[Influence AquaLase at corneal endothelial cells].
OBJECTIVE
To assess the effect of the cleaning of the posterior capsule using pulses of balanced salt solution (BSS) on the corneal endothelial cells.


METHODS
This pilot study involves 43 patients with bilateral cataracts having lens removal using torsional phacoemulsification (Ozil, Infiniti, Alcon) and bimanul irrigation/aspiration (I/A). Posterior capsule of the right eye of each patient was cleaned using pulses of BSS (AquaLase, Infiniti, Alcon). Surgery was performed by one of 2 surgeons (NJ, PR), both eyes of each patient was operated on by the same surgeon. Best corrected visual acuity (BCVA), endotelial cell count and pachymetry were evaluated pre- and postoperatively as well as occurence af peri- and postoperative complications.


RESULTS
Preoperative mean pachymetry (P) was 566 +/- 45 microm in the right eye (RE) and 562 +/- 42 microm in the left eye (LE), mean endotelial cell count (ECC) 2541 +/- 317 cells/mm2 (RE) and 2567 +/- 311 cells/mm2 (LE). Three months after surgery P was 557 +/- 43 microm (RE) and 558 +/- 45 microm (LE) and ECC 2368 +/- 416 cells/mm2 (RE) and 2396 +/- 417 cells/mm2 (LE). There was no statistical difference in postoperative changes of both corneal parameters between right and left eyes. Best corrected visual acuity improved in all eyes and no peri-or postoperative complications occured.


CONCLUSIONS
Cleaning of the posterior capsule using AquaLase is safe for corneal endothelial cells.
Jirásková
N
N
Ocní klinika Lékarské fakulty Univerzity Karlovy a Fakultní nemocnice, Hradec Králové. jirasnad@fnhk.cz
Rozsíval
P
P
Ludvíková
M
M
Burova
M
M
Nekolová
J
J
D000368:Aged; D000369:Aged, 80 and over; D002452:Cell Count; D042783:Endothelial Cells / Q000166:cytology; D004728:Endothelium, Corneal / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000295:instrumentation*; D007507:Therapeutic Irrigation / Q000295:instrumentation; D014792:Visual Acuity