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Effect of Blunt Trauma on the Corneal Endothelium

Effect of Blunt Trauma on the Corneal Endothelium Abstract • Specular microscopy of central corneal endothelium was performed on 26 patients with a history of blunt uniocular trauma with hyphema. Compared with the uninjured fellow eye, the injured eye had a mean decrease in endothelial cell density (ECD) of 6.4%. In 12 patients with angle recession, the decrease in ECD was 12.2%, compared with 14 patients without angle recession with a decrease in ECD of 1.2%. In five patients with greater than 180° of angle recession, the mean decrease in ECD was 21.2%. No significant decrease in ECD was noted to be associated with size of hyphema, iridodialysis, vitreoretinal abnormalities, or transiently increased intraocular pressure. References 1. Bourne WM, Kaufman HE: Cataract extraction and the corneal endothelium . Am J Ophthalmol 1976;82:44-47. 2. Forstot SL, Blackwell WL, Jaffe NS, et al: The effect of intraocular lens implantation on the corneal endothelium . Trans Am Acad Ophthalmol Otolaryngol 1977;83:195-203. 3. Bourne WM, O'Fallon WM: Endothelial cell loss during penetrating keratoplasty . Am J Ophthalmol 1978;85:760-766. 4. Sugar J, Mitchelson J, Kraff M: The effect of phakoemulsification on corneal endothelial cell density . Arch Ophthalmol 1978;96:446-448.Crossref 5. Sugar A: Clinical specular microscopy . Surv Ophthalmol 1978;24:21-32.Crossref 6. Vannas A, Setätä K, Ruusavaara P: Corneal endothelial changes with epinephrine therapy . Arch Ophthalmol 1978;96:543.Crossref 7. Hall DS, Chenotti MT, Edelhauser HF, et al: Effect of epinephrine on the corneal endothelium . Am J Ophthalmol 1975;79:245-250. 8. Waltman SR, Yarian D, Hart W, et al: Corneal endothelial changes with long-term epinephrine therapy . Arch Ophthalmol 1977; 95:1357-1358.Crossref 9. Cibis GW, Weigeist TA, Krachmer JH: Traumatic corneal endothelial rings . Arch Ophthalmol 1978;96:485-488.Crossref 10. Maloney WF, Colvard M, Bourne WM, et al: Specular microscopy of traumatic posterior annular keratopathy . Arch Ophthalmol 1979; 97:1647-1650.Crossref 11. Kaufman HE, Capella JA, Robbins JE: The human corneal endothelium . Am J Ophthalmol 1966;61:835-841. 12. Maurice DM: Cellular membrane activity in the corneal endothelium of the intact eye . Experientia 1968;24:1094-1095.Crossref 13. Laing RA, Sandstrom MM, Leibowitz HM: In vivo photomicrography of the corneal endothelium . Arch Ophthalmol 1975;93:143-145.Crossref 14. Bourne WM, McCarey BE, Kaufman HE: Clinical specular microscopy . Trans Am Acad Ophthalmol Otolaryngol 1976;81:743-753. 15. Laule A, Cable MK, Hoffman CE, et al: Endothelial cell population changes of human cornea during life . Arch Ophthalmol 1978; 96:2031-2034.Crossref 16. Schutten WH, Schultz RO: A new method for determining corneal endothelial cell density from specular photomicrographs . Arch Ophthalmol 1980;98:552-553.Crossref 17. Laing RA, Sandstrom MA, Berrospi AR, et al: Changes in the corneal endothelium as a function of age . Eye Res 1976;22:587-594.Crossref 18. Coles WH: Traumatic hyphema: An analysis of 235 cases . South Med J 1968;61:813-816.Crossref 19. Brodrich JD: Corneal staining after hyphema . Br J Ophthalmol 1972;56:589-593.Crossref 20. Thorkilgaard O, Moestrup B: Contusionangle deformity: Its incidence and appearance . Acta Ophthalmol 1967;45:51-55.Crossref 21. Pettit TH, Keates EU: Traumatic cleavage of the chamber angle . Arch Ophthalmol 1963;69:438-444.Crossref 22. Wolff SM, Zimmerman LE: Chronic secondary glaucoma . Am J Ophthalmol 1962;54:547-562. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Effect of Blunt Trauma on the Corneal Endothelium

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References (27)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1981.03930011041011
Publisher site
See Article on Publisher Site

Abstract

Abstract • Specular microscopy of central corneal endothelium was performed on 26 patients with a history of blunt uniocular trauma with hyphema. Compared with the uninjured fellow eye, the injured eye had a mean decrease in endothelial cell density (ECD) of 6.4%. In 12 patients with angle recession, the decrease in ECD was 12.2%, compared with 14 patients without angle recession with a decrease in ECD of 1.2%. In five patients with greater than 180° of angle recession, the mean decrease in ECD was 21.2%. No significant decrease in ECD was noted to be associated with size of hyphema, iridodialysis, vitreoretinal abnormalities, or transiently increased intraocular pressure. References 1. Bourne WM, Kaufman HE: Cataract extraction and the corneal endothelium . Am J Ophthalmol 1976;82:44-47. 2. Forstot SL, Blackwell WL, Jaffe NS, et al: The effect of intraocular lens implantation on the corneal endothelium . Trans Am Acad Ophthalmol Otolaryngol 1977;83:195-203. 3. Bourne WM, O'Fallon WM: Endothelial cell loss during penetrating keratoplasty . Am J Ophthalmol 1978;85:760-766. 4. Sugar J, Mitchelson J, Kraff M: The effect of phakoemulsification on corneal endothelial cell density . Arch Ophthalmol 1978;96:446-448.Crossref 5. Sugar A: Clinical specular microscopy . Surv Ophthalmol 1978;24:21-32.Crossref 6. Vannas A, Setätä K, Ruusavaara P: Corneal endothelial changes with epinephrine therapy . Arch Ophthalmol 1978;96:543.Crossref 7. Hall DS, Chenotti MT, Edelhauser HF, et al: Effect of epinephrine on the corneal endothelium . Am J Ophthalmol 1975;79:245-250. 8. Waltman SR, Yarian D, Hart W, et al: Corneal endothelial changes with long-term epinephrine therapy . Arch Ophthalmol 1977; 95:1357-1358.Crossref 9. Cibis GW, Weigeist TA, Krachmer JH: Traumatic corneal endothelial rings . Arch Ophthalmol 1978;96:485-488.Crossref 10. Maloney WF, Colvard M, Bourne WM, et al: Specular microscopy of traumatic posterior annular keratopathy . Arch Ophthalmol 1979; 97:1647-1650.Crossref 11. Kaufman HE, Capella JA, Robbins JE: The human corneal endothelium . Am J Ophthalmol 1966;61:835-841. 12. Maurice DM: Cellular membrane activity in the corneal endothelium of the intact eye . Experientia 1968;24:1094-1095.Crossref 13. Laing RA, Sandstrom MM, Leibowitz HM: In vivo photomicrography of the corneal endothelium . Arch Ophthalmol 1975;93:143-145.Crossref 14. Bourne WM, McCarey BE, Kaufman HE: Clinical specular microscopy . Trans Am Acad Ophthalmol Otolaryngol 1976;81:743-753. 15. Laule A, Cable MK, Hoffman CE, et al: Endothelial cell population changes of human cornea during life . Arch Ophthalmol 1978; 96:2031-2034.Crossref 16. Schutten WH, Schultz RO: A new method for determining corneal endothelial cell density from specular photomicrographs . Arch Ophthalmol 1980;98:552-553.Crossref 17. Laing RA, Sandstrom MA, Berrospi AR, et al: Changes in the corneal endothelium as a function of age . Eye Res 1976;22:587-594.Crossref 18. Coles WH: Traumatic hyphema: An analysis of 235 cases . South Med J 1968;61:813-816.Crossref 19. Brodrich JD: Corneal staining after hyphema . Br J Ophthalmol 1972;56:589-593.Crossref 20. Thorkilgaard O, Moestrup B: Contusionangle deformity: Its incidence and appearance . Acta Ophthalmol 1967;45:51-55.Crossref 21. Pettit TH, Keates EU: Traumatic cleavage of the chamber angle . Arch Ophthalmol 1963;69:438-444.Crossref 22. Wolff SM, Zimmerman LE: Chronic secondary glaucoma . Am J Ophthalmol 1962;54:547-562.

Journal

Archives of Ophthalmology – American Medical Association

Published: Jun 1, 1981

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