Cornea Image Analysis Reading Center

Established in 1989 at Case Western Reserve University and University Hospitals Cleveland Medical Center, the Cornea Image Analysis Reading Center (CIARC) - formerly the Specular Microscopy Reading Center (SMRC) - has participated in numerous corporate and federal clinical studies (Cornea Donor Study and Cornea Preservation Time Study) requiring standardized determination of corneal endothelial cell density and morphology [coefficient of variation (CV) and % of hexagonal cells (HEX)] from specular and confocal images, corneal thickness across corneal layers by OCT, as well as qualitative and quantitative assessment of the corneal epithelium, the sub-basal nerve plexus, and stroma (e.g. cellular density, thickness, reflectivity) from confocal and OCT images. In addition, the CIARC performs qualitative and quantitative assessments from external eye and slit lamp images including corneal staining and pharmaceutical impact on lashes and iris color.