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The effects of blunt trauma and cataract surgery on corneal endothelial cell density.

Yeniad B, Corum I, Ozgun C - Middle East Afr J Ophthalmol (2010)

Bottom Line: A P value less than 0.05 was considered statistically significant.The ECD decreased by 10.8% in the control group (P = 0.489).Patients with cataracts due to blunt trauma had a decreased endothelial cell count, which was significantly aggravated by cataract surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

ABSTRACT

Purpose: This study was designed to investigate the effects of trauma and cataract surgery on corneal endothelial cell density (ECD) in patients with a traumatic cataract due to blunt trauma without globe laceration.

Materials and methods: In this prospective study, 31 subjects with traumatic cataract (traumatic cataract group) and 30 subjects with a senile cataract (control group) were enrolled. The subjects with traumatic cataract were subdivided into two groups: uncomplicated surgery subgroup (n = 19) in which subjects underwent standard phacoemulsification with intraocular lens implantation and complicated surgery subgroup (n = 12) in which subjects underwent cataract surgery other than standard phacoemulsification. The ECD of the traumatic cataract group and the control group was compared preoperatively and at 3 months or later postoperatively. A P value less than 0.05 was considered statistically significant.

Results: The ECD in the eyes with traumatic cataract was 13.1% lower than that for healthy eyes preoperatively (P = 0.043). Postsurgical ECD decreased by 16.7% in complicated surgery subgroup and 11.9% in uncomplicated surgery subgroup (P = 0.049) after 3 months postoperatively. The ECD decreased by 10.8% in the control group (P = 0.489).

Conclusions: Patients with cataracts due to blunt trauma had a decreased endothelial cell count, which was significantly aggravated by cataract surgery. The loss of corneal endothelium cells due to surgery depends on the surgical approach.

No MeSH data available.


Related in: MedlinePlus

The distribution of endothelial cell density in healthy eyes
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Figure 0002: The distribution of endothelial cell density in healthy eyes

Mentions: The distribution of ECD in 61 healthy eyes (30 eyes in the control group and 31 contralateral eyes in the traumatic cataract group) is shown in Figure 2. A statistically significant negative correlation was determined between age and ECD of healthy eyes (P < 0.0001, r = –0.527, Spearman correlation) [Figure 2].


The effects of blunt trauma and cataract surgery on corneal endothelial cell density.

Yeniad B, Corum I, Ozgun C - Middle East Afr J Ophthalmol (2010)

The distribution of endothelial cell density in healthy eyes
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2991455&req=5

Figure 0002: The distribution of endothelial cell density in healthy eyes
Mentions: The distribution of ECD in 61 healthy eyes (30 eyes in the control group and 31 contralateral eyes in the traumatic cataract group) is shown in Figure 2. A statistically significant negative correlation was determined between age and ECD of healthy eyes (P < 0.0001, r = –0.527, Spearman correlation) [Figure 2].

Bottom Line: A P value less than 0.05 was considered statistically significant.The ECD decreased by 10.8% in the control group (P = 0.489).Patients with cataracts due to blunt trauma had a decreased endothelial cell count, which was significantly aggravated by cataract surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

ABSTRACT

Purpose: This study was designed to investigate the effects of trauma and cataract surgery on corneal endothelial cell density (ECD) in patients with a traumatic cataract due to blunt trauma without globe laceration.

Materials and methods: In this prospective study, 31 subjects with traumatic cataract (traumatic cataract group) and 30 subjects with a senile cataract (control group) were enrolled. The subjects with traumatic cataract were subdivided into two groups: uncomplicated surgery subgroup (n = 19) in which subjects underwent standard phacoemulsification with intraocular lens implantation and complicated surgery subgroup (n = 12) in which subjects underwent cataract surgery other than standard phacoemulsification. The ECD of the traumatic cataract group and the control group was compared preoperatively and at 3 months or later postoperatively. A P value less than 0.05 was considered statistically significant.

Results: The ECD in the eyes with traumatic cataract was 13.1% lower than that for healthy eyes preoperatively (P = 0.043). Postsurgical ECD decreased by 16.7% in complicated surgery subgroup and 11.9% in uncomplicated surgery subgroup (P = 0.049) after 3 months postoperatively. The ECD decreased by 10.8% in the control group (P = 0.489).

Conclusions: Patients with cataracts due to blunt trauma had a decreased endothelial cell count, which was significantly aggravated by cataract surgery. The loss of corneal endothelium cells due to surgery depends on the surgical approach.

No MeSH data available.


Related in: MedlinePlus