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Validation of IVCM in measuring sub-basal nerve plexus and keratocyte cell density in corneal wound healing

Md Rejab, Noor Shazana and Hilmi, Mohd Radzi and Mohd. Kamal, Khairidzan (2022) Validation of IVCM in measuring sub-basal nerve plexus and keratocyte cell density in corneal wound healing. Journal of Ophthalmic Research and Vision Care, 2 (1). pp. 1-9. ISSN 2831-7459

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Abstract

Introduction: This study aimed to evaluate the reliability measurement of corneal stromal thickness, sub-basal nerve plexus (SBNP) and keratocyte cell density (KCD) in laser refractive surgery patients. Methods: 120 eyes of 60 participants were recruited and both right and left eyes of the myopic subjects were measured separately. Cornea stromal thickness were measured based on the cellular morphology that differs between each corneal layer. Measurement of SBNP and KCD were done using in-vivo confocal microscopy (IVCM) using corneal stromal thickness as reference. Corneal nerve parameters measured includes nerve fiber density (NFD), nerve branch Density (NBD) and nerve fiber length (NFL) while KCD were measured based the amount per area, depending on the region of interest. All images were captured and processed using ImageJTM Software and NeuronJ. All data were expressed in mean and standard deviation. Statistical analyses were performed using Predictive analytics software. P < 0.05 was set as the level of significance. Intra- and inter-observer intraclass correlation analysis were done to evaluate reliability of measurement in corneal stromal thickness, SBNP and KCD. Results: This study found no significant difference between measurements for corneal stromal thickness, SBNP and KCD measured. (All P > 0.05). Intraclass correlation analysis showed both intra- and inter-observer performance were approximately consistent and reliable (All r > 0.90, P > 0.05). Conclusion: Measurement of corneal stromal thickness, SBNP and KCD using IVCM is valid and reliable.

Item Type: Article (Journal)
Additional Information: 7746/108999
Uncontrolled Keywords: in-vivo corneal confocal microscopy, sub-basal nerve plexus, keratocyte cell density, myopia
Subjects: R Medicine > RE Ophthalmology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Allied Health Sciences
Kulliyyah of Allied Health Sciences > Department of Optometry and Visual Science
Kulliyyah of Medicine
Kulliyyah of Medicine > Department of Ophthalmology
Depositing User: Dr Mohd Radzi Hilmi
Date Deposited: 20 Dec 2023 09:05
Last Modified: 20 Dec 2023 09:05
URI: http://irep.iium.edu.my/id/eprint/108999

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