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Abstract

CORNEAL ENDOTHELIUM OUTCOME AFTER TORSIONAL PHACOEMULSIFICATION SURGERY

Hassan Shamselden Yousef*

ABSTRACT

Purpose: Corneal Endothelium Outcome After Torsional
Phacoemulsification surgery. Desigen: prospective randomized study.
Methods: This is a prospective study that was performed on 20
patients to estimate postoperative corneal endothelial outcome after
cataract surgery performed with torsional phacoemulsification in senile
cataracts. The current study has been conducted at Al-Azhar University
Hospital Asyuit. Results: This is a prospective study that was
performed on 20 patients to estimate postoperative corneal endothelial
outcome after cataract surgery performed with torsional
phacoemulsification in senile cataracts. Preoperative data including age, sex and grading of nucleus are Presented in Table (3). The Age group ranges from 55-65
years, including 12 males & 8 Females, all have Nuclear cataract grade II-III. In our trial we
also conducted a more detailed study about the corneal endothelial cells as regard,
Endothelial cell Count (Endothelial density) (CD), Average cell size (AVE), Maximum cell
size (MAX), Minimum cell size (MIN), Coefficient of variation in cell size (CV), Standard
deviation in cell density (SD), Pachymetry (PACHY), Best corrected visual acuity (BCVA),
as well as the Percentage of the hexagonal cells (6A). Conclusion: Our results indicate that
the torsional phacoemulsification is a safe method of removing uncomplicated senile cataract
with less endothelial cell loss. Torsional phacoemulsification has the advantage of reducing
UST as well as effective energy used. Phaco duration was the most significant intraoperative
factor affecting the corneal endothelium. So Specular microscopy is a useful tool in
preoperative assessment of cataract patients especially in cases undergoing
phacoemulsification. This study is limited by a small sample size in hard cataracts.
Nevertheless, the findings have meaningful clinical relevance to support the efficiency and
safety of torsional phacoemulsification in medium density cataracts.

Keywords: Corneal Endothelium, Torsional Phacoemulsification, Specular microscopy.


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