Purpose. To examine the effect of donor age on the morphologic variation of
cultured human corneal endothelial cells (HCEC). Methods. HCEC were obtain
ed from the remaining corneoscleral rims of seven human corneas used for pe
netrating keratoplasty. The donor age ranged from 2 to 75 years. Primary cu
ltures were established from explants of the endothelial cell layer, includ
ing the Descemet's membrane, and were propagated on culture dishes coated w
ith bovine corneal endothelial extracellular matrix. At the fourth passage,
frequency distribution of cell area in the confluent monolayer was calcula
ted and the effect of donor age on cell area was analyzed. Results. The per
centage of HCEC with cell area over 2000 mum(2) significantly increased wit
h donor age (r = 0.935, p = 0.0007). Conclusion. Cultured HCEC established
from older donor tissue display greater heterogeneity. The use of HCEC from
younger donors may be preferable to maximize the benefits of HCEC transpla
ntation.