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An “All-laser” Endothelial Transplant
Published on: July 6, 2015
Long-term evaluation of endothelial cell loss after phacoemulsification
H Lesiewska-Junk1, J Kałuzny, G Malukiewicz-Wiśniewska
1Dept. of Ophthalmology, Ludwik Rydygier's University School of Medical Sciences, Bydgoszcz, Poland.
Purpose:
To check whether three months' follow-up is sufficient to determine endothelial cell loss after cataract surgery and whether this value depends on preoperative central endothelial cell density.
Methods:
A two-year prospective assessment of central endothelial cell density was done in 60 eyes after phacoemulsification. In 30 eyes a 3.5 mm corneal incision closed with a single crossed suture was made, and the other 30 had a 3.5 mm scleral tunnel no-stitch incision. Central endothelial cell density was measured before surgery and 1, 3, 6 months and 2 years after.
Results:
The mean rate of endothelial cell loss even two years after surgery was significantly higher than the physiological rate, amounting to 0.9% per year. There was no correlation between preoperative central endothelial cell density and postoperative cell loss.
Conclusions:
Even two years' follow-up is not sufficient to establish the total endothelial cell loss after cataract surgery. The amount of cell loss does not depend on the preoperative density.
