Investigation of importance of the structural parameters of the eyeball and of the technical parameters of cataract surgery on corneal endothelial changes

• Published in: Romanian journal of ophthalmology 2018-07, Vol.62 (3), p.203-211
• Main Authors: Nanu, Razvan Vladimir, Ungureanu, Emil, Istrate, Sinziana Luminita, Vrapciu, Alexandra, Cozubas, Roxana, Carstocea, Laura, Voinea, Liliana Mary, Ciuluvica, Radu
• Format: Article
• Language: English
• Subjects: Adult; Cataract; Cataract Extraction; Cornea - cytology; Humans; Lens Implantation, Intraocular; Lens, Crystalline; Ophthalmology; Phacoemulsification; Prospective Studies; Reproducibility of Results
• ISSN: 2457-4325; 2501-2533
• DOI: 10.22336/rjo.2018.31

was to look into the importance of the structural parameters of the eyeball, in relationship with the technical parameters of cataract surgery regarding the corneal endothelial changes made by it. The paper refers at a prospective study in which we included eighty-eight consecutive eyes from eighty-six different patients having age-related cataract and a visual acuity of a values less than 0.8 considering best possible correction with it. The patients didn't have other obvious causes for the decreased visual acuity. The patients included in the present study were admitted at the Ophthalmology Department from Bucharest University Emergency Hospital between the month of April 2015 and February 2016 (ten months). When we compared lots A, B with C, in regarding to the decrease of EDC, the results were relatively very similar. We had only one comparison for which we obtained a statistical significance, and that was for cataracts classified as group IV of hardness; here, between the first and the third lot, at seven days postoperatively we obtain p = 0.0472812. The conclusion for the present research was that in regarding cataract phaco-emulsification surgery we obtained a statistical significance when it comes to the destruction of epithelial cells. The results were observed, giving the depth of the anterior chamber, in cataracts classified in subgroup IV of hardness, only between patients who had a small depth of chamber comparing with those who had a large depth of the anterior chamber of the eye. When it comes to patients who had severe cataracts and small ACD, we need to attract more attention when the surgeon performs the maneuver and to keep an eye on the use of the adhesives which has viscoelastic in order to obtain additional corneal protection. : ACD = anterior chamber depth; ECD = endothelial cell density, EPT = effective time of phacoemulsification.