Corneal endothelial evaluation after phacoemulsification and silicone oil removal via an anterior approach.
prospective_cohort · Level II
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Abstract
To determine the effect of simultaneous phacoemulsification and silicone oil removal via an anterior approach on the endothelial cell density (ECD). In this prospective study, the authors measured the ECD before and 6 weeks after surgery using an automatic noncontact specular endothelial microscope. Nine patients underwent phacoemulsification and silicone oil removal via an anterior approach using a closed system and separation of irrigation/aspiration function. Of nine patients, four (five eyes) were diabetic and five (five eyes) were nondiabetic. The postoperative ECD of the entire population was statistically different (P<0.01) from baseline and the average endothelial cell loss was 6.7%. Combined phacoemulsification and silicone oil removal via an anterior approach using a close system and separation of irrigation/aspiration function is safe to the corneal endothelium.
Medical subject headings
- Drainage
- Endothelium, Corneal
- Phacoemulsification
- Silicone Oils