PURPOSE: To determine the effect of simultaneous phacoemulsification and silicone oil removal via an anterior approach on the endothelial cell density (ECD). METHODS: In this prospective study, the authors measured the ECD before and 6 weeks after surgery using an automatic noncontact specular endothelial microscope. Nine patients underwent phacoemulsification and silicone oil removal via an anterior approach using a closed system and separation of irrigation/aspiration function. RESULTS: Of nine patients, four (five eyes) were diabetic and five (five eyes) were nondiabetic. The postoperative ECD of the entire population was statistically different (P<0.01) from baseline and the average endothelial cell loss was 6.7%. CONCLUSIONS: Combined phacoemulsification and silicone oil removal via an anterior approach using a close system and separation of irrigation/aspiration function is safe to the corneal endothelium.
PURPOSE: To determine the effect of simultaneous phacoemulsification and silicone oil removal via an anterior approach on the endothelial cell density (ECD). METHODS: In this prospective study, the authors measured the ECD before and 6 weeks after surgery using an automatic noncontact specular endothelial microscope. Nine patients underwent phacoemulsification and silicone oil removal via an anterior approach using a closed system and separation of irrigation/aspiration function. RESULTS: Of nine patients, four (five eyes) were diabetic and five (five eyes) were nondiabetic. The postoperative ECD of the entire population was statistically different (P<0.01) from baseline and the average endothelial cell loss was 6.7%. CONCLUSIONS: Combined phacoemulsification and silicone oil removal via an anterior approach using a close system and separation of irrigation/aspiration function is safe to the corneal endothelium.
Authors: Mariantonia Ferrara; Giulia Coco; Tania Sorrentino; Kirti M Jasani; George Moussa; Francesco Morescalchi; Felipe Dhawahir-Scala; Francesco Semeraro; David H W Steel; Vito Romano; Mario R Romano Journal: J Clin Med Date: 2022-09-05 Impact factor: 4.964