[Pathologically reduced endothelial cell number despite normal slit-lamp microscopic corneal findings. An important result before cataract surgery].
BACKGROUND
A reduced number of endothelial cells increases the risk of corneal decompensation after cataract surgery. It is difficult to quantify the number of endothelial cells using slit-lamp microscopy since normal corneas may also show a reduced number of endothelial cells.


METHODS
We compared the number of endothelial cells pre- and postoperatively in a group of 500 consecutive patients.


RESULTS
Corneas diagnosed preoperatively with corneae guttata by slit-lamp microscopy may reveal more than 1800 endothelial cells/mm2. These corneas may decompensate after surgery.


CONCLUSIONS
We consider the routine use of endothelial microscopy to be a helpful diagnostic tool prior to cataract surgery.
Lechner
S
S
Augenklinik Charité Campus Virchow-Klinikum, Augustenburger Platz 1, 13353 Berlin.
Schweig
F
F
Rieck
P
P
Anders
N
N
Hartmann
C
C
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D002452:Cell Count; D003316:Corneal Diseases / Q000175:diagnosis* / Q000209:etiology; D004728:Endothelium, Corneal / Q000166:cytology*; D006801:Humans; D008297:Male; D008853:Microscopy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology