May 2006
Volume 47, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2006
Influence of a 2,75mm and 4,00mm Corneal Incision in Endothelial Cell Loss After Cataract Surgery
Author Affiliations & Notes
  • F. Breowicz
    Ophthalmology, UNIVALI, Balneario Camboriu, Brazil
  • A. Figueiredo
    Ophthalmology, UNIVALI, Balneario Camboriu, Brazil
  • G. Lima
    Ophthalmology, UNIVALI, Balneario Camboriu, Brazil
  • F. Ramalho
    Ophthalmology, UNIVALI, Balneario Camboriu, Brazil
  • P. Ferreira
    Ophthalmology, UNIVALI, Balneario Camboriu, Brazil
  • Footnotes
    Commercial Relationships  F. Breowicz, None; A. Figueiredo, None; G. Lima, None; F. Ramalho, None; P. Ferreira, None.
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science May 2006, Vol.47, 622. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      F. Breowicz, A. Figueiredo, G. Lima, F. Ramalho, P. Ferreira; Influence of a 2,75mm and 4,00mm Corneal Incision in Endothelial Cell Loss After Cataract Surgery . Invest. Ophthalmol. Vis. Sci. 2006;47(13):622.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : To compare endothelial cell loss following a temporal 2.75 mm and 4.0 mm clear corneal incision following phacoemulsification.

Methods: : One hundred patients with senile cataracts grade 1 (soft nucleus) had inserted a single piece acrylic IOL with a 6.0 mm optic (Acrysof SA60AT) injected through a 2.75 mm (group 1, n= 50) and through a 4,00mm (group 2, n=50) with a lens forceps.. Exclusion criteria were history of corneal disease, ocular trauma and inflammation. All surgeries were performed by the same surgeon with standard technique. Endothelial densities of the cornea were measured with specular microscopy before and three months after surgery.

Results: : The initial preoperative mean cell count for the entire sample was 2498. An average 7,07% (5,87% to 10,32%) reduction in cell count was recorded by 3 months postoperatively in group one, and 10,89% (6,19 to 13,66%) in group two.

Conclusions: : The surgeon may prefer the smallest possible incision not only to maintain a stable chamber and a faster recovery, but also because appears to be more effective in order to avoid endothelial cell trauma during surgery.

Keywords: cataract • cornea: endothelium • intraocular lens 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×