Skip to main content
. 2022 Feb 4;9:810536. doi: 10.3389/fmed.2022.810536

Table 3.

Factors associated with postoperative endothelial cell density.

Univariate models*, Multivariate models*,
Prognostic factor n Mean ECD at 24-month (95% CI) p Mean %ECD loss at 24-month (95% CI) p
Donor age, y
 18–59 107 992 (883–1,100) 0.08 63.4 (59.6–67.3) 0.21
 60–69 128 981 (870–1,092) 64.1 (60.3–68.0)
 70–79 116 767 (672–862) 70.7 (67.1–74.1)
 80–95 32 799 (577–1,022) 71.3 (64.0–78.7)
Donor lens status
 Phakic 312 967 (900–1,033) 0.02 64.3 (61.9–66.6) <0.001
 IOL 71 628 (522–734) 76.5 (72.7–80.2)
Graft ECD, cells/mm2
 2,010–2,499 111 669 (590–747) 0.07 70.8 (67.3–74.2) 0.08
 2,500–2,749 123 845 (752–938) 67.4 (63.8–71.0)
 2,750–2,999 75 1013 (881–1,145) 64.7 (60.1–69.3)
 3,000–3,812 74 1244 (1,073–1,414) 60.5 (54.9–66.0)
Endothelial folds§
 None 105 1069 (959–1,179) 0.04 60.2 (56.2–64.3) 0.002
 Mild to moderate 278 842 (773–911) 68.9 (66.5–71.3)
Recipient sex
 Male 133 828 (729–927) 0.05 69.4 (65.9–72.8) 0.07
 Female 250 944 (871–1,018) 65.0 (62.4–67.6)
Etiology
 FECD 35 1245 (1,043–1,448) 0.06 54.7 (47.8–61.6) 0.001
 Non-FECD 348 867 (808–931) 67.7 (65.6–69.8)

CI, confidence interval; ECD, endothelial cell density; FECD, Fuchs' endothelial corneal dystrophy; IOL, intraocular lens.

*

Adjusted for recipient and surgeon (random effect).

The interaction of potential risk factors and postoperative time were analyzed.

The percentage ECD loss at 24-month is calculated as (24-month ECD – graft ECD)/graft ECD × 100.

§

Grafts without folds were defined as having “no graft folds,” “mild graft folds” were defined by the presence of graft folds limited to <25% of the area of the total cornea, and “moderate graft folds” were defined by the presence of graft folds occupying more than 25% of the area of the total cornea.

Bold numbers indicate P < 0.05.