[Surgery for treatment of senile cataract with Fuchs' endothelial dystrophy].
OBJECTIVE
To evaluate the result of surgery for senile cataract with Fuchs' endothelial dystrophy and emphasize the importance of the preoperative examination by specular microscopy.


METHODS
In the review of 2,026 consecutive senile cataract cases, 17 Fuchs' endothelial dystrophy cases were found before cataract surgery by specular microscopy. Operative procedures and corneal endothelial protective measures were recorded, and postoperative corneal transparency was observed. The examination of specular microscopy was performed 3 months after the cataract surgery.


RESULTS
The incidence of Fuchs' endothelial dystrophy in senile cataract was 0.8% (17/2,026) in our study. The loss rate of endothelial cells was 16.2%. No bullous keratopathy occurred in all cases during follow-up period.


CONCLUSIONS
Reasonable measures to protect the endothelium in the surgery by an experienced operator is helpful to the success of surgery. Observing the endothelium by specular microscopy before cataract surgery is very important.
Xie
Li-xin
LX
Shandong Eye Institute & Hospital, Qingdao 266071, China. lixinxie@public.qd.sd.cn
Yao
Zhan
Z
Huang
Yu-sen
YS
Ying
Liang
L
Wang
Zhi-peng
ZP
D000368:Aged; D002387:Cataract Extraction; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014792:Visual Acuity