Title: partIcUlar spEcUlar MIcrOscOpy aspEcts Of thE cOrNEal ENDOthElIUM rEgarDINg cataract sUrgEry
Abstract: Objective: To evaluate some particular cases with endothelial pathology using specular microscopy and to compare it with normal corneas before and after cataract surgery. Material and methods: The study included 23 patients with cataract (9 with guttata; 9 with no corneal pathology; 5 with anterior chamber implant in one eye and posterior chamber implant in the other). Specular microscopy was performed in all cases. Results: Preoperatively we observed statistically significant differences (p = 0.012) in endothelial cell density - the cell density is lower in cornea group. Also in mean endothelial cell area (p = 0.012) - the area is bigger in cornea group. The decrease in endothelial cell density was statistically significant (p = 0.039) postoperatively in guttata group compared to the other group. In all cases with anterior chamber implants was observed a significant increase (p < 0.001) in endothelial cell loss in the eye with anterior chamber implant, compared with the one with posterior chamber implant. Conclusions: After cataract surgery, endothelial cell loss is due to surgical trauma. This indicates the need to protect the endothelium during surgery but also points to closer examination of the endothelial cell population before surgery including specular microscopy.
Publication Year: 2008
Publication Date: 2008-01-01
Language: en
Type: article
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