Specular microscopy with intraocular lens implantations

Specular microscopy performed six months postoperatively on 122 lens implant patients showed that endothelial cell loss rates varied according to method of cataract extraction and type of lens implant. Phacoemulsification with implantation of a Platina-style lens was associated with the highest cell loss; planned extracapsular cataract extraction with implantation of a Choyce-style or J-loop lens was associated with the lowest cell loss. The presence of marked striate keratopathy on the first postoperative day was directly related to endothelial cell loss.