Review Article

Risk Factors for Endothelial Decompensation after Penetrating Keratoplasty and Its Novel Therapeutic Strategies

Table 2

Studies on 5-year and 10-year ECD after PKP.

StudySample size (the number of eyes)Baseline mean ECD (95% confidence interval)ECD (95% confidence interval)ECD loss (%)Precision of measurementsFollow-up time
5 years10 years

Lass et al. [3]10902661 (95% confidence interval not available)614 (95% confidence interval not available)77% from baseline to 5 yearsUsing a specular microscope10 years
Kettesy et al. [23]681501 (1442, 1560) (at examination time)15.8% per year in first 2 yearsUsing a contact specular microscope67.8 ± 74.1 months (range: 12–276 months)
Abbott et al. [26]100684 (at examination time)With specular microscopyAverage follow-up of 17.4 years (range 10–36 years)
Linn et al. [27]55941(832, 1050) (at examination time)50 % per 10 yearsUsing Zeiss noncontact endothelial lens2.5 years to 35 years
Minimum 41 of cells were counted
Lass et al. [28]5672698 (95% confidence interval not available)778 (95% confidence interval not available)70% from baseline to 5 yearsUsing a specular microscope5 years
Patel et al. [8]3932973 (2919, 3027)1191 (1116, 1266)960 (876, 1044)67 ± 17 (%) from baseline to 10 yearsUsing a specular microscope20 years
Bourne et al. [29]
Patel et al. [15]The outlines or apices of at least 50 endothelial cells were digitized
Ing et al. [24]
Borderie et al. [9]11442264 (2247, 2281)1058 (95% confidence interval not available)865 (95% confidence interval not available)41 ± 24% over the first 2 years, followed by a 10 ± 6% yearly decrease afterwardUsing wide-field specular microscopy40.5 ± 32.1 months
Inoue et al. [30]15998 (824, 1172)12.1 ± 16.3% from 10 years to 20 yearsUsing nonapplanation contact specular microscopy24.8 ± 3.1 years
A minimum of 50 cells was counted in each photograph
Lass et al. [31]1762695 (2498, 2890)786 (616, 1343)611 (502, 769)76%Using specular or confocal microscope10 years
95% confidence interval (70%, 82%)With masked image quality grading and ECD determination
From baseline to 10 yearsMinimum 15 of cells of each variable frame

Data from the same group and same research population.