Clinical Specular Microscopy and Intraocular Surgery

Richard L. Abbott, Richard K. Forster

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


Seventy patients were studied prospectively, using the clinical specular microscope, to compare and evaluate the effects on the corneal endothelium of routine intracapsular cataract extraction (ICCE), ICCE with intraocular lens (IOL) implantation, phacoemulsification, and penetrating keratoplasty. Results showed a 6% cell loss after ICCE, 12% loss after IOL insertion, 14% loss after phacoemulsification, and 21% loss after penetrating keratoplasty. Both phakic and aphakic grafts had 21% loss. Within the aphakic keratoplasty group, there was a 10% cell loss in patients who maintained an intact vitreous face compared with a 26% cell loss in patients who underwent an anterior vitrectomy (P < .1).

Original languageEnglish (US)
Pages (from-to)1476-1479
Number of pages4
JournalArchives of ophthalmology
Issue number8
StatePublished - Aug 1979

ASJC Scopus subject areas

  • Ophthalmology


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