[Corneal endothelial examination of pseudoexfoliation syndrome]

Specular microscopic observation of corneal endothelial changes in pseudoexfoliation syndrome was performed. The images of corneal endothelium were recorded by a video camera, traced and put into an image analyzer to obtain cell density, coefficient of variation in cell area (C.V.), and hexagonality. In both affected eyes and fellow eyes with pseudoexfoliation syndrome, cell density and hexagonality were significantly decreased and C.V. value had a tendency to be higher than normal subjects. Corneal endothelium was damaged morphologically and quantitatively not only in affected eyes but also in unaffected fellow eyes in case of pseudoexfoliation syndrome. The necessity to assess the corneal endothelium in the patients of pseudoexfoliation syndrome before intraocular surgery was emphasised.