Brillouin Spectroscopy of Normal and Keratoconus Corneas

Purpose To investigate the age-dependence of Brillouin spectroscopy of the cornea and to compare normal and keratoconus corneas. Design Retrospective case-control study Study Population Healthy patients and patients suffering from keratoconus seen at the Institut fur Refraktive und Ophthalmo-Chirurgie (IROC) between December 2016 and March 2017. Methods Brillouin frequency shifts of patients of 2 different groups were examined with Brillouin spectroscopy perpendicular to the corneal surface. Group 1 consisted of 47 healthy eyes, whereas group 2 included 36 eyes with keratoconus of unclear progression. Beside Brillouin examinations, corneal tomographies were acquired so that correlations and comparisons between geometrical parameters and Brillouin frequency shifts could be evaluated. Main Outcome Measures Corneal Brillouin frequency shifts averaged over full corneal thickness. Results A significant correlation between age and central Brillouin frequency shift was identified (p=0.011) with an increase in Brillouin frequency shift of 4MHz per decade in normal corneas. Keratoconus corneas have a significantly reduced Brillouin frequency shift at the thinnest point compared to normal corneas (5.7072 ± 0.0214 vs. 5.7236 ± 0.0146 GHz, p max and thinnest pachymetry for keratoconus detection. Conclusion Non-invasive Brillouin spectroscopy adds clinical information about the biomechanical state of the cornea perpendicular to the surface. An age-dependent stiffening of the cornea has been found and keratoconus corneas are statistically significantly different from normal corneas, but for precise differentiating of keratoconus stages (including normal corneas) the method is currently neither specific nor sensitive enough. Further development including standardized mapping and establishment of new indices may increase the potential of Brillouin spectroscopy substantially.