Endothelial Cell Loss from Intraocular Lens Insertion

Corneal Endothelial Toxicity of Air and SF6

“…It should be mentioned that the numerous reports on the beneficial effect of air injected into the anterior chamber to prevent its collapse during intracapsular or extracapsular cataract extraction [32][33][34][35][36][37][38][39] were of no help in the present study. In these older reports, the considerable mechanical protection offered by the short-term (few minutes only) filling of the anterior chamber with air would have masked any eventual sign of air endothelial toxicity.…”

Comparison of endothelial cell loss after cataract surgery: Phacoemulsification versus manual small-incision cataract surgery

“…Significant loss of endothelium can lead to corneal decompensation and loss of corneal clarity. 6,7 Some degree of endothelial cell loss is inevitable after any type of cataract surgery. 6,7 Intraoperative and postoperative complications are generally associated with a greater mean cell loss than that in uneventful cases.…”

“…6,7 Some degree of endothelial cell loss is inevitable after any type of cataract surgery. 6,7 Intraoperative and postoperative complications are generally associated with a greater mean cell loss than that in uneventful cases. 8 In uneventful extracapsular cataract extraction (ECCE), the mean cell loss varies from 6% to 17%; however, in complicated cases, cell loss can exceed 40%.…”

“…8 In uneventful extracapsular cataract extraction (ECCE), the mean cell loss varies from 6% to 17%; however, in complicated cases, cell loss can exceed 40%. 6,7 Two important factors in maintaining corneal transparency are the number and the integrity of the corneal endothelial cells. The chief function of this endothelial cell monolayer is to remove fluid from the corneal stroma, keeping it optically clear.…”

Corneal endothelial cell loss in post-penetrating keratoplasty patients after cataract surgery: Phacoemulsification versus planned extracapsular cataract extraction

“…18 The causes of cell loss during ECCE are mechanical trauma by instruments and nuclear fragments, anterior chamber collapse, the large incision, and corneal distortion. Sugar et al 20 and Kraff et al 21 report that the mean endothelial cell loss in uneventful ECCE varies from 6% to 17%, whereas the cell loss in complicated cases exceeds 40%. There were no complications in our study, and the mean percentage of cell loss was 12.7% after surgery.…”