PURPOSE: 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. © The Ophthalmic Communications Society, Inc.
|Number of pages||4|
|Publication status||Published - Jul 2007|
- Endothelial cell density
- Silicone oil removal