Abstract

Previous studies have suggested that central corneal endothelial cell density (ECD) decreases from 6,100cells/mm2 in neonates to 3,100cells/mm2 in 10-year-olds. Currently data on ECD in young children as well as the trend for ECD decrease during childhood is sparse because of the difficulty of examination using existing clinic-based specular microscopes. We developed a novel method of imaging young children intraoperatively with the goal of beginning to establish age-specific normative data for ECD and hexagonality of cells (%HEX). Children were imaged using our novel technique under general anesthesia or awake in clinic using a child-friendly technique. A total of 58 children were recruited (mean age, 5.50; range, 0.44-10.36). Our cohort displayed a significant linear decrease in ECD with age (r=-0.56, P<0.001). No correlation was found between %HEX and age (r=-0.10, P=0.48).

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