Corneal endothelial damage in phacoemulsification using an anterior chamber maintainer compared with using an ophthalmic viscosurgical device

Simple item page
dc.contributor.authorMayali, H
dc.contributor.authorBaser, EF
dc.contributor.authorKurt, E
dc.contributor.authorIlker, SS
dc.date.accessioned2024-07-18T11:49:12Z
dc.date.available2024-07-18T11:49:12Z
dc.description.abstractPurpose: To compare the effects of phacoemulsification surgery (PE) using an anterior chamber maintainer (ACM) and conventional PE using an ophthalmic viscosurgical device (OVD) on corneal endothelial cells. Setting: Department of Ophthalmology, Celal Bayar University, Manisa, Turkey. Design: Prospective randomized controlled trial. Methods: Eyes in the OVD group (n = 50) underwent conventional PE, whereas eyes in the ACM group (n = 50) underwent PE using an ACM. Endothelial cell density (ECD), coefficient of variation (CV), hexagonality (HEX), and noncontact central corneal thickness (CCT) measurements were performed by specular microscopy before and at 1 month, 3 months, and 6 months after PE. Results: This study included 100 eyes of 97 patients undergoing PE. The mean age was 64.7 ? 10.6 years in the OVD group, 64.0 ? 12.6 years in the ACM group (P > .05). The groups did not differ significantly in preoperative ECD, CV, HEX, and CCT or total PE time (P > .05 for all). ECD was significantly lower in the ACM group compared with the OVD group at postoperative 1 month, 3 months, and 6 months (P = .002, P = .002, and P = .001, respectively). Similarly, ECD loss compared with preoperative value was greater in the ACM group at all postoperative timepoints (P = .003, P = .001, and P = .001, respectively). CV increased and HEX decreased in both groups postoperatively (P > .05 for both). CCT showed a transient increase of less than 10 mm at postoperative 1 month in both groups (P = .296). Conclusions: PE with ACM was associated with greater corneal ECD loss compared with conventional PE. ACM should not be used during PE in patients with limited corneal endothelial reserve. J Cataract Refract Surg 2021; 47:612?617 Copyright ? 2021 Published by Wolters Kluwer on behalf of ASCRS and ESCRS
dc.identifier.issn0886-3350
dc.identifier.other1873-4502
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/3848
dc.language.isoEnglish
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.subjectINTRAOCULAR-LENS IMPLANTATION
dc.subjectVISCOELASTIC SUBSTANCES
dc.subjectCATARACT-SURGERY
dc.subjectCELL LOSS
dc.subjectHEALON5
dc.subjectPROTECTION
dc.subjectTHICKNESS
dc.subjectPRESSURE
dc.subjectDENSITY
dc.titleCorneal endothelial damage in phacoemulsification using an anterior chamber maintainer compared with using an ophthalmic viscosurgical device
dc.typeArticle

Files

Collections

Web of Science Koleksiyonu