophakic bullous keratopathy. Relationship to preoperative corneal endothelial status. Ophthalmology. 1984;91(10):1135-40. [Crossref]
  • 30. Müller A, Craig JP, Grupcheva CN, McGhee CN. The effects of corneal parameters on the assessment of endothelial cell density in the elderly eye. Br J Ophthalmol. 2004;88(3):325- 30. [Crossref] [PubMed] [PMC]
  • 31. Lass JH, Benetz BA, Gal RL, Kollman C, Raghinaru D, Dontchey M, et al. Donor age and factors related to endothelial cell loss ten years after penetrating keratoplasty: Specular Microscopy Ancillary Study. Ophthalmology. 2013;120(12).
APA KAYAARASI OZTURKER Z, akar s, Imamoglu S, ÖZBEK FİGUEROA A, YAZGAN S, YILMAZ Ö (2019). Assessment of Corneal Endothelial Cell Status in Aging Eye. , 16 - 22. 10.5336/ophthal.2018-60329
Chicago KAYAARASI OZTURKER Zeynep,akar serpil,Imamoglu Serhat,ÖZBEK FİGUEROA Aslı,YAZGAN Serpil,YILMAZ Ömer Faruk Assessment of Corneal Endothelial Cell Status in Aging Eye. (2019): 16 - 22. 10.5336/ophthal.2018-60329
MLA KAYAARASI OZTURKER Zeynep,akar serpil,Imamoglu Serhat,ÖZBEK FİGUEROA Aslı,YAZGAN Serpil,YILMAZ Ömer Faruk Assessment of Corneal Endothelial Cell Status in Aging Eye. , 2019, ss.16 - 22. 10.5336/ophthal.2018-60329
AMA KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö Assessment of Corneal Endothelial Cell Status in Aging Eye. . 2019; 16 - 22. 10.5336/ophthal.2018-60329
Vancouver KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö Assessment of Corneal Endothelial Cell Status in Aging Eye. . 2019; 16 - 22. 10.5336/ophthal.2018-60329
IEEE KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö "Assessment of Corneal Endothelial Cell Status in Aging Eye." , ss.16 - 22, 2019. 10.5336/ophthal.2018-60329
ISNAD KAYAARASI OZTURKER, Zeynep vd. "Assessment of Corneal Endothelial Cell Status in Aging Eye". (2019), 16-22. https://doi.org/10.5336/ophthal.2018-60329
APA KAYAARASI OZTURKER Z, akar s, Imamoglu S, ÖZBEK FİGUEROA A, YAZGAN S, YILMAZ Ö (2019). Assessment of Corneal Endothelial Cell Status in Aging Eye. Türkiye Klinikleri Oftalmoloji Dergisi, 28(1), 16 - 22. 10.5336/ophthal.2018-60329
Chicago KAYAARASI OZTURKER Zeynep,akar serpil,Imamoglu Serhat,ÖZBEK FİGUEROA Aslı,YAZGAN Serpil,YILMAZ Ömer Faruk Assessment of Corneal Endothelial Cell Status in Aging Eye. Türkiye Klinikleri Oftalmoloji Dergisi 28, no.1 (2019): 16 - 22. 10.5336/ophthal.2018-60329
MLA KAYAARASI OZTURKER Zeynep,akar serpil,Imamoglu Serhat,ÖZBEK FİGUEROA Aslı,YAZGAN Serpil,YILMAZ Ömer Faruk Assessment of Corneal Endothelial Cell Status in Aging Eye. Türkiye Klinikleri Oftalmoloji Dergisi, vol.28, no.1, 2019, ss.16 - 22. 10.5336/ophthal.2018-60329
AMA KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö Assessment of Corneal Endothelial Cell Status in Aging Eye. Türkiye Klinikleri Oftalmoloji Dergisi. 2019; 28(1): 16 - 22. 10.5336/ophthal.2018-60329
Vancouver KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö Assessment of Corneal Endothelial Cell Status in Aging Eye. Türkiye Klinikleri Oftalmoloji Dergisi. 2019; 28(1): 16 - 22. 10.5336/ophthal.2018-60329
IEEE KAYAARASI OZTURKER Z,akar s,Imamoglu S,ÖZBEK FİGUEROA A,YAZGAN S,YILMAZ Ö "Assessment of Corneal Endothelial Cell Status in Aging Eye." Türkiye Klinikleri Oftalmoloji Dergisi, 28, ss.16 - 22, 2019. 10.5336/ophthal.2018-60329
ISNAD KAYAARASI OZTURKER, Zeynep vd. "Assessment of Corneal Endothelial Cell Status in Aging Eye". Türkiye Klinikleri Oftalmoloji Dergisi 28/1 (2019), 16-22. https://doi.org/10.5336/ophthal.2018-60329