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L.E. Fernandez de Castro, H.P. Sandoval, D.T. Vroman, K.D. Solomon; Corneal Endothelial Cell Loss after Lens Extraction Using the Fluid–based System Compared to Ultrasound Phacoemulsification . Invest. Ophthalmol. Vis. Sci. 2004;45(13):295.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To compare the endothelial cell loss after lens removal using a fluid–based system with conventional ultrasound. Methods: Twenty human cadaver eyes were randomized to undergo phacoemulsification using either a fluid–based system or conventional ultrasound. After surgery, each corneoscleral button was removed; stained and damaged endothelial cells per mm2 were assessed using light microscopy. Results: Fluid–based system mean damaged endothelial cell/mm2 was 60.2 ±24.1 compared to 60.4 ±42.6 when using conventional ultrasound (P = .248). Conclusions: The fluid–based system is as safe for the corneal endothelium as conventional ultrasound during cataract removal in human cadaver eyes.
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