Intraoperative IOP in phacoemulsification with a usual bottle height appeared to exceed the normal range. Phacoemulsification with a low bottle height was less harmful to the corneal endothelium.
The corneal volume increase after surgery may be indicative of the degree of the endothelial damage in the area; thus, the VSI may be useful in the functional assessment of the corneal endothelium.
Free radical development in phacoemulsification can be altered by OVD properties and I/A settings. To reduce oxidative stress to the corneal endothelium, attention should be paid to the retention of OVDs in the anterior chamber during phacoemulsification.
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