Clinical Specular Microscopy and Intraocular Surgery

Richard L. Abbott; Richard K. Forster

doi:10.1001/archopht.1979.01020020138010

Clinical Specular Microscopy and Intraocular Surgery

Richard L. Abbott, Richard K. Forster

Ophthalmology

Research output: Contribution to journal › Article › peer-review

48 Scopus citations

Abstract

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 language	English (US)
Pages (from-to)	1476-1479
Number of pages	4
Journal	Archives of ophthalmology
Volume	97
Issue number	8
DOIs	https://doi.org/10.1001/archopht.1979.01020020138010
State	Published - Aug 1979

ASJC Scopus subject areas

Ophthalmology

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abstract = "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).",

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