title: Two-Year Course of Corneal Densitometry After Descemet Membrane Endothelial Keratoplasty.
abstract: OBJECTIVE
  To investigate the 2-year course of corneal densitometry following Descemet membrane endothelial keratoplasty (DMEK) for Fuchs endothelial dystrophy (FED).
  
  
  METHODS
  Retrospective, interventional case series.
  
  
  METHODS
  Densitometry values (corneal light backscatter in grayscale units) measured by Scheimpflug-based imaging and clinical records of 160 eyes of 160 patients undergoing DMEK for FED were reviewed. Outcome measures included densitometry data in 4 corneal layers (anterior layer [AL], central layer [CL], posterior layer [PL], and total layer [TL]) and 2 annuli (central annular zone 0-2 mm and peripheral zone 2-10 mm), central corneal thickness (CCT), best spectacle-corrected visual acuity (BSCVA), and endothelial cell density (ECD) prior to DMEK and at 1, 3, 6, 12, and 24 months postoperatively.
  
  
  RESULTS
  Corneal densitometry decreased in all 4 layers over 2 years after DMEK surgery. Regarding TL 0-2 mm, the reduction of corneal light backscatter was statistically significant for all follow-up time points compared with preoperative values (P < .001) and compared in between follow-up periods (P ≤ .010). Corneal light backscatter reduction was significantly higher in the center (0-2 mm) than in the periphery (2-10 mm) for all layers at 12 and 24 months (P ≤ .002). ECD and CCT did not correlate with corneal densitometry, whereas BSCVA correlated moderately for TL 0-2 mm (P = .026; r = 0.449) and TL 2-10 mm (P = .001; r = 0.585) at 12 months.
  
  
  CONCLUSIONS
  Corneal light backscatter showed a significant reduction after DMEK surgery in Fuchs endothelial dystrophy over a period of 2 years, more pronounced in the corneal center, apparently in association with visual acuity improvement.
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany. Electronic address: friederike.schaub@uk-koeln.de.
authors.forename: Friederike
authors.initials: F
authors.lastname: Schaub
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany.
authors.forename: Philip
authors.initials: P
authors.lastname: Enders
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany.
authors.forename: Cornelius
authors.initials: C
authors.lastname: Bluhm
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany.
authors.forename: Björn O
authors.initials: BO
authors.lastname: Bachmann
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany.
authors.forename: Claus
authors.initials: C
authors.lastname: Cursiefen
authors.affiliation: Department of Ophthalmology, University of Cologne, Cologne, Germany.
authors.forename: Ludwig M
authors.initials: LM
authors.lastname: Heindl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003315:Cornea / Q000000981:diagnostic imaging* / Q000601:surgery; D063171:Corneal Pachymetry / Q000379:methods; D003720:Densitometry / Q000379:methods*; D057111:Descemet Stripping Endothelial Keratoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005642:Fuchs' Endothelial Dystrophy / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013997:Time Factors; D014792:Visual Acuity