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From the Department of Ophthalmology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
PURPOSE. To elucidate the structure of the human corneoscleral limbus by in vivo laser scanning confocal microscopy and to correlate limbal epithelial dimensions and density with the central epithelium and in relation to age.
METHODS. Fifty adult subjects were recruited into one of two age groups: younger (age <45 years) and older (age
45 years). Fifty left eyes of these 50 healthy subjects were examined by laser scanning in vivo confocal microscopy, to assess the basal epithelium of the central cornea and inferior limbus. Mean epithelial cell diameter, area, and density were calculated for the central basal epithelium, limbuscorneal basal epithelium, and limbuspalisade epithelium.
RESULTS. Data were analyzed in relation to the two age groups, group A, 30 ± 6 years (n = 25; mean ± SD), and group B, 60 ± 11 years (n = 25; P < 0.01). Mean epithelial density in the limbuscornea and limbuspalisade regions decreased significantly with age: limbuscornea group A = 7253 ± 1077 cells/mm2 group B = 6614 ± 987 cells/mm2, P = 0.03; limbus palisade group A = 5409 ± 799 cells/mm2, group B = 5055 ± 722 cells/mm2, P = 0.03). Central corneal epithelial density did not change with age: group A = 6162 ± 503 cells/mm2, group B = 6362 ± 614 cells/mm2, P = 0.08. Mean epithelial density was greatest at the limbuscornea (7010 ± 1081 cells/mm2) and lowest at the limbuspalisades (5289 ± 847 cells/mm2). The mean width of palisade ridges was 25.0 ± 6.3 µm.
CONCLUSIONS. This is the first study to image clearly the living human corneal limbus by laser scanning in vivo confocal microscopy and to demonstrate quantitative changes in the basal epithelium with age.
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