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.