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Specular Microscopy in Cataract and Intraocular Lens Patients: A Report of 564 Cases

Specular Microscopy in Cataract and Intraocular Lens Patients: A Report of 564 Cases Abstract • We studied 564 patients who underwent cataract surgery, using preoperative and postoperative endothelial cell photographs and corneal thickness measurements. No statistically significant difference was noted in endothelial cell loss between patients with intracapsular cataract extraction (12.6%) and those undergoing posterior chamber phacoemulsification (15.2%). Both procedures had significantly less cell loss than with anterior chamber phacoemulsification (27.3%). Intraocular lens implantation produced a mean endothelial cell loss of 15.8% to 20.9%, depending on surgical technique and implant type. A Choycestyle lens resulted in statistically less cell loss than with other implants. Mean endothelial cell loss was 17.8% with clinically atraumatic and 27.3% with clinically traumatic implantations. Corneal thickness measurements did not correlate with endothelial cell loss or trauma observed clinically at the time of surgery and did not seem helpful in the preoperative evaluation of cataract cases. References 1. Maurice DM: Cellular membrane activity in the corneal endothelium of the intact eye . Experientia 24:1094-1095, 1968.Crossref 2. Bourne WM, Kaufman HE: Specular microscopy of human corneal endothelium in vivo . Am J Ophthalmol 81:319-323, 1976. 3. Laing RA, Sandstrom MM, Leibowitz HM: In vivo photomicrography of the corneal endothelium . Arch Ophthalmol 93:143-145, 1975.Crossref 4. Bourne WM, Kaufman HE: Endothelial damage associated with intraocular lenses . Am J Ophthalmol 81:482-485, 1976. 5. Forstot SL, Blackwell WL, Jaffe NS, et al: The effect of intraocular lens implantation on the corneal endothelium . Trans Am Acad Ophthalmol Otolaryngol 83:195-203, 1977. 6. Hirst LW, Snip RC, Stark WJ, et al: Quantitative corneal endothelial evaluation in intraocular lens implantation and cataract surgery . Am J Ophthalmol 84:775-780, 1977. 7. Sugar A, Fetherolf EC, Lin LLK, et al: Endothelial cell loss from intraocular lens insertion . Ophthalmology 85:394-399, 1978.Crossref 8. Sugar J, Mitchelson J, Kraff M: Endothelial trauma and cell loss from intraocular lens insertion . Arch Ophthalmol 96:449-450, 1978.Crossref 9. Kraff MC, Sanders DR, Lieberman HL: Endothelial cell loss and trauma during intraocular lens implantation: A specular microscopic study . J Am Intraocul Implant Soc 4:107-109, 1978. 10. Sugar J, Mitchelson J, Kraff M: The effect of phacoemulsification on corneal endothelial cell density . Arch Ophthalmol 96:446-448, 1978.Crossref 11. Drews RC, Waltman SR: Endothelial cell loss in intraocular lens placement . J Am Intraocul Implant Soc 4:14-16, 1978. 12. Cozean CH Jr, Waltman SR: Endothelial cell loss with the Choyce anterior chamber lens . J Am Intraocul Implant Soc 5:13-14, 1979. 13. Galin MA, Fetherolf E, Lin L, et al: Symposium on intraocular lenses: Experimental cataract surgery . Ophthalmology 86:213-218, 1979.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Specular Microscopy in Cataract and Intraocular Lens Patients: A Report of 564 Cases

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1980.01020040634009
Publisher site
See Article on Publisher Site

Abstract

Abstract • We studied 564 patients who underwent cataract surgery, using preoperative and postoperative endothelial cell photographs and corneal thickness measurements. No statistically significant difference was noted in endothelial cell loss between patients with intracapsular cataract extraction (12.6%) and those undergoing posterior chamber phacoemulsification (15.2%). Both procedures had significantly less cell loss than with anterior chamber phacoemulsification (27.3%). Intraocular lens implantation produced a mean endothelial cell loss of 15.8% to 20.9%, depending on surgical technique and implant type. A Choycestyle lens resulted in statistically less cell loss than with other implants. Mean endothelial cell loss was 17.8% with clinically atraumatic and 27.3% with clinically traumatic implantations. Corneal thickness measurements did not correlate with endothelial cell loss or trauma observed clinically at the time of surgery and did not seem helpful in the preoperative evaluation of cataract cases. References 1. Maurice DM: Cellular membrane activity in the corneal endothelium of the intact eye . Experientia 24:1094-1095, 1968.Crossref 2. Bourne WM, Kaufman HE: Specular microscopy of human corneal endothelium in vivo . Am J Ophthalmol 81:319-323, 1976. 3. Laing RA, Sandstrom MM, Leibowitz HM: In vivo photomicrography of the corneal endothelium . Arch Ophthalmol 93:143-145, 1975.Crossref 4. Bourne WM, Kaufman HE: Endothelial damage associated with intraocular lenses . Am J Ophthalmol 81:482-485, 1976. 5. Forstot SL, Blackwell WL, Jaffe NS, et al: The effect of intraocular lens implantation on the corneal endothelium . Trans Am Acad Ophthalmol Otolaryngol 83:195-203, 1977. 6. Hirst LW, Snip RC, Stark WJ, et al: Quantitative corneal endothelial evaluation in intraocular lens implantation and cataract surgery . Am J Ophthalmol 84:775-780, 1977. 7. Sugar A, Fetherolf EC, Lin LLK, et al: Endothelial cell loss from intraocular lens insertion . Ophthalmology 85:394-399, 1978.Crossref 8. Sugar J, Mitchelson J, Kraff M: Endothelial trauma and cell loss from intraocular lens insertion . Arch Ophthalmol 96:449-450, 1978.Crossref 9. Kraff MC, Sanders DR, Lieberman HL: Endothelial cell loss and trauma during intraocular lens implantation: A specular microscopic study . J Am Intraocul Implant Soc 4:107-109, 1978. 10. Sugar J, Mitchelson J, Kraff M: The effect of phacoemulsification on corneal endothelial cell density . Arch Ophthalmol 96:446-448, 1978.Crossref 11. Drews RC, Waltman SR: Endothelial cell loss in intraocular lens placement . J Am Intraocul Implant Soc 4:14-16, 1978. 12. Cozean CH Jr, Waltman SR: Endothelial cell loss with the Choyce anterior chamber lens . J Am Intraocul Implant Soc 5:13-14, 1979. 13. Galin MA, Fetherolf E, Lin L, et al: Symposium on intraocular lenses: Experimental cataract surgery . Ophthalmology 86:213-218, 1979.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Oct 1, 1980

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