Purpose: The immunohistochemical staining characteristics of corneal endothelium was studied to clarify the usefulness of these stains in the pathologic diagnosis of epithelial downgrowth. Methods: Tissue sections of formalin-fixed, paraffin-embedded corneal specimens (keratoconus, pseudophakic bullous keratopathy, epithelial downgrowth, failed corneal grafts with retrocorneal fibrous membranes, and postmortem control corneas) were immunostained with a panel of corneal epithelial and endothelial markers (EMA, KAE 1/3, CAM5.2, Factor VIII, CD-34, CD-31) and with Vimentin using the Strept-Avidin technique (Dako). Results: Corneal endothelium is immunonegative for endothelial cell markers (CD-34,CD-31, and Factor VIII) and displays immunopositivity for epithelial markers (KAE 1/3, CAM 5.2). Both retrocorneal fibrous membranes and epithelial downgrowth were immunopositive for KAE1/3, CAMS.2, and Vimentin, with epithelial downgrowth additionally positive for EMA. Conclusion: Immunohistochemistry is of limited usefulness in the pathologic differentiation of corneal endothelium from epithelial downgrowth and from retrocorneal fibrous membrane formation.
|Original language||English (US)|
|Journal||Investigative Ophthalmology and Visual Science|
|State||Published - Feb 15 1996|
ASJC Scopus subject areas
- Sensory Systems
- Cellular and Molecular Neuroscience