Corneal endothelial evaluation after phacoemulsification in eyes with pseudoexfoliation syndrome

Purpose The aim of this study was to evaluate the corneal endothelial cell changes after phacoemulsification in patients with age-related cataract and pseudoexfoliation (PEX) syndrome compared with control patients having age-related cataract using specular microscopy. Patients and methods In this p...

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Bibliographic Details
Published in:Delta Journal of Ophthalmology 2022-10, Vol.23 (4), p.241-247
Main Authors: Ramage A Fahmy, Mahmoud M Mohamed Genidy, Raafat M.A Abdalla, Hosny A Zein
Format: Article
Language:English
Subjects:
corneal endothelium
phacoemulsification
pseudoexfoliation
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Summary:Purpose The aim of this study was to evaluate the corneal endothelial cell changes after phacoemulsification in patients with age-related cataract and pseudoexfoliation (PEX) syndrome compared with control patients having age-related cataract using specular microscopy. Patients and methods In this prospective interventional case–control study, 20 eyes with cataract and PEX and 20 control eyes with cataract without PEX were subjected to phacoemulsification and posterior chamber foldable intraocular lens implantation at Minia University Hospital and Genaidy Eye Center, Minia, Egypt, between March 2019 and December 2020. Specular microscopy was done preoperatively and at 3 and 6 months postoperatively. The endothelial cell density (ECD), coefficient of variation, hexagonality (HEX%), pleomorphism, and corneal thickness were evaluated and compared between PEX and control eyes. Results The median best-corrected visual acuity improved significantly from a preoperative value of 0.3 in both groups to 0.5 and 0.6 in PEX and control groups, respectively, at 3 and 6 months postoperatively (P
ISSN:1110-9173
2090-4835
DOI:10.4103/djo.djo_45_22