Effect of torsional versus longitudinal phacoemulsification on the corneal endothelium

Abdelrasoul, Ibrahim F; Mohammad, Hosny Hassan; Khalil, Hisham Fawzy; Mahdy, Mohamed A.

doi:10.4103/2090-0686.168682

Cited by 1 publication

(1 citation statement)

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“…25 Thus, the changes in corneal parameters in our study after phacoemulsification were within the range as observed in other cases of routine cataract surgery in hard nucleus carried out without the use of ICM. [24][25][26][27] For the 6.4% endothelial loss in our study, the increase in polymegathism was acceptable. Moreover, the change in CoV and Hex in our study may be attributed to higher grades of cataract and use of longitudinal mode of phacoemulsification instead of torsional mode leading to more ECD loss.…”

Section: Discussionmentioning

confidence: 95%

Impact on corneal morphology after cataract surgery with intracameral moxifloxacin in neglected hard cataracts

Gupta

Vichare

Kumar

et al. 2022

European Journal of Ophthalmology

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Aim To evaluate corneal morphology after use of 0.5% intracameral moxifloxacin (ICM) in cataract surgery in patients who presented late with hard cataracts. Methods Cross-sectional study conducted from June-2021 to December-2021 at a tertiary eye-care center. 90 patients over 60 years with high-risk characteristics for Covid-19, who presented late with higher grades of nuclear-sclerosis (NS), were included. They underwent phacoemulsification and 0.5%moxifloxacin (0.1 ml) was injected intracamerally at the end of surgery. Best-corrected visual acuity (BCVA), intraocular pressures (IOP), endothelial cell density (ECD), coefficient of variation in cell-area (CoV), hexagonality (Hex) and central corneal thickness (CCT) were measured preoperatively and postoperatively on day1, day7 and day30. Statistical analysis was done by Anova test. p-value<0.05 was considered significant. Results Mean age of presentation was 65.26±8.3 years. Mean preoperative BCVA (1/60-to-6/60), IOP (16.7±2.3 mm of Hg), CCT (523.93±39.6µ), ECD (2547±302.08cells/mm2), Hex (47.04±5.7%) and CoV (37.57±3.9) changed to BCVA (6/9-to-6/6), IOP (17.5±2.1 mm of Hg), CCT (538.42±36.9µ), ECD (2388.40±339.25cells/mm2), Hex (44.44±5.6%) and CoV (39.09±4.5) at day30 postoperative. Average rate of change at day30 was increase in CCT (2.89%), ECD loss (6.4%), decrease in Hex (4.9%) and increase in CoV (4.6%), though clinically insignificant. No case of endophthalmitis or toxic-anterior segment syndrome seen. Conclusion 0.5% moxifloxacin (0.1 ml) is safe as intracameral antibiotic to prevent postoperative infection in high-risk patients. The reported changes in the corneal parameters were within the range of any routine surgeries of hard senile cataracts. No specific effect could be attributed to ICM.

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Section: Discussionmentioning

confidence: 95%