Risk Factors for Endothelial Cell Loss after Phacoemulsification: Comparison in Different Anterior Chamber Depth Groups |
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| Authors: | Yang Kyeung Cho Hwa Seok Chang and Man Soo Kim |
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| Institution: | 1Department of Ophthalmology, St. Vincent''s Hospital, The Catholic University of Korea, Suwon, Korea.;2Department of Veterinary Surgery, KonKuk University, Seoul, Korea.;3Department of Ophthalmology, Seoul St. Mary Hospital, The Catholic University of Korea, Seoul, Korea. |
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| Abstract: | PurposeTo assess the risk factors for endothelial cell loss after phacoemulsification with implantation of intraocular lens according to anterior chamber depth (ACD).MethodsThis prospective study included 94 eyes of 94 patients undergoing phacoemulsification cataract surgery. To assess the risk factors for corneal endothelial cell loss, we examined seven variables at 1 day, 1 week, 6 weeks, and 12 weeks postoperatively in each ACD-stratified group.ResultsMultiple linear regression analysis showed that the only variable influencing the percentage decrease in corneal endothelial cell density throughout the postoperative follow-up period in the long ACD group (ACD III) was nucleosclerosis. The variables influencing the percentage decrease in corneal endothelial cell density in the short ACD group (ACD I) at one day and one week postoperatively were corneal incisional tunnel length and nucleosclerosis.ConclusionsRisk factors for endothelial cell loss after phaoemulsification were different according to ACD. Long corneal tunnel length can be one of the risk factors for endothelial cell loss in short ACD eyes. |
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| Keywords: | Endothelial cell density Phacoemulsification Tunnel length |
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