Age related changes seen in human cornea in formalin fixed sections and on biomicroscopy in living subjects: A comparison

The purpose of our experimental research was to assess the effects of aging on the main corneal structures in healthy corneas. Small, human cornea samples were collected from 20 Caucasian subjects during surgery for traumatic lesions to the eye. Ten subjects were adults (mean age 28 years) and 10 we...

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Veröffentlicht in:Clinical anatomy (New York, N.Y.) N.Y.), 2020-03, Vol.33 (2), p.245-256
Hauptverfasser: Taurone, Samanta, Miglietta, Selenia, Spoletini, Marialuisa, Feher, Janos, Artico, Marco, Papa, Veronica, Matassa, Roberto, Familiari, Giuseppe, Gobbi, Pietro, Micera, Alessandra
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container_title Clinical anatomy (New York, N.Y.)
container_volume 33
creator Taurone, Samanta
Miglietta, Selenia
Spoletini, Marialuisa
Feher, Janos
Artico, Marco
Papa, Veronica
Matassa, Roberto
Familiari, Giuseppe
Gobbi, Pietro
Micera, Alessandra
description The purpose of our experimental research was to assess the effects of aging on the main corneal structures in healthy corneas. Small, human cornea samples were collected from 20 Caucasian subjects during surgery for traumatic lesions to the eye. Ten subjects were adults (mean age 28 years) and 10 were elderly (mean age 76 years). Morphological analysis was carried out using light microscopy and electron microscopy. Another 40 patients (20 young: mean age < 30 years; 20 elderly: mean age > 70 years) were studied in vivo by confocal microscopy. The resulting images were analyzed qualitatively, quantitatively, and statistically. The basic light microscope revealed a decrease in endothelial cell density with age accompanied by an increase in endothelial cell size. Transmission electron microscopy revealed a corneal thinning and a decrease in the number of corneal stromal cells. A marked decrease in stromal nerve fibers was observed in the older subjects compared to the younger ones. Variable pressure scanning electron microscopy (VP‐SEM) was used to make surface morphological observations and to determine the chemical composition of in vivo hydrated human corneas. Our results showed the effects of aging on normal corneal morphology highlighting the structural diversity of the corneal layers and revealing an age‐related reduction in nerve fibers, thus explaining the decreased corneal sensitivity that may be observed in the elderly. Clin. Anat. 33:245–256, 2020. © 2019 Wiley Periodicals, Inc.
doi_str_mv 10.1002/ca.23488
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Small, human cornea samples were collected from 20 Caucasian subjects during surgery for traumatic lesions to the eye. Ten subjects were adults (mean age 28 years) and 10 were elderly (mean age 76 years). Morphological analysis was carried out using light microscopy and electron microscopy. Another 40 patients (20 young: mean age &lt; 30 years; 20 elderly: mean age &gt; 70 years) were studied in vivo by confocal microscopy. The resulting images were analyzed qualitatively, quantitatively, and statistically. The basic light microscope revealed a decrease in endothelial cell density with age accompanied by an increase in endothelial cell size. Transmission electron microscopy revealed a corneal thinning and a decrease in the number of corneal stromal cells. A marked decrease in stromal nerve fibers was observed in the older subjects compared to the younger ones. Variable pressure scanning electron microscopy (VP‐SEM) was used to make surface morphological observations and to determine the chemical composition of in vivo hydrated human corneas. Our results showed the effects of aging on normal corneal morphology highlighting the structural diversity of the corneal layers and revealing an age‐related reduction in nerve fibers, thus explaining the decreased corneal sensitivity that may be observed in the elderly. Clin. 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subjects Age
age‐related changes
Aging
Cell density
Cell size
Chemical composition
Confocal microscopy
Cornea
Electron microscopy
Endothelial cells
Experimental research
Fibers
Geriatrics
ICVM
In vivo methods and tests
light microscope
Light microscopy
Microscopy
Morphology
nerve fibers
Older people
Optical microscopy
Organic chemistry
Original Communication
Original Communications
Scanning electron microscopy
Statistical methods
Stromal cells
Surgery
TEM
Transmission electron microscopy
VP‐SEM
title Age related changes seen in human cornea in formalin fixed sections and on biomicroscopy in living subjects: A comparison
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