Correlation of Corneal endothelial loss to corneal curvature and axial length in Phacoemulsification

Dr Renu Dhasmana; Dr Amrita Verma; Dr Harsh Bahadur

Volume : V, Issue : I, January - 2016

Correlation of Corneal endothelial loss to corneal curvature and axial length in Phacoemulsification

Dr Renu Dhasmana, Dr Amrita Verma, Dr Harsh Bahadur

Abstract :

Background: Phacoemulsification is widely used cataract surgery. Corneal endothelial loss is an issue in predisposed eyes. Methods: In this prospective observational study, 87 eyes of 87 patients who underwent phacoemulsification were included. The corneal endothelial cell count, central corneal thickness and coefficient of variance were assessed preoperatively and postoperatively after 1, 6 and 12 weeks of surgery. The corneal endothelial cell loss was correlated to patient�s age, corneal curvature and axial length. Results: The mean age was 61�9.68 years. Statistically significant endothelial cell loss was noted (P<0.000) at 12 weeks with mean endothelial cell loss of 11.6%. Eyes with shorter axial length and corneal curvature had significantly more endothelial loss (P=0.04 and P=0.02). Central corneal thickness did not return to normal value at 12 weeks (P<0.000). Conclusion: Phacoemulsification is associated with acceptable endothelial loss and it correlates with older age, lesser corneal curvature and short axial length