Corneal endothelial evaluation after phacoemulsification and silicone oil removal via an anterior approach.
OBJECTIVE
To determine the effect of simultaneous phacoemulsification and silicone oil removal via an anterior approach on the endothelial cell density (ECD).


METHODS
In this prospective study, the authors measured the ECD before and 6 weeks after surgery using an automatic noncontact specular endothelial microscope. Nine patients underwent phacoemulsification and silicone oil removal via an anterior approach using a closed system and separation of irrigation/aspiration function.


RESULTS
Of nine patients, four (five eyes) were diabetic and five (five eyes) were nondiabetic. The postoperative ECD of the entire population was statistically different (P<0.01) from baseline and the average endothelial cell loss was 6.7%.


CONCLUSIONS
Combined phacoemulsification and silicone oil removal via an anterior approach using a close system and separation of irrigation/aspiration function is safe to the corneal endothelium.
Cacciatori
Matteo
M
Department of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, Scotland. matteocacciatori@virgilio.it
Aspinall
Peter
P
Bennett
Harry G
HG
Singh
Jas
J
D000328:Adult; D000368:Aged; D000869:Anterior Eye Segment / Q000601:surgery; D002452:Cell Count; D004322:Drainage / Q000379:methods*; D004728:Endothelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011446:Prospective Studies; D012827:Silicone Oils
D012827:Silicone Oils