Measurements of Microkeratome Cuts in Donor Corneas With Ultrasound and Optical Coherence Tomography

Measurements of Microkeratome Cuts in Donor Corneas With Ultrasound and Optical Coherence Tomography

Author Tang, Maolong Google Scholar
Ward, Donald Google Scholar
Ramos, Jose Luiz Branco Google Scholar
Li, Yan Google Scholar
Schor, Paulo Autor UNIFESP Google Scholar
Huang, David Google Scholar
Institution Univ So Calif
Tissue Banks Int
Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: To evaluate optical coherence tomography (OCT) in the measurement of donor corneas in preparation for endothelial keratoplasty.Methods: Donor corneas were imaged by OCT while immersed in preservation medium. Central corneal thickness (CCT) was measured by OCT from the Bowman layer to the endothelium. the corneas were then mounted on an artificial anterior chamber, and the epithelium was removed. Ultrasound pachymetry (USP) was used to measure CCT just before sectioning with a microkeratome. the central graft thickness (CGT) was measured by USP. the graft was then returned to the medium and imaged by OCT.Results: the study included 154 donor corneas. the average CCT measured by OCT (550 +/- 63 mu m) was thicker (P < 0.001) than that measured by USP (507 +/- 54 mu m). Similarly, the CGT measured by OCT (158 +/- 41 mu m) was thicker (P = 0.0005) than that measured by USP (153 +/- 38 mu m). the predictability of cut depth, as assessed by pooled standard deviation (SD), was better (P = 0.023) for USP (41 mu m) compared with OCT (48 mu m). the graft was thicker (P < 0.001) peripherally than centrally in OCT images. the predictability of cut depth by OCT was better (P < 0.001) for corneas thinner than 600 mu m (SD = 45.6 mu m) compared with those thicker than 600 mu m (SD = 86.9 mu m).Conclusions: the donor corneal measurements by OCT were not as predictable as those by USP. the predictability of graft thickness, however, could be optimized using OCT to select for corneas thinner than 600 mu m and then using immediate precut USP to set the microkeratome depth. A graft thickness profile measured by OCT could be useful to the surgeon.
Keywords eye bank
donor cornea
endothelial keratoplasty
DSAEK
optical coherence tomography
ultrasound pachymetry
Language English
Sponsor National Institutes of Health
Research to Prevent Blindness, Inc
Charles C. Manger III, MD, Chair in Corneal Laser Surgery
Grant number National Institutes of Health: R01 EY017723
National Institutes of Health: EY018184
Date 2012-02-01
Published in Cornea. Philadelphia: Lippincott Williams & Wilkins, v. 31, n. 2, p. 145-149, 2012.
ISSN 0277-3740 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 145-149
Origin http://dx.doi.org/10.1097/ICO.0b013e318221cef8
Access rights Closed access
Type Article
Web of Science ID WOS:000300059400009
URI http://repositorio.unifesp.br/handle/11600/34605

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