Phacoemulsification and IOL implantation in eyes with cornea guttata.
During the period from April 1990 until August 1991 in 217 eyes with cornea guttata (and clear cornea) a cataract extraction with implantation of a posterior chamber lens was performed. Of these, 189 eyes (146 patients) underwent a phacoemulsification procedure. According to semiquantitative endothelial cell microscopy in the central area of the cornea, the eyes were classified into three groups: Group I (n = 126): solitary defects (< 5) in the central endothelial layer. Group II (n = 49): several defects (> 5) in the central endothelial layer. Group III (n = 14): considerable defects (> 50% of the central endothelial layer). Postoperative follow-up (2 to 7 months) was without any complication in Group I: i.e. all corneas were immediately clear and remained clear until today. In Group II we observed a mild transient corneal edema in 4 of 49 eyes on the first postoperative day which disappeared spontaneously after one to three days. In Group III a mild transient corneal edema was seen in 11 of 14 eyes on the first postoperative day which disappeared in 1 to 4 weeks. All 14 corneas are still clear today.
Liesenborghs
L F
LF
Department of Ophthalmology, University of Brussels, Belgium.
Hennekes
R
R
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000379:methods*; D003315:Cornea / Q000473:pathology; D003316:Corneal Diseases / Q000145:classification / Q000601:surgery*; D004727:Endothelium / Q000473:pathology; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D014792:Visual Acuity