Screening for previous refractive surgery in eye bank corneas by using optical coherence tomography.


Journal Article

PURPOSE: To use optical coherence tomography (OCT) to detect previous refractive surgery in donor corneas. METHODS: We constructed a tabletop OCT scanner operating at 1310-nm wavelength. Donor corneas at the Cleveland Eye Bank were scanned while sealed within the sterile container immersed in Optisol GS. OCT scanning was performed with 7.6-mm-long lines (512 axial scans) along 8 meridians. Anterior and posterior corneal surfaces were automatically mapped using image processing software that we developed. Curvature was computed from the best parabolic fit in the central 5-mm diameter. Layered analysis of the stromal reflectivity was also performed. Twenty-nine corneas from 19 donors were examined. Five had a history of laser in situ keratomileusis (LASIK). RESULTS: The flap interfaces could not be visualized on slit-lamp or OCT images but were confirmed by histology. The death-to-scan time was 22.1 +/- 11.4 (SD) hours for normal corneas and 100.6 +/- 57.5 hours for LASIK corneas. The anterior surface power was 67.5 +/- 2.5 D in control corneas and 64.5 +/- 2.4 D in LASIK corneas (P = 0.023). There was no significance between the 2 groups in terms of posterior curvature and thickness parameters. The anterior/posterior reflectivity ratio in the central 4-mm diameter was significantly lower in post-LASIK corneas than in control (P < 0.05). CONCLUSIONS: OCT provides thickness, topography, and reflectivity maps of donor corneas without taking them out of preservation medium and container. The anterior curvature and the anterior/posterior stromal reflectivity ratio may be useful for detecting previous LASIK.

Full Text

Duke Authors

Cited Authors

  • Lin, RC; Li, Y; Tang, M; McLain, M; Rollins, AM; Izatt, JA; Huang, D

Published Date

  • June 2007

Published In

Volume / Issue

  • 26 / 5

Start / End Page

  • 594 - 599

PubMed ID

  • 17525658

Pubmed Central ID

  • 17525658

Electronic International Standard Serial Number (EISSN)

  • 1536-4798

International Standard Serial Number (ISSN)

  • 0277-3740

Digital Object Identifier (DOI)

  • 10.1097/ico.0b013e31803c5535


  • eng